Reposting with more information.

I’m going to be turning 26 next month and will need to get my own health insurance. Here are the benefits of the two cheapest plans:

HSP

$70 a month
$3,375 deductible in network
$6,750 deductible out of network
After the deductible, I pay 20% in network and 50% out
Free preventative and generic drugs
Non-preventative drugs I pay 20%
Speciality drugs are $100
My max out of pocket is $6,750 in network and $13,500 out.
HSA eligible

Hybrid EPO

$67 a month
$4,000 deductible in network
N/A for out of network
Emergency care is paid as if it were in network
Free preventative care
Free preventative drugs
$25 copay for office visits
$50 copay for urgent care visits
$25 copay for lab work or X-rays
Free generic drugs
$4,000 out of pocket max in network

When using the “calculate a drug cost” tool on my HR website, it looks like my monthly asthma inhaler would be free on both. Unless I’m understanding it incorrectly.

It says “Co-Pay $0. Amount applied to deductible $0. Additional charges $0. Plan cost $175. Your cost $0.” Am I understanding this right ?

Which of these plans would be best for a healthy person in their 20s? Because they are so close in cost, I am confused on which to go with.

If there is any other info needed, I can try to find it.

Comments

You must log in or register to comment.

AutoModerator t1_iyblov4 wrote on November 30, 2022 at 4:29 AM

Welcome to /r/personalfinance! Comments will be removed if they are political, medical advice, or unhelpful (subreddit rules). Our moderation team encourages respectful discussion.

You may find our Health Insurance wiki helpful.

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

Werewolfdad t1_iybo9mh wrote on November 30, 2022 at 4:53 AM

You’d pay full price for the inhaler on the HDHP plan so the second one is probably the best option

Hsa-eligible hdhps can’t cover prescriptions until the deductible is met

Nickyweg OP t1_iyboeud wrote on November 30, 2022 at 4:54 AM

That’s what I’m confused on. Both of the drug calculators say $0 cost to me

Werewolfdad t1_iybohhf wrote on November 30, 2022 at 4:55 AM

That may be after the deductible for the HDHP

No coverage means no coverage

Nickyweg OP t1_iyboqf2 wrote on November 30, 2022 at 4:57 AM

I’m wondering if it’s wrong then. Both pre and post say $0.

Werewolfdad t1_iybp0gr wrote on November 30, 2022 at 5:00 AM

It may not be Hsa eligible.

May be worth investigating

Mysunsai t1_iybp8m6 wrote on November 30, 2022 at 5:02 AM

Asthma management is often included on preventative drug lists for HDHPs. No coverage actually means “no coverage except for preventative care.”

Nickyweg OP t1_iybpf9z wrote on November 30, 2022 at 5:04 AM

So am I correct in thinking the main difference is how out of network non emergencies are handled ?

I do like that the EPO covers free minute clinic visits

Mysunsai t1_iybqga1 wrote on November 30, 2022 at 5:14 AM

In network max OOP and in network routine care (office visits, lab work) as well.

Nickyweg OP t1_iybqj2l wrote on November 30, 2022 at 5:15 AM

Which would you think is the better option for my situation ?

AllTheyEatIsLettuce t1_iybwjej wrote on November 30, 2022 at 6:19 AM

>HSP

Tf?

>HSA eligible

>Emergency care is paid as if it were in network

Mandated by "No Surprises" as of 1/1/2022. Don't sign away your end-use emergency health care customer protections, knowingly or otherwise, if you've done an ER consumer-driving run.

>Free preventative care

Again, mandated. By the ACA itself since 2010 and for any ACA-compliant coverage product. But do look carefully at the list(s) of items you can put in your cart for free at the point of sale, once a year, before you actually put something in your cart thinking it's free at the point of sale once a year.