Welcome to Diabetes Forums!
You are currently viewing our boards as a guest which gives you limited access to view most discussions and access our other features. By joining our free community you will have access to post topics, communicate privately with other members (PM), respond to polls, upload content and access many other special features.
Registration is fast, simple and absolutely free so please, join our community today!
If you have any problems with the registration process or your account login, please contact contact us.
|  | | 
11-21-2008, 01:19 AM
| | Member | | Join Date: Nov 2008
Posts: 106
| | | What do you guys pay for health coverage? I have single coverage through CDPHP(healthy NY).Im paying $230 every month.. | 
11-21-2008, 01:46 AM
| | Member
I am a: Type 1 | | Join Date: Mar 2008 Location: California
Posts: 274
| | | $148 Anthem blue cross single covrage as well
__________________
Pumping on Paradigm 522 since 5/20/08
"When faced with a challenge, look for a way, not a way out.
| 
11-21-2008, 06:05 AM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2005 Location: Grove City Ohio
Posts: 2,287
| | | I pay $90 a month for family coverage through United Health Care
I have a $200 individual deductible, $500 family max deductible. It is then 80/20 for 500 individual, or $800 family max out of pocket. Once that is met, everything (including co-pay) is covered at 100%. So I pay $2,380 per year out of pocket.
My co-pays also go toward my max out of pocket as well.
__________________ Jim Diagnosed April 1990 Pumping with the MM 722
Last A1C 7.1 ( February 2008 ) Diabetes & Endocrinology Center Of Ohio Website Proud Fan Of NASCAR Nextel Cup Driver Jimmie Johnson, Lowes #48 the 2006, 2007 and 2008 Nextel Cup Champion. Can we say 4peat? The opinions expressed are mine alone and do not necessarily represent
those of my wife who runs our house and makes more important decisions
than I do | 
11-21-2008, 07:34 AM
| | Senior Member
I am a: Type 1 | | Join Date: Jan 2006 Location: Rhode Island
Posts: 6,393
| | | My husband is a 22-year State Employee. We were previously with Blue Cross until the State switched providers 4 years ago to United Healthcare. We have a family plan........my husband, myself, and a daughter that will come off it on Dec. 31st. Our son has his own health insurance coverage.
Up until July of this year, we paid NOTHING for our coverage. With the new State contract through his union, every state worker is now required to pay a percentage of their pay towards their health care plan. In our case, it averages $75.00-$85.00 every two (2) weeks. There are no yearly deductables to meet and our co-pays for doctor visits are $10.00 with prescriptions running at either ZERO (my insulin), $5.00 or $12.00. This is nothing compared to what other people in the USA are paying, or those who don't have any coverage at all. We are truly fortunate.
Karen
Last edited by kgm0612 : 11-21-2008 at 07:37 AM.
Reason: added info / spelling
| 
11-21-2008, 07:44 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Apr 2006 Location: NYC
Posts: 2,325
| | Quote:
Originally Posted by Bobby T I have single coverage through CDPHP(healthy NY).Im paying $230 every month.. | That's about what I pay per month for my HALF of the coverage I get through my job. My job pays an equal amount. Actually, since we just changed our plan a bit when we renewed in August it's a little less. Around $400/month total and I pay half, job pays half.
__________________
--
Liz
Type 1 dx 4/1987
Minimed Paradigm 722 6/2008 + CGMS
13mm Silhouettes + Sure-T infusion sets
Lifescan UltraSmart & UltraMini
Last A1c: 7/15/09: 5.8
| 
11-21-2008, 07:56 AM
| | Junior Member
I am a: Type 1 | | Join Date: Jul 2008 Location: San Diego
Posts: 46
| | | I am extremely blessed. My employer pays 100% of my insurance cost through UHC
__________________ Amanda T1 since March 1999
MM 522 w/CGMS Dec 2008 | 
11-21-2008, 08:10 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,764
| | My work use to be they pay 100% and we just pay copays and such. Now, they changed and started an uproar due to going to an $1100 single, $2200 family, deductible plan. We pay that amount and then everything is covered 100%. My employer also reimburses us back for 50% of the deductible, so in reality we only have to pay half of those above numbers per year. Quote:
Originally Posted by akielpinski I am extremely blessed. My employer pays 100% of my insurance cost through UHC | Hope your work starts charging you soon. The only reason I say that is at my work a huge uproar happened because we went from nothing, to deductible. My answer for that is the employer spoiled us for so long with no costs and now that we get hit with a large amount people complain. If it would have been phased in, people wouldn't be able to complain as much. And if anyone thinks an employer should eat 15-20% increases in health insurance each year, they should be happy their employer even offers it.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002 - Jan. 2005)
~IR 1200 (Jan. 2005 - Jan. 2009)
~Cozmo 1800 (Jan. 2009 - ?)
●Dexcom Seven+ since August 1, 2009 Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. | 
11-21-2008, 08:10 AM
|  | Senior Member | | Join Date: Nov 2006 Location: Texas
Posts: 769
| | | Tricare - $230/year individual, Scripts $3, 9 (Insulin is in the $9 group) or 22. Office visits $12, Hospital admission $25. DME (pump and supplies, CPAP machines, etc.) 80/20.
