Question about coverage with different plans through employer
I am sorry if this is the wrong place for this question.
My employer is offering three medical insurance plans, different prices and coverage.
Anthem Blue Access PPO HSA- the cheapest plan, seems like it doesn’t cover anything until you hit a certain amount for the year, I want to say $3000. With this plan they give you a Health Savings Account which will roll over if anything remains at the end of the year. The company will provide $1000 into this account through the year, and you can put money into this as well, up to a certain amount.
The other two choices are Anthem Link Pathway EPO w/HRA and Anthem Blue Access PPO w/HRA. These two plans are a bit more, offer more coverage, you pay a small amount when you visit a doctor, get meds, etc. The differences are in the amount they cover, if you can visit out of network and such. I have used these choices in the pass, understand them a bit more but the prices are always going up and coverage is going down.
I am be covering just myself, regardless of what choice I make. I am a male in my early 40’s, I have multiple prescriptions, high blood pressure, acid reflux, allergies, arthritis, etc. Nothing crazy, probably all common stuff. I see my doctor 2 or 3 times a year at the most. My meds currently cost me out of pocket like $60 for a 3 month supply but it seems like with the changes being made that might go to what I’m paying monthly even with the better coverages. When they provide a breakdown of cost the medication cost are broken down into 30 day supplies, tier 1 being $10, and then they go up from there. So assuming everything I take it tier 1 it seems reasonable to assume I’ll now have to pay for 30 day supplies instead of 90 day at about the same prices out of pocket.
So my question. As it seems like the benefits of the higher plans go down, and prices go up, I am considering changing to the PPO HSA plan. I am just worried what I’ll be paying for my meds will be insanely high with this plan if it seems like I am paying full price for these until the deductible kicks in. Yes, I’ll get the $1000 in my HSA plan from the company and can add to that myself to hopefully help. Does anyone have experience with these PPO plans and do they seem beneficial for someone in my shoes?
