High Deductible Paid By Employer w/ HSA vs $0 Deductible w/ no HSA Paid By Myself?
I have narrowed down 3 options at a new employer, and my head is spinning trying to calculate the best option for us given my family's situation (me + spouse, no kids). All of these are through Aetna, and I could really use some advice.
Situation: Wife attends therapy 2x weekly, which adds up to $1200 per month (96 annual appts at $150 each = $14,400 annual) and is covered under Aetna. Outside of that, we just do normal preventative checkups + blood work, no prescriptions or other major medical issues. We are planning on starting a family within the next year, so doc appointments may tick up.
The one twist is that a family member is covering the cost of that therapy as a cash gift, so once we max out our deductible/out of pocket, we get to bank the rest (yes, the family member is aware of this arrangement and is OK with it).
Based on this scenario, I would have thought the $0 deductible (option 2) would be the way to go given our frequency of medical appts and ability to bank that gift, but the math is telling me Option 1 comes out cheaper (assuming that 10% co-pay doesn't get significantly out of whack outside those known 96 appts, ignoring out of network, and adding back the HSA contributions).
Am I thinking through this properly? Anything wrong with my math? Appreciate any feedback, thanks in advance!
Option 1: POS + HDHP $6000 deductible (family) $11,000 OOP (family) 10% co-ins 10% co-pay after deductible Out of Network Coverage ($24,000 max) Employer contributes $150 per month to an HSA $0 per month premium (employer pays for it) Annual estimated cost = $6140 Option 2: EPO $0 Deductible (family) $11,000 OOP (family) 0% co-ins $45 co-pay No out of network coverage No HSA contribution from employer $341 per month premium (I pay for it) Annual estimated cost = $8412 Option 3: POS + HDHP $3000 deductible $6000 OOP (family) 0% co-ins $30 co-pay after deductible Out of Network Coverage ($28,000 max) Employer contributes $150 per month to HSA $427 per month premium (I pay for it) Annual estimated cost = $8604 submitted by /u/DJShaan
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