r/FluentInFinance • u/The-Lucky-Investor • 13d ago

“Medicare for All” would save the U.S $5.1 Trillion over 10 years Discussion/ Debate

https://www.commondreams.org/news/2018/11/30/easy-pay-something-costs-less-new-study-shows-medicare-all-would-save-us-51-trillion
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u/njackson2020 13d ago

For a lot of visits you only have a copay. You don't have to pay $1,000 before the copay kicks in. The copay counts towards that $1,000 deductible. Then you will have a out-of-pocket Max each year somewhere between $3,000 and $7,000. In my experience. After that, it is completely covered. You should never have to pay more than your out-of-pocket Max

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u/Nojoke183 13d ago

For a lot of visits you only have a copay

A lot of PREVENTIVE visits sure, but if you've already got a problem or they find one, you're on the hook for up to that deductible and then usually 30-60% of that bill up to that max out-of-pocket.

You should never have to pay more than your out-of-pocket Max

that's only if insurances covers everything which they probably won't. Not to mention lost wages from being out for recover from said major health issues

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u/njackson2020 12d ago

Every plan I have had is usjally a copay for specialist. Only time I had to use coinsurance was on one of my plans for an ER visit. My most recent ones have had co-pays for that too.

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u/Nojoke183 12d ago

Okay, so it sounds like you have good insurance. Why is it so hard to believe that isn't that case for many people?

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u/njackson2020 12d ago

Even my crappiest insurance has had co-pays. I tried researching ones that don't, since somebody commented that he has worked in insurance and the vast majority don't. I just cannot find any data on that. Do you know any good studies or articles?

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u/Nojoke183 12d ago

Even my crappiest insurance has had co-pays

I mean, you have to get off that. I've had some insurance plans laid out in front of me that had $150 copays, on top of the $250/month premium. Combine that with a check that's ~$2000/month and you can see how quickly a doctors visit comes when even before you see them, they have 1/5 your paycheck, not even to mention the followups and treatments. And that's just for one person w/ employer paying much of the premium, whole family is probably closer to $600/700, again before you even see the doctor

$15/hr is still considered "decent" in many areas ($2400/month PRE-tax) hell even $20/hour is still only $3200, so if that doesn't convince you that a good chunk of America can't afford to get that lump checked out, I don't know what will.

somebody commented that he has worked in insurance and the vast majority don't.

There's your inside knowledge 🙄

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u/njackson2020 12d ago

Well he didnt provide and actual data and didn't respond when I asked for clarification so I'm assuming he's talking out his ass. I could claim to be whoever I want as well lol.

I've seen some shitty ones with high copays as well. I have just never seen any that have no co-pays at all and only coinsurance. That's what I am confused about.