__________________ 
Cozmo 1800 Volcano Black
Pumping since Jan 4 2007
A1C: 7.0 on 7/28/08 | 
11-21-2008, 08:11 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004
Posts: 6,336
| | | I pay $16/month for single coverage through BCBS, including dental and vision. | 
11-21-2008, 08:22 AM
|  | Junior Member
I am a: Type 1 | | Join Date: Jun 2008 Location: Minnesota
Posts: 69
| | | I was paying with each paycheck, but my employer decided that because the deductible is so high $2700 with HealthPartners that they would pay monthly and I am just responsible for the deductible.
__________________ Heather
dx'd Type 1 March 1991
Pumping since 4/2008 Minimed 722
CGMS 5/2008 “The only normal people are the ones you don't know very well.” ~Joe Ancis~ | 
11-21-2008, 09:38 AM
| | Junior Member
I am a: Type 1 | | Join Date: Jul 2008 Location: San Diego
Posts: 46
| | Quote:
Originally Posted by JediSkipdogg Hope your work starts charging you soon. | I don't exactly share that hope with you! LOL. But I understand where you are coming from. I'm gonna take it as a blessing for now and if it changes, I'll cross that bridge when I get there.
My work actually pays up to a certain amount. If an individual goes over that amount, they pay the difference. Also the employee pays for a spouse and/or dependents.
__________________ Amanda T1 since March 1999
MM 522 w/CGMS Dec 2008 | 
11-21-2008, 10:02 AM
|  | Super Moderator
I am a: Type 1 | | Join Date: Aug 2003 Location: Northern California
Posts: 9,311
| | | We pay a fortune. My husband 's company is self funded. We pay over $730.00 per month for two people for United Healthcare. We pay all of our medical expenses up to $3,000.00 and then we are covered at 100%. We use an HSA plan that is pre-funded by the company every year and the money rolls over from year to year if we don't use it. This plan is less expensive than the ones we had in years past. We figured that we paid about $15,000.00+ each year for insurance and medical expenses in the past. Now it is under $12,000.00 every year.
__________________ Nancy Kind words can be short and easy to speak but their echoes are truly endless. Mother Teresa diagnosed type 1 October 1986
currently using Medtronic MiniMed
paradigm 715 CLEAR | 
11-21-2008, 10:08 AM
|  | Member
I am a: Type 1 | | Join Date: May 2007 Location: San Francisco Bay Area
Posts: 430
| | Quote:
Originally Posted by notme We pay all of our medical expenses up to $3,000.00 and then we are covered at 100%. We use an HSA plan that is pre-funded by the company every year and the money rolls over from year to year if we don't use it. T | Just wondering... if your deductible is 3K and then covered 100%, why are you paying 12K per year?.. I'm about to go on an HSA plan.. is there something I"m missing? I don't want to screw myself by not understanding it.. | 
11-21-2008, 10:17 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Apr 2006 Location: NYC
Posts: 2,325
| | Quote:
Originally Posted by orange81bird I was paying with each paycheck, but my employer decided that because the deductible is so high $2700 with HealthPartners that they would pay monthly and I am just responsible for the deductible. | My share of the premium is taken out of my check each week. We take the cost of the monthly premium, multiply that by 12, divide by 52 and then divide that in half. That's the amount deducted each week.
We have no deductibles or co-insurance to worry about (actually, I think there's a $50 deductible per year for brand name drugs if you don't use the mail order pharmacy) but I do have co-pays. $25 for each doctor or specialist visit. $10 generic drugs and $35 brand name; $70 if it's not on the formulary! There's an ER co-pay (either $75 or $100, I forget) as well as a hospital admission co-pay ($200, maybe). I plan on not needing to go to the ER or hospital! We can get 90 days of prescription medication at a time for 2 co-pays if we use the mail order pharmacy, which I do.
Pump supplies are covered 100%, no co-pay. Insulin counts as a generic drug so that's only a $10 co-pay, not $35.
Every year at renewal time our health insurance premium goes up. It's been especially brutal for the last 3 years or so. Each year we look for ways to lower the monthly premium by increasing co-pays. It sucks, but for me it's still well worth it.
__________________
--
Liz
Type 1 dx 4/1987
Minimed Paradigm 722 6/2008 + CGMS
13mm Silhouettes + Sure-T infusion sets
Lifescan UltraSmart & UltraMini
Last A1c: 7/15/09: 5.8
| 
11-21-2008, 10:20 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,764
| | Quote:
Originally Posted by howdysf Just wondering... if your deductible is 3K and then covered 100%, why are you paying 12K per year?.. I'm about to go on an HSA plan.. is there something I"m missing? I don't want to screw myself by not understanding it.. | I think she is saying she also is paying the premium for the plan as well. So she's paying premiums and deductibles which can be very expensive. But if you have the option to take it, in my opinion, you take it.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002 - Jan. 2005)
~IR 1200 (Jan. 2005 - Jan. 2009)
~Cozmo 1800 (Jan. 2009 - ?)
●Dexcom Seven+ since August 1, 2009 Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |  | | | Thread Tools | | | | Display Modes | Linear Mode |
Posting Rules
| You may not post new threads You may not post replies You may not post attachments You may not edit your posts HTML code is Off | | | |  | | » Site Navigation | | Diabetesforums.com | | | !-- gallery --> Resource Directory | | | !-- soon --> Contact Zone | | | |