BMW i5 and 5-Series Forum

Post Reply
 
Thread Tools Search this Thread
      06-03-2021, 07:53 AM   #1
Tommy-G
Captain
Tommy-G's Avatar
4628
Rep
694
Posts

Drives: 2015 435 Vert Alpine White
Join Date: Apr 2010
Location: Bradenton FL

iTrader: (0)

Share your self-provided health insurance experience

Anyone gone away from their employers offerings and had a good experience?
Our company of approx 800 people is having the most popular plan dropped and the next option is $60 more per week (w/Aetna).
Not the end of the world, but wondering if there's a better option b/c my coverage isn't all that stellar
Appreciate 0
      06-03-2021, 08:38 AM   #2
RickFLM4
Brigadier General
RickFLM4's Avatar
United_States
11913
Rep
4,874
Posts

Drives: M4
Join Date: Jul 2015
Location: PB County, FL

iTrader: (0)

I used to purchase a small employer plan (Group of 1) from Florida Blue that skyrocketed and then was no longer available shortly after ACA became law. So we switched to private (non-subsidized) insurance for a few years. Not much different benefits than corporate sponsored but substantially more expensive and the only good PPO option in our area (there are some shittier HMO plans available though). Best thing to do is go to Florida Blue website and see what they have, but under the ACA, I believe you can only purchase from November - December unless you need coverage for one of several defined reasons (lost job, got married, etc.). I expect you may be better off with employer coverage in terms of cost, but may find better coverage at a higher price.
__________________
Current: 2018 SO/SS F83 ZCP
Gone: 2015 SO/SO F82
Appreciate 0
      06-03-2021, 09:00 AM   #3
paquet
Lieutenant
United_States
630
Rep
433
Posts

Drives: 2019 540i M Sport etc
Join Date: Sep 2020
Location: FL

iTrader: (0)

What do you folks usually pay in FL?
This is something I've been considering as an alternative to purchasing travel insurance
Appreciate 0
      06-03-2021, 09:27 AM   #4
vreihen16
Recovering Perfectionist
vreihen16's Avatar
21642
Rep
1,023
Posts

Drives: BMW-less :(
Join Date: Jun 2019
Location: Orange County, NY

iTrader: (0)

Garage List
When I was involved with a health insurance change at work a few years ago, we discovered that removing the options of multiple insurers and plans and only offering a single plan brought the price of that one plan down at least 5%. Millennials were grumbling for a few months about being forced into "adult" plans and not their choice of a cheaper plan with a crazy deductibles, but there hasn't been a gofundme page so far because someone was in an accident and needed to scrape up $10K to pay their medical deductible. If you have any input in the insurance selection process, it may be worth suggesting that your employer investigate this option...especially if the enrollment in the most popular plan is over 75%.

No experience here with the private market to offer.....
__________________
Currently BMW-less.
Appreciate 1
Tommy-G4627.50
      06-03-2021, 10:05 AM   #5
RickFLM4
Brigadier General
RickFLM4's Avatar
United_States
11913
Rep
4,874
Posts

Drives: M4
Join Date: Jul 2015
Location: PB County, FL

iTrader: (0)

Quote:
Originally Posted by packet View Post
What do you folks usually pay in FL?
This is something I've been considering as an alternative to purchasing travel insurance
The last time I checked, a high deductible PPO plan with a good network and pharmacy benefits exceeded $2,000 / mo. for just my wife and I, both of whom are non-smokers over 50 years old. There are a lot of variables that impact pricing. You can probably find some HMOs with limited network and benefits in the hundreds and non-high deductible / no out-of-pocket cost plans over $3,000 / mo.

Not sure I understand the interaction with travel insurance. One seems to have nothing to do with the other.
__________________
Current: 2018 SO/SS F83 ZCP
Gone: 2015 SO/SO F82
Appreciate 1
paquet630.00
      06-03-2021, 10:10 AM   #6
MPOWER5266
Major
4781
Rep
1,189
Posts

Drives: 1997 Dinan m3
Join Date: Oct 2017
Location: Ga

iTrader: (0)

My work insurance was going to be way too high if I added my wife and kids so we went with Medishare. The coverage is so so, and we pay out of pocket for most things but its still way cheaper in the long run. We basically have it for catastrophic coverage and just save money for day to day stuff.

Last edited by MPOWER5266; 06-03-2021 at 10:59 AM..
Appreciate 1
DocL2112.50
      06-03-2021, 10:38 AM   #7
Tommy-G
Captain
Tommy-G's Avatar
4628
Rep
694
Posts

Drives: 2015 435 Vert Alpine White
Join Date: Apr 2010
Location: Bradenton FL

iTrader: (0)

Quote:
Originally Posted by packet View Post
What do you folks usually pay in FL?
This is something I've been considering as an alternative to purchasing travel insurance
$117 per week will be my new rate. 46 yrs old, Non smoker. I have dental, no eye care, short & long term disability and life insurance for myself and my wife with their max of $145k
Currently paying $57/week for the same coverage
Appreciate 1
paquet630.00
      06-03-2021, 10:54 AM   #8
dreamingat30fps
Colonel
United_States
5997
Rep
2,039
Posts

Drives: Miata, Cayenne, Model 3, F350
Join Date: Jan 2010
Location: South Florida & NC

iTrader: (1)

You can just go to the healthcare.gov site and see for yourself. You don't need to have it subsidized or anything to go on there and see plans. You can even then go buy the plans directly from the company (at least for Florida Blue) if you prefer, but it's an easy way to see a lot of plans and pricing in one spot.

