Need some outside perspective on HDP vs PPO plan with newborn on the way.
Hi Everyone,
My wife and I are expecting our first child in July 2024. My company is updating their insurance plans this year and I realized that when we do have our child the PPO (which I'm currently enrolled in) has a large jump in premiums. Prenatal visits are 100% covered in both plans I'm considering. I haven't been on an HSA in almost 10 years and am strongly considering switching back but I wasn't sure if I'm missing something with the new plan changes listed below. At first glance, the HDP appears to come out higher total out of pocket, but I think what is throwing me off is that I'm adding the max contribution to an HSA ($7400) as an added cost as opposed to it offsetting the $8k OOP. Hoping anyone can shed some light on experience especially with newborns and insurance!
Thank you!
Any '*' listed below means after deductible has been met.
+ A B C 1 PPO HDP 2 Annual Premium with wife $7,700 $4,290 3 Annual Premium with family $10,300 $5,560 4 Deductible $600/$1,100 $1600/$3,200 5 HSA Contributions N/A $900 employee/$7,400 employee (federal limit) 6 OOP $5000/$10,000 $4,000/$8,000 7 Coinsurance 90% 90% 8 Preventative (pre-natal included) 0% deductible waived 0% deductible waived 9 Office Visits $25\*/$40\* 10%\* 10 Telemedicine $25\*/$40\* 10%\* 11 Diagnostic Lab 10\* 10%\* 12 Emergency Room $150 copay\* 10%\* 13 Urgen Care Center $45 copay\* 10%\* 14 Inpatient Hospital Service 10%\* 10%\* 15 Outpatient Surgery $75 copay\* 10%\* 16 Mental Health 10%\* 10%\* 17 Home Health 10%\* 10%\* 18 Rehab 10%\* 10%\* 19 20 Prescription 21 Generic (30 day) $7.50 copay 10%\*
^Table ^formatting ^brought ^to ^you ^by ^[ExcelToReddit](https://xl2reddit.github.io/)
Edit: Table formatting
submitted by /u/pothotfat
[comments]
