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 Post Posted: Thu Oct 19, 2017 1:11 pm 
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I think I am about ready to pull the trigger on the GEHA HDHP plan when open enrollment comes around. I am going to present my reasoning to you all and hopefully you'll either dash my dreams with a scorching blow of reality (so bad I need to visit a doctor) or get a lightbulb moment yourself. This is my findings after having talked to my pharmacy, my doctor, Labs, and a heart specialist my daughter saw (thankfully no irregularities found) and numerous e-mails back and forth with GEHA.

Family of 3 (Me, wife, daughter) currently on BