Well that extra $400 is one less junker I get to haul home. 

Sent from my iPhone

> On Aug 28, 2019, at 3:13 PM, Karl Wittnebel via Mercedes 
> <mercedes@okiebenz.com> wrote:
> 
> Just about anyone should be able to negotiate a 75% cash discount on a
> hospital bill. Big insurers typically receive over 80% off. Many
> people/individuals simply fail to negotiate. Hospitals keep the posted
> rates high because some (few) insurers actually pay the full rate.
> Hospitals will happily take 25% over nothing. But even 25% can be a lot of
> money for many people to pay.
> 
> One thing no one mentions here is being able to choose who you see when you
> get sick. Cheaper plans tend to be more restrictive. You may not want the
> team or the facility they give you. It is almost impossible to be an
> educated consumer in the health insurance business because you dont know
> what dread disease you are going to get, and the coverage provisions are
> almost impossibly arcane and disease-specific typically.
> 
> Like Dan and others said, the answer all depends on how sick you plan to
> get. My counsel for any middle aged person would be to go for the PPO and
> sleep well at night. It does depend a (tiny) bit on how big a bite that
> extra 400 takes out of your monthly budget, but penny wise, pound foolish
> as they say. Your employer is paying more than you are typically, if it is
> any consolation.
> 
> On Tue, Aug 27, 2019, 2:39 PM Dan Penoff via Mercedes <mercedes@okiebenz.com>
> wrote:
> 
>> DING!! DING!! DING!!
>> 
>> We have a winner, folks!
>> 
>> That’s pretty much it, Kaleb. They’re doing nothing more than transferring
>> the risk (cost) to you. If they’re going to take on more risk (PPO) they
>> are going to charge more. If they take on less risk by shifting it to you
>> (HDHP) they charge less.
>> 
>> -D
>> 
>> 
>>> On Aug 27, 2019, at 5:34 PM, Kaleb Striplin via Mercedes <
>> mercedes@okiebenz.com> wrote:
>>> 
>>> I really wish they offered 2 tiers of PPO that includes a mid range
>> option. I may take a look at the more expensive hdhp which it’s deductible
>> is not that much higher than my current ppo. It also has the same 20%
>> coinsurance my current plan has. Premium is     very close to the same
>> also. So if I did that one it would come out to 420 per month. If I put the
>> max into the hsa it would be more per month before taking into account
>> coinsurance. I guess I would not have to max it out on that one because the
>> plan would kick in sooner. I guess it really all comes done to betting you
>> won’t have to use it and the money stays in the hsa. If you do have to use
>> it the money goes away pretty quick I would guess.
>>> 
>>> Sent from my iPhone
>>> 
>>>> On Aug 27, 2019, at 4:09 PM, Dan Penoff via Mercedes <
>> mercedes@okiebenz.com> wrote:
>>>> 
>>>> And that’s the point my HR benefits buddy was saying - the costs are
>> much the same, it’s just a matter of whether or not you want to pay up
>> front (PPO) or pay as you go (HDHP).
>>>> 
>>>> If you pay up front and don’t use the plan, you lose. If you pay as you
>> go, you bear more of the risk if you do need it, and if you don’t, you come
>> out ahead. However, next year you might not come out ahead, so it’s really
>> a roll of the dice.
>>>> 
>>>> -D
>>>> 
>>>>> On Aug 27, 2019, at 5:03 PM, Kaleb Striplin via Mercedes <
>> mercedes@okiebenz.com> wrote:
>>>>> 
>>>>> If I do it I would just about half to max out the hsa. I really need
>> to do some more math and figure out how much the out of pocket would be if
>> the plan was used. I’m starting to think it maybe end up being a wash if
>> you actually have to use it before the plan kicks in.
>>>>> 
>>>>> If I’m reading it correctly with it being an unembedded deductible
>> which is $6000 family on the cheapest plan. With company contribution that
>> comes to $7k a year so that would leave $1k left for the coinsurance.
>>>>> 
>>>>> Sent from my iPhone
>>>>> 
>>>>>> On Aug 27, 2019, at 3:30 PM, Mitch Haley via Mercedes <
>> mercedes@okiebenz.com> wrote:
>>>>>> 
>>>>>> Kaleb intends to max out his HSA limit, which will eventually cover
>> the deductibles, but not if a big payout happens in the first month.
>>>>>> 
>>>>>> I wonder if "50% off" is more or less than the insurance negotiated
>> rates?
>>>>>> 
>>>>>> Mitch.
>>>>>> 
>>>>>>> On August 27, 2019 at 9:12 AM Dan Penoff via Mercedes <
>> mercedes@okiebenz.com> wrote:
>>>>>>> 
>>>>>>> 
>>>>>>> I’ve mentioned this before, but I’ll say it again:
>>>>>>> 
>>>>>>> When the wife was going in for one of her cancer surgeries, I was
>> sitting at the desk in admitting and saw a sign on the desk. It said if you
>> didn’t have insurance they would discount the bill 40% if you paid it
>> within 30 days. If you paid it in 15 days or less, they would give you a
>> 50% discount.
>>>>>> 
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>>>>> 
>>>>> 
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