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SweetTooth
I'm a tired mommy!
Member since 12/05 20105 total posts
Name:
Lauren
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Question dealing with choosing benefits
I posted this on pregnancy, but this board gets more traffic, so I thought maybe I would get some more advice...
I am not pregnant, but plan on TTCing early next year. My company is having open enrollment, and I have to choose benefits for next year. One plan covers 80% of delivery and associated hospital costs with a $300 co-pay. The other covers 90% with a $250 co-pay.
The cost for the first plan is $60/month for DH and me and the second is $120.
I am not sure which one to choose... I guess if we don't start TTCing till March or April the chances are pretty low I wold be delivering in 2007, but you never know...
Which option would you choose? Oh and the copay for prenatal visits is $15 for option 1 and $20 for option 2.
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Posted 10/26/06 1:36 PM  |
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KPtoys
I'm getting old
Member since 5/05 8688 total posts
Name:
Karen
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Re: Question dealing with choosing benefits
Delivery is expensive... could you switch plans after the year is up?
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| Posted 10/26/06 1:37 PM |
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SweetTooth
I'm a tired mommy!
Member since 12/05 20105 total posts
Name:
Lauren
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Re: Question dealing with choosing benefits
Posted by KPtoys
Delivery is expensive... could you switch plans after the year is up?
Yes, I can change plans at open enrollment next year for 2008.
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| Posted 10/26/06 1:40 PM |
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Kissy331
My two miracles!
Member since 5/06 17826 total posts
Name:
Kristen
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Re: Question dealing with choosing benefits
I would go with option 2 just because you NEVER know. What happens if you happen to get PG before the next open enrollment & have to deliver in 2007
You are only talking about $60 more a month for option 2 but seems you are covered more
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| Posted 10/26/06 1:43 PM |
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Kate
*****
Member since 5/05 7557 total posts
Name:
Kate
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Re: Question dealing with choosing benefits
I would go with the first plan since it costs less per month and the co-pay is only a $50 difference.
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| Posted 10/26/06 1:44 PM |
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sticklee
LIF Adult
Member since 8/06 2984 total posts
Name:
Stick
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Re: Question dealing with choosing benefits
this is naive- but how much is delivery?
you'd be spending an extra $720 for the year if you choose option 2- if the 10% difference that you'd be saving on your delivery is more than $720, i'd go for it.
in conclusion, if delivery is more than $7200, it's worth going for option 2
sorry- number cruncher here ;)
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| Posted 10/26/06 1:46 PM |
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sweetie
Member since 8/06 1730 total posts
Name:
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Message edited 3/5/2010 1:16:45 PM.
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| Posted 10/26/06 1:47 PM |
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pinkandblue
Our family is complete, maybe
Member since 9/05 32436 total posts
Name:
Stephanie
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Re: Question dealing with choosing benefits
Posted by sticklee
this is naive- but how much is delivery?
you'd be spending an extra $720 for the year if you choose option 2- if the 10% difference that you'd be saving on your delivery is more than $720, i'd go for it.
in conclusion, if delivery is more than $7200, it's worth going for option 2
sorry- number cruncher here ;)
Total delivery can be upwards of 20,000, so with option 2 she would save 2,000 on the delivery.
Option 2 is better IMHO
PS I am a bean counter as well 
Message edited 10/26/2006 1:54:50 PM.
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| Posted 10/26/06 1:54 PM |
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SweetTooth
I'm a tired mommy!
Member since 12/05 20105 total posts
Name:
Lauren
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Re: Question dealing with choosing benefits
Posted by sticklee
this is naive- but how much is delivery?
sorry- number cruncher here ;)
yes, I am trying to figure this out. I have no idea, and I am sure it is probably more for a c-section than a normal delivery.
Also, regarding life-changes - I think the BIRTH of a baby is a life change, but not pregnancy.
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| Posted 10/26/06 1:54 PM |
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DRMom
Two in Blue
Member since 5/05 20223 total posts
Name:
Melissa
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Re: Question dealing with choosing benefits
I would go with the more coverage option. I didn't have any options with mine but I thjink its a pretty chintzy plan. You also have to think about the drug plan. Some of the drugs I have needed lately are not ocvered though my insuarnce and I paid 180 the first month I used them.
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| Posted 10/26/06 2:22 PM |
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Selden78
I lvoe the fall :)
Member since 6/06 3543 total posts
Name:
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Re: Question dealing with choosing benefits
Posted by Kate
I would go with the first plan since it costs less per month and the co-pay is only a $50 difference.
I 2nd that
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| Posted 10/26/06 2:36 PM |
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pinkandblue
Our family is complete, maybe
Member since 9/05 32436 total posts
Name:
Stephanie
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Re: Question dealing with choosing benefits
Posted by Selden78
Posted by Kate
I would go with the first plan since it costs less per month and the co-pay is only a $50 difference.
I 2nd that
I do not think the co-pay is the difference, it is the fact that if she gets pregnant, under the 1st plan, she will have to shell out 20% of the hospital bill as opposed to 10%....
IMHO, no brainer, 2nd plan
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| Posted 10/26/06 2:42 PM |
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KPtoys
I'm getting old
Member since 5/05 8688 total posts
Name:
Karen
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Re: Question dealing with choosing benefits
I agree. Go with #2. a 10% difference in delivery is potentially a lot!!
