My husband and I will not even celebrate our first
anniversary until July 2013, but we have already spent a considerable amount of
time researching health care and health plans in order to determine the wisest
course of action for our little family. After
much researching, we discovered a plan with a great fit for us: a plan with low
monthly premium payments, a high deductible, and a health savings account. His employer would even match up to $600 of
deposits that we make into the HSA each year (so you can bet we are depositing
exactly $600 a year!). Yet after all of
the hard work that we put into discovering such an account, the odds of his company
continuing to offer a high deductible health savings plan once Obamacare goes
into effect are low. I could not have
been more frustrated as I began to read article after article detailing the
extra costs that will be forced upon HSA plans.
Both my husband and I are relatively healthy and maybe visit
the doctor for one sinus infection a year.
He wears glasses, and I have dental implants. Though at some point we hope to start a
family, that will likely not happen until he is further along in his graduate studies
program. We pretty much only have health
insurance as a precautionary measure. We
hope never to have to use it, but in the event of a broken bone or other more
serious illness, it will keep us from financial ruin.
Picture from: http://www.sxc.hu/photo/1413663
Since we will rarely meet even the lowest deductible each
year, the best way for us to save money on health insurance was by reducing our
monthly costs. We raised our deductible
and opened an HSA. We had been planning
to set aside money in a savings account to use when we do being trying to have
children, but the HSA allowed us to do so with pre-tax income. The money that we deposit is also matched by
his employer, so we felt that we were getting $600 free each year! Since we know that we will inevitably have
some sort of health care cost one day, we have money set aside to help us-money
that we never really saw and never really felt leave our pockets. Since the monthly premium payments were so
much lower with our new higher deductible, we just applied what we were saving
directly to the HSA. We never noticed a
difference in his paychecks! (Well, that’s
not totally true: we did notice a difference, but it was related to higher tax
rates, not the change in health plans. Ugh!)
I have been so disheartened as I have read article after
article detailing how the required “minimum actuarial value” for all health
plans under Obamacare will make HSA plans impractical for most providers to
continue to offer. The minimum actuarial
value that is being imposed essentially says that the insurance provider must
cover a minimum of 60 percent of their clients’ healthcare costs. Since the monies that we (and our employers)
contribute to the HSA do not count toward this minimum, it will be hard for
them to appear to meet the minimum without providing a lot of other services
that would raise our monthly rate.
Will there be any option for a healthy person who truly only
needs to be covered in case of an emergency?
I surely hope and pray that we will still be able to afford health insurance. In order for that to be possible, we still
need the option of a higher deductible and a lower monthly premium.
Let me know if your research has uncovered
any such plans that I am missing!

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