Recent comments in /f/boston

Firm_Love3598 t1_j4s1sce wrote

There are certainly lower premiums available for HMO plans. We choose the platinum tier to avoid additional costs associated with healthcare. Our max out-of-pocket is $3,000, no deductibles, very low co-payment and prescription coverage is unmatched.

I have diabetes and a recent kidney transplant. I didn’t even reach my max out of pocket last year.

I imagine gold, silver, and bronze plans will be substantially less per month but if you have a medical emergency your annualized cost could be significantly higher than paying up front.

Most people here get their insurance through their employer. I’m self-employed and she doesn’t work so this is our best option.

Good luck.

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ghostlypyres t1_j4rzsfu wrote

You have an HMO through them? When I called this morning, the lady on the line insisted they only do EPOs... Good news, then;

But also that monthly premium is more than my rent will be :')

Yeah, the health connector has just... Not been helpful. Not the site and not the call center operators. That's why we asked here. Thanks for your response!

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Firm_Love3598 t1_j4rz0dj wrote

I get an HMO plan through the connector. I don’t qualify for any discounts or subsidies. We are 49m and 39f, no kids. Monthly premium for a platinum level plan is $2388 per month, no dental coverage.

If you currently have health insurance where you live and will lose that insurance when you move you will be able to apply in Massachusetts under a qualifying event.

I find the health connector quite cumbersome and largely unhelpful when I have a problem.

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ghostlypyres t1_j4rywwg wrote

Thank you! I hadn't mentioned it but shortly after the post I'd made the facepalm level discovery that there are two buttons there, one prominent one to show you if you qualify for credits, and one less prominent that is exactly what you're describing. It helped to get an idea for sure. I'm also now planning to use that list to contact individual providers, as you mention. Thanks!

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ghostlypyres t1_j4ryjgf wrote

Oh my god. That sounds like a total nightmare tbh, I wouldn't even know where to begin with that stuff. I'm glad it sounds like you've almost got it sorted for this year though! My work entails a lot of contact with Medicare patients, but thankfully I don't need to know anything about it other than if they have it or not...

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twowrist t1_j4rxeeb wrote

I thought all of the marketplace web sites, regardless of state, are central starting points for all insurance except Medicare. “Obamacare” isn’t well defined and doesn’t always mean just people below the poverty line.

Anyway, the mahealthconnector.org site is a good starting point for everyone except for Medicare (remembering that Medicare means seniors or permanently disabled, not low income people).

The estimate button is a good starting point. It just needs a zip code, so take a guess as to your likely location. I don’t think there’s much difference, if any, for the counties including and around Boston. Then you’ll have to drill down to the individual provider web sites.

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bostonchef72296 t1_j4rwbdm wrote

Oh, I’m an expert at this point with MA health connector. But damn, I qualified for Medicare from being disabled this year and that sent MY head spinning! Everything was so different! All of a sudden I had two insurances and then there’s Medicare advantage plans, part d coverage, One care plans, etc. and I had no idea what I was doing. Not a single bill from Sept 1 2022 when I started Medicare to Dec 31 got correctly billed because Medicare had an ancient insurance on file and I had to spend tens of hours on the phone to figure out what was wrong and fix it. Some of those bills still ain’t right. Needless to say I wrapped my Medicare and Medicaid together into one plan (onecare) for 2023. (That may have made absolutely no sense to you and that’s exactly what it felt like to me when I learned about Medicare for the first time.)

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