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| Posted 10/26/06 2:46 PM |
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Kate
*****
Member since 5/05 7557 total posts
Name:
Kate
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Re: Question dealing with choosing benefits
Posted by stephanief
Posted by Selden78
Posted by Kate
I would go with the first plan since it costs less per month and the co-pay is only a $50 difference.
I 2nd that
I do not think the co-pay is the difference, it is the fact that if she gets pregnant, under the 1st plan, she will have to shell out 20% of the hospital bill as opposed to 10%....
IMHO, no brainer, 2nd plan
Well that does make sense if the delivery is $20,000. I had a c-section and the doctor billed my insurance company $5,500.
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| Posted 10/26/06 2:51 PM |
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KPtoys
I'm getting old
Member since 5/05 8688 total posts
Name:
Karen
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Re: Question dealing with choosing benefits
Posted by Kate
Posted by stephanief
Posted by Selden78
Posted by Kate
I would go with the first plan since it costs less per month and the co-pay is only a $50 difference.
I 2nd that
I do not think the co-pay is the difference, it is the fact that if she gets pregnant, under the 1st plan, she will have to shell out 20% of the hospital bill as opposed to 10%....
IMHO, no brainer, 2nd plan
Well that does make sense if the delivery is $20,000. I had a c-section and the doctor billed my insurance company $5,500.
But what about the hospital charges?
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| Posted 10/26/06 2:53 PM |
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Kate
*****
Member since 5/05 7557 total posts
Name:
Kate
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Re: Question dealing with choosing benefits
Posted by KPtoys
Posted by Kate
Posted by stephanief
Posted by Selden78
Posted by Kate
I would go with the first plan since it costs less per month and the co-pay is only a $50 difference.
I 2nd that
I do not think the co-pay is the difference, it is the fact that if she gets pregnant, under the 1st plan, she will have to shell out 20% of the hospital bill as opposed to 10%....
IMHO, no brainer, 2nd plan
Well that does make sense if the delivery is $20,000. I had a c-section and the doctor billed my insurance company $5,500.
But what about the hospital charges?
I don't remember any other charges. My insurance covers 100% of hospital charges. They also covered the entire $5,500. Would the 10 or 20% of her coverage be just for the delivery or for ALL hospital charges?
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| Posted 10/26/06 2:56 PM |
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pinkandblue
Our family is complete, maybe
Member since 9/05 32436 total posts
Name:
Stephanie
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Re: Question dealing with choosing benefits
Posted by Kate
Posted by KPtoys
Posted by Kate
Posted by stephanief
Posted by Selden78
Posted by Kate
I would go with the first plan since it costs less per month and the co-pay is only a $50 difference.
I 2nd that
I do not think the co-pay is the difference, it is the fact that if she gets pregnant, under the 1st plan, she will have to shell out 20% of the hospital bill as opposed to 10%....
IMHO, no brainer, 2nd plan
Well that does make sense if the delivery is $20,000. I had a c-section and the doctor billed my insurance company $5,500.
But what about the hospital charges?
I don't remember any other charges. My insurance covers 100% of hospital charges. They also covered the entire $5,500. Would the 10 or 20% of her coverage be just for the delivery or for ALL hospital charges?
I believe it would be all hospital charges, from what I hear, they can rack up....
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| Posted 10/26/06 2:57 PM |
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Kate
*****
Member since 5/05 7557 total posts
Name:
Kate
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Re: Question dealing with choosing benefits
Posted by stephanief
I believe it would be all hospital charges, from what I hear, they can rack up....
I really do not remember that much in hospital charges. The highest number I remember seeing was the $5,500 for the surgery, which is why I recommended option 1. If they really are as high as everyone else says, then I agree that option 2 is better. 
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| Posted 10/26/06 3:00 PM |
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Trouble
I am going 2 be a BIG brother?
Member since 5/06 684 total posts
Name:
"HearzBellz"
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Re: Question dealing with choosing benefits
A friend of mine delivered at Winthrop just over a year ago. she had a scheduled C-section & the cost was approximately 18K for everything.
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| Posted 10/26/06 3:12 PM |
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SweetTooth
I'm a tired mommy!
Member since 12/05 20105 total posts
Name:
Lauren
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Re: Question dealing with choosing benefits
Posted by stephanief
Posted by Kate
Posted by KPtoys
Posted by Kate
Posted by stephanief
Posted by Selden78
Posted by Kate
I would go with the first plan since it costs less per month and the co-pay is only a $50 difference.
I 2nd that
I do not think the co-pay is the difference, it is the fact that if she gets pregnant, under the 1st plan, she will have to shell out 20% of the hospital bill as opposed to 10%....
IMHO, no brainer, 2nd plan
Well that does make sense if the delivery is $20,000. I had a c-section and the doctor billed my insurance company $5,500.
But what about the hospital charges?
I don't remember any other charges. My insurance covers 100% of hospital charges. They also covered the entire $5,500. Would the 10 or 20% of her coverage be just for the delivery or for ALL hospital charges?
I believe it would be all hospital charges, from what I hear, they can rack up....
Yes, it would be for all hospital charges. Thanks girls, I am going to have to go home and talk to DH about this!!
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| Posted 10/26/06 3:25 PM |
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