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Note: This only affects The Nest's community members and will not affect members on The Bump or The Knot.
Our tech team has launched updates to The Nest today. As a result of these updates, members of the Nest Community will need to change their password in order to continue participating in the community. In addition, The Nest community member's avatars will be replaced with generic default avatars. If you wish to revert to your original avatar, you will need to re-upload it via The Nest.
If you have questions about this, please email help@theknot.com.
Thank you.
Note: This only affects The Nest's community members and will not affect members on The Bump or The Knot.
Ok, help me figure out our health insurance.
This is what we have:
Fund Contribution
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Employer Contribution Amount |
$1,125.00
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Rollover Amount
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$165.00
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Total Starting Fund Amount
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$1,290.00
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Used
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$0.00
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Remainder
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$1,290.00
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Plan Information
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Plan Features
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Limit
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Applied
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Remainder
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In Network, Tier 2 Annual Deductible Includes Pharmacy
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$ 1,875.00
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$ 0.00
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$ 1,875.00
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In Network, Tier 3 Annual Deductible Includes Pharmacy
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$ 1,875.00
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$ 0.00
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$ 1,875.00
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Out of Network Annual Deductible Includes Pharmacy
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$ 1,875.00
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$ 0.00
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$ 1,875.00
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In Network, Tier 2 Annual Coinsurance Includes Pharmacy
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$ 1,250.00
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$ 0.00
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$ 1,250.00
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In Network, Tier 3 Annual Coinsurance Includes Pharmacy
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$ 1,250.00
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$ 0.00
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$ 1,250.00
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Out of Network Annual Coinsurance Includes Pharmacy
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$ 2,750.00
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$ 0.00
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$ 2,750.00 |
Does this mean we have to pay the money under limit before our insurance pays anything? I'm so stupid with insurance, because we haven't had it for so long. TIA!
Re: Ok, help me figure out our health insurance.
Does this mean we have to pay the money under limit before our insurance pays anything?
Yes, I think that it what it means. Don't quote me on that though.
Also, there is a line where his employer contributed...so do we subtract the amount they paid from the total deductible? Because if so, that leaves about $500 and some change, so is THAT the amount we pay before insurance kicks in? And I haven't seen anything about a copay, so does that mean we pay the deductible and then everything is covered 100%?
I feel so stupid that I can't figure this out.
Usually how it works isthe employer contributes an annual amount, and then you contribute an annual amount (deducted from each paycheck throughout the year). Sometimes a deductible is involved depending on the employer and the plans they offer to their employees.
For example, I have CIGNA and have chosen the Tier 2 Plan. I chose it because for me that plan is a bitmore expensive (i.e. more is takenoutof my paycheck), but I have no deductible and my network of physcians is large and I don't need referrals. Also, I only have a $10 copay for prescriptions and a $20 copay for my PCP. Typically, the less the plan willcost you out of your paycheck, the more potential there is for out-of-pockegt costs at the time any kind of healthcare service is needed. If I had chosen to go with a cheaper plan (less $$$ takenout of my paycheck), I would have a deductible to consider whereas with the plan I'm on there is no deductible.
Did your employer give you any kind of rate sheet that compares each planas far as how much wouldcome out of your paycheck, then show any copays and deductibles? If not, I would contact your Benefits/HR Dept. And a lot of times the employee handbook will also include what healthcare plans are offered and will show a rate sheet so you can compare.