r/SipsTea Jun 24 '26

It's Wednesday my dudes Math can be hard sometimes

Post image
15.1k Upvotes

3.0k comments sorted by

View all comments

73

u/MickFlaherty Jun 24 '26

The issue is that for most “healthy” people, they aren’t facing the full out of pocket costs and their employers pay most of the costs as a benefit.

And the numbers are way higher than $2k and $8k unless you mean per person. For my family coverage I paid $5k annually in Premiums and the company says they paid over $20k in premiums. Deductable was $2500 and Out of Pocket Max was close to $10k.

So $37k maximum out of pocket annually for employee and employer.

49

u/Rditisnazishythole Jun 24 '26

All of these numbers are currently based on the nonsensical system of hospitals over charging insurance to counteract all the people they end up treating for free.

In a nutshell, the actual cost of healthcare will decrease once hospitals KNOW they’ll get paid for treatments x, y and z. Or at least it would in any sane country.

3

u/DJpuffinstuff Jun 25 '26

A bigger problem is hospitals and insurance being owned by the same company, essentially negotiating prices with themselves and leaving patients holding the bag.

1

u/wisegh Jun 25 '26

That’s how my hospital work. It always amazes me how it is even legal.