[PA] Health Insurance Selection – Please Help me Pick!

I think I understand things well enough to know what the right choice is, but I wanted to run it by some others to make sure we're thinking properly. We are a married couple who could conceivably… conceive in the plan year 1/1/23 – 1/1/24:

Plan 1: HDHP

Annual Premium: $2,600

Deductible: $3,000

Out of Pocket Maximum: $8,000

Office Visits / Specialists: 20% after deductible

HSA Eligible: Yes, $1,000 contribution by company, we would likely max out our contributions to this (so another $6,300 in contributions which would be like $6,300 * ~ 30% = $1,900 in tax savings). So total "value of ~$2,900).

Net Savings: $3,250 (premium) + $2,900 (HSA value) = $6,150

Plan 2: UPMC Plan

Annual Premium: $5,850

Deductible: $1,000

Out of Pocket Maximum: $3,000

Coinsurance: 10%

Office Visits / Specialists: $20/$35

HSA Eligible: No

If I'm following correctly, even if we did have a baby and reached our Out of Pocket Maximum… on the HDHP plan we would still make out ahead financially? And if we didn't have a baby, we would likely not reach our out of pocket maximum and so we would be better off on the HDHP plan? The only detail I might be missing is the difference in coinsurnace…

The cost toward the out of pocket maximum on the UPMC plan would be less but I think we'd almost certainly reach the $3,000 amount fairly easily. Same is true on the HDHP Plan, I think it's very likely that we'd reach the $8,000 out of pocket or get close to it?

Any and all thoughts are appreciated!

submitted by /u/Taylor52594
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