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Edited on Wed Nov-04-09 03:03 AM by haele
It's "open enrollment" time again at work. When I got married over 7 years ago, open enrollment in Nov 2002 showed the cost of the same coverage I have now for our family of 3 to be at a premium of $210 in a 2 paycheck period ($105 every 2 weeks/$2730 a year.) Doctor's co-pay was $10 per visit,- even for specialists and physical therapists, Mental Health $20 per visit, Hospital/ER $150 per visit, Pharmacy at 3-tier; $10, $15, $25. Deductible was $150 out of pocket per person before insurance payment coverage scheduling after deductible kicked in at 85/15. The company paid about $6K a year to "match" me.
In 1992, the co-pays were about the same (I think the only difference was that hospital/ER might have been only $100), and the premium only went up about 5% during that period (as in, as a single, I was paying about $75 per 2 week paycheck, and most of families were spending about $100 a paycheck through the mid 1990's to 2002) 2003, the premium went up to $260 "a month" (every 4 weeks)from around $210, and doctor co-pays went up to $15 a visit, Mental Health to $30, and Hospital/ER to $200. 2004, premium went up to $280 "a month" , no change in co-pays. Company had to start coughing up $8500 a year to match. 2005, premium went up to $310 "a month". Pharmacy co-pays went up: $10, $20, $30. No change in doctor co-pays. Company's share went up to $9250 a year. 2006, premium went up to $350 "a month". Co-pays remained the same. Deductible was raised to $200 out of pocket. Dental coverage was dropped from $2500 a year to $1500 a year. 2007, premium went up to $380 "a month"; co-pays unchanged. Deductible raised to $250. Company's share went up to $10000 a year. 2008, premium went up to $420 "a month" - $5460 a year - doctor co-pays remained the same, pharmacy went up:$15, $25, $35. Deductible raised to $300 out of pocket. Payment Coverage Scheduling after deductible dropped to 80/20, with some procedures or visits dropped down to 50/50 if there is no "urgency" or "serious health considerations" (which sucks when you have an emotionally challenged teenager who's always getting "sick") Company's share went up to $12500 a year.
In 7 years, my "private insurance plan" through my employer, using the same insurance company (Aetna), has doubled. And service has dropped. We've been informed that this year, we get a new pharmacy plan through "MedCo" (whomever they are) as Aetna was going to get too expensive, even though we keep Aetna as part of the cafeteria plan we have. The Employee Benefits plan is going to drop covering emergency referrals for mental health support, which was provided through Cigna, because they didn't think billing $15 per call to a crisis counselor hotline would be a "employee benefit". But this year, they are advertising a new benefit to waive the co-pay on one mammogram and one prostate exam per year for a "qualifying employee" (age based, of course). I don't know how much more my premium is going to go up, whether or not the out of pocket is going to go up and the payment schedule after deductible will be going down, or what services might be dropped. And I can guarantee my company will be paying significantly more of a share this year. And this year, the insurance companies are asking to be allowed to use up to 35% of the premiums and employer share they get from us for overhead and profit - not that there's much in the laws on the books now to keep them from doing that anyway - they just have to be more sneaky than they would be if they got permission. What would keep them from raising rates "to keep in line with medical costs" to be able to get even more money from customers and taxpayers to give to stock shareholders and executive perks and to play with on the stock market. Without a true "non-profit" competition, there's absolutely nothing to keep them from playing short-sighted games of inflating costs and reducing actual services to make the books look better for their friends and investors.
Haele
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