I have a Florida Blue plan that's alright. It's PPO with low deductible but the network of doctors is not the best. The site will basically let you search for plans that have your doctor in network. So I usually just pick the least expensive, low deductible PPO plan that has my main doctors in network. I believe I pay $500 something per month.
Appreciate 0
      06-03-2021, 11:06 AM   #9
DocL
Captain
DocL's Avatar
United_States
2113
Rep
955
Posts

Drives: 2018 M3 Comp 6spd
Join Date: Jan 2019
Location: Delray Beach

iTrader: (2)

Quote:
Originally Posted by MPOWER5266 View Post
My work insurance was going to be way to high if I added my wife and kids so we went with Medishare. The coverage is so so, and we pay out of pocket for most things but its still way cheaper in the long run. We basically have it for catastrophic coverage and just save money for day to day stuff.
I enrolled my wife and I in a healthshare program three years ago. It's worked out well since we are both relatively healthy. My out of pocket each year is so much less than paying $2k a month and not having to use medical insurance benefits. I get my prescriptions cheaper at Walmart using GoodRx than I would using a medical insurance co-payment plan. The healthshare also includes a yearly wellness exam, colonoscopy, bloodwork, and a bunch of other things.

Fortunately I'm in the medical field and have friends who treat my wife and I at no charge. So that helps too.
__________________
2018 F80 M3. YMB/BLK. ZCP. Three Pedals.
"Education will never be as expensive as ignorance."
Appreciate 1
MPOWER52664781.00
      06-03-2021, 11:15 AM   #10
RickFLM4
Brigadier General
RickFLM4's Avatar
United_States
11913
Rep
4,874
Posts

Drives: M4
Join Date: Jul 2015
Location: PB County, FL

iTrader: (0)

Quote:
Originally Posted by TommyG-inFlaNow View Post
Quote:
Originally Posted by packet View Post
What do you folks usually pay in FL?
This is something I've been considering as an alternative to purchasing travel insurance
$117 per week will be my new rate. 46 yrs old, Non smoker. I have dental, no eye care, short & long term disability and life insurance for myself and my wife with their max of $145k
Currently paying $57/week for the same coverage
Is that $117 for you and your wife both or just you?
__________________
Current: 2018 SO/SS F83 ZCP
Gone: 2015 SO/SO F82
Appreciate 0
      06-03-2021, 12:46 PM   #11
vreihen16
Recovering Perfectionist
vreihen16's Avatar
21642
Rep
1,023
Posts

Drives: BMW-less :(
Join Date: Jun 2019
Location: Orange County, NY

iTrader: (0)

Garage List
Quote:
Originally Posted by TommyG-inFlaNow View Post
$117 per week will be my new rate.
My current payment is $114/week for me and my DW on my work plan, where I pay 25% and they pay the remaining 75% ($341/week) of the weekly costs. Assuming that you are on a similar 25/75 split, that price is not unreasonable for employer-offered coverage these days.

As an aside, my employer's dental add-on policy for me and DW is costing me $6.15/week on a 50/50 split.....
__________________
Currently BMW-less.
Appreciate 0
      06-03-2021, 07:08 PM   #12
paquet
Lieutenant
United_States
630
Rep
433
Posts

Drives: 2019 540i M Sport etc
Join Date: Sep 2020
Location: FL

iTrader: (0)

Quote:
Originally Posted by RickFLM4 View Post
The last time I checked, a high deductible PPO plan with a good network and pharmacy benefits exceeded $2,000 / mo. for just my wife and I, both of whom are non-smokers over 50 years old. There are a lot of variables that impact pricing. You can probably find some HMOs with limited network and benefits in the hundreds and non-high deductible / no out-of-pocket cost plans over $3,000 / mo.

Not sure I understand the interaction with travel insurance. One seems to have nothing to do with the other.
sorry - i didn't explain fully. i've just been looking at options for insurance.
(i spend half the year in FL)
Appreciate 0
      06-07-2021, 11:36 AM   #13
Tommy-G
Captain
Tommy-G's Avatar
4628
Rep
694
Posts

Drives: 2015 435 Vert Alpine White
Join Date: Apr 2010
Location: Bradenton FL

iTrader: (0)

Quote:
Originally Posted by RickFLM4 View Post
Is that $117 for you and your wife both or just you?
Just me, it was more cost effective for her to go on with her employer

Quote:
Originally Posted by vreihen16 View Post
My current payment is $114/week for me and my DW on my work plan, where I pay 25% and they pay the remaining 75% ($341/week) of the weekly costs. Assuming that you are on a similar 25/75 split, that price is not unreasonable for employer-offered coverage these days.

As an aside, my employer's dental add-on policy for me and DW is costing me $6.15/week on a 50/50 split.....
Agreed, its not bad...just sucks to almost double my out of pocket. On the plus side, its really only a $3k hit for the year.
Appreciate 0
Post Reply

Bookmarks

Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off



All times are GMT -5. The time now is 10:03 PM.




g60
Powered by vBulletin® Version 3.8.11
Copyright ©2000 - 2024, vBulletin Solutions Inc.
1Addicts.com, BIMMERPOST.com, E90Post.com, F30Post.com, M3Post.com, ZPost.com, 5Post.com, 6Post.com, 7Post.com, XBimmers.com logo and trademark are properties of BIMMERPOST