bzymom Posted September 6, 2012 Share Posted September 6, 2012 Warning: Ended up being a vent/rant as well as a question! I just received the latest explanation of benefit forms from Aetna. We submitted over $2000 in medical receipts and will receive exactly nothing back. It is all going toward the ever-increasing deductibles, which now stand at $2000 per person, $7000 per family per year. The trick seems to be that they reduce all the bills to an "allowable amount" which is a fraction of reality so you never meet the thresholds. For example, out of a bill for $1435, they ALLOWED $426. We pay insurance premiums ourselves, without any employer contribution, under COBRA. Our monthly payment for the family is $1600. So I am looking at nearly $20,000 per year just in premiums. Add co-pays, which are at least $30 per covered visit, more commonly $50, pharmaceutical co-pays which have run as high as $140 for a single prescription, and all the things they do not cover or reduce, and my medical expenses are simply not affordable anymore. And this is without any major medical problems! I am considering picking up some kind of catastrophic coverage and banking $$ in a separate account to pay for preventative or routine care. Every person I have asked to date thinks it is a terrible idea and we will be in deep trouble with one hospital stay. I have looked for other coverage, but it is all even more expensive than what we now pay. So if you have made the leap, I would be grateful for any tips or cautionary tales to help me make this decision. I just don't know how people are supposed to maintain this anymore.:confused: Quote Link to comment Share on other sites More sharing options...
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