[mjamilkowski]

Hi - Mark here - I'm curious to know what you get for your $500 monthly premium. Do you get anything else of value, any incentive programs, knowledge support, coaching, etc. I am assuming you get free access to telehealth. I would like to know if you use any of these other things

[mgkimsal]

I'm not the OP, but my insurance program (BCBSNC) offers some things. I get

* a 'wellness portal' (which... doesn't open anything when I click on it) - nope - goes to 'werally.com'

* a 'nurse support program' - which seems to be a bullet point list of things they say they help me with, but... no call to action, or phone number, or.. anything actionable.

* 'Behavioral Health Support' - which takes me to quartethealth.com, which says their service is free, but it's just the matching portion - services still cost something (and I've got... $7000 in deductibles to hit first, only for 'in-network' - out of network, it's... $35k)

* a 'blog' where I can 'explore articles and videos on fitness, nutrition and more to help keep you healthy.'

* 'nutritional counseling' - 'Simply make an appointment for nutritional counseling with a registered dietitian. If you see an in-network dietitian in an office setting, your copayment can be waived...' - except if you have a high-deductible plan, which is the only thing I can remotely afford.

"Telehealth" services are from 'Teledoc', and are 0% for me once I hit my deductible. Yay.

What I would value is being able to go visit a doctor more than once a year. If I'm physically ill (bad cough, aches, headaches, etc) I would like to be able to go see someone for some basic inspection without it costing hundreds of dollars or more. My wife broke a bone in her foot years ago - this was at least a couple of thousand dollars out of pocket on top of the (at the time)... $7k year in insurance premiums. But... it's my own fault because I 'chose' "high deductible". If I'd just have been willing years ago to commit to paying $12k/year for the two of us, perhaps we might have gotten away with 'out of pocket' for her foot of under $1k.

Essentially, between 'premiums', and 'deductibles' and 'copays', I have to be willing to commit to ... $15k-$20k up front before I see any 'benefit' from a health care encounter. I don't see how this is sustainable, but... I've been saying that for years, and... I'm hanging in there - I don't know how other people do it. 5 years ago a friend's insurance was $1900/month for him, wife and a kid. And.. yes, high deductible.

[mjamilkowski]

Sounds like each one of those "integrated" components are actually separate things and each has an expense to you. And theres noone at the plan to help you navigate or coordinate what you access or why you should. All up to you. Our approach is to make these types of things to be inside the benefit plan (e.g. no copays, no deductibles for telemedicine solutions), and support you with care guides and incentives. I hear your pain though - its why we are trying to do this. Better access, easy as well as affordable.

[qgin]

They do have free teleheath and I do appreciate that. If I don’t absolutely need to be seen in person, I use the telehealth option. No other features, tbh. It’s a bronze ACA plan in the NY State exchange.

The yearly out of pocket maximum is about $7000 so it’s essentially only for catastrophic situations. I just wish there were a cheaper option. At this point, I’d take a plan with a much higher deductible/ out of pocket limit if the premiums could be half of what they are.

[mjamilkowski]

Now I am curious why you buy health insurance. Are you insuring against the risk of a high cost claim, like a heart attack or premature baby, cancer or transplant? Is it just something you think you should have (but from your comments, dont really use the healthcare system very often)?