Choosing HDHP vs PPO
I am not understanding the benefits of choosing a PPO over the HDHP. In my case, the deductible for the HDHP is actually lower than the PPO deductible. I am considering the HDHP for myself and my child, is there something I’m missing? I also am planning on getting pregnant this year and giving birth in 2025. Here are some specifics:
HDHP:
-premium: $80/biweekly for individual + children
-deductible: $3200 for family
-OOP Max: $7350 for family
-coinsurance: 90%
-I pay 10% for all doctors visits, surgeries, and hospital stays (seems like this would likely be $30-$40 per doctor visit anyway, maybe less)
PPO:
-premium: $104/biweekly for individual + children
-deductible: $6000 for family
-OOP Max: $8000 for family
-coinsurance: 100%
-copays: $35 office, $75 specialist, $250 ER
-I pay 0% for outpatient surgery and inpatient hospital stay (this is the only part that makes me reconsider)
Prescriptions were exactly the same for both plans.
I am otherwise healthy except needing monthly meds for chronic issues (mental health). My pregnancy will likely be high risk due to complications I had previously.
I would love to hear an outside perspective. Thanks!
submitted by /u/paigfife
[comments]