Healthcare Before Obamacare

As the healthcare exchanges open and people all over the US sign up for health insurance, we begin to review our own options so that we are in a position to evaluate what these exchanges will deliver. We start with a review of what we currently have, at least until the end of the year.

We get healthcare through my employer, covering both of us for all medical, dental, vision, mental (counseling), and prescriptions. For 2013, it costs us $115/paycheck (roughly $230/month), although my employer ultimately pays about $820/month for this benefit. Our $9840 annual cost to the employer for healthcare insurance is a little higher than the national average. Health insurance is quite expensive in this country, this before the effects of the Affordable Care Act (ACA) kick in.

Additionally, my employer pays $4000 into our Health Reimbursement Account (HRA) at the beginning of the year, leaving our out-of-pocket deductible as $4000 annually. Whatever is not used up in the HRA the previous year is rolled over into the new year, in addition to new contributions from the employer. As we use up healthcare services, we don't start paying out-of-pocket until the HRA is depleted. When this happens, we pay up to $4000 out of pocket, and thereafter insurance covers the rest 100%. So as a matter of good planning, we decided to stow away the $4000 expected deductible as part of our emergency fund.

Medical coverage is provided by Anthem BlueCross, and includes preventive care, doctor visits, emergency room, hospital and board (3 days), and prescriptions (the complete list of benefits includes over 100 items that I do not care to list here, but that have 100% coverage in-network and 60-80% out of network). Of note, the lifetime maximum amount is unlimited. Dental coverage is provided by DeltaDental up to $3000, with 100% preventive care and basic treatments, and 80% major treatments and orthodontics. The vision plan is 100% covered beyond a $20 office visit fee.

To date, we have not had to pay anything out-of-pocket towards healthcare, even after the annual physicals and dental checkups we have done, except for various prescription co-pays at about $45/month. We like our healthcare plan thus far, but will shop around if the healthcare exchanges provide something better than what our plan will offer for 2014.