Re: So much for
posted at 4/3/2013 7:31 AM EDT
In response to FortySixAndTwo's comment:
In response to miscricket's comment:
I don't know...I can only speak from personal experience..but the cost for my health insurance, copays and the one prescription medication I take have gone down significantly. My health insurance even provides 20 percent discount on healthcare related items if I buy them at CVS. Also..I just got my rebate for my gym membership.
I think any rise in cost is going to be short term. Once insurers get on board with the preventative coverage then long term, there will be less need for secondary and tertiary interventions ( both cost much more).
So your copays decreased as well as what you pay per month for insurance? That is highly unusual. Which isn't to say I think you're lying. I have no doubt you're being honest.
When copays are lowered the premiums increase in order to cover the richer plan. Hence why many employers have gone with plans with higher copays in the past. It helps to get overall cost of plan down.
How many employees is your company? Did you switch insurers? Was there a significant shift in employee population?
Where I'm going with this is if your company is small and you had some older folks retire and hired young employees that can have a big impact. If you switched insurers that can also have a big impact because many times an insurer trying to get the account will undercut the existing insurers rates to get the business.
Anyway...lucky you that your health insurance is a bit cheaper.
Actually, what I pay in premiums went up slightly because I went from a single plan to a family plan( added a spouse). But our premiums for both for my company went down ..slightly less than 5 percent over 2011 rates.
The dollar amount of my copay has stayed the same ( $20) for an office visit. Where I am saving money on copays is that any visit that is considered preventative means that I don't get charged the copay. I also now get a rebate for my gym membership..and a 20 percent discount on any health care related items I purchase at CVS.
I also don't have to pay anydeductables for the very expensive annual (sometimes more often) bloodwork that I have as part of a monitoring process for a chronic illness. So far this year that has saved me $400.
The dollar amount for the prescription copays has not changed ( $15, $25, $50) but my health insurer has some kind of deal with CVS if I get my prescription from them I don't even pay $15.00.
My guess is that the way they make up for these savings is the enormous increase in the copay for an ER visit ( unless it results in admission) and we now have a copay for hospital stays ( $500 for ER visit, $1500 for hospital visit...except day surgery for which there is no copay).
At first I hated this idea..but now I actually embrace them. It has resulted in a change of culture in my company. Where some people used to go to ER's for sore throats and earaches, those people now have regular doctors because they didn't want to pay $500 a visit to the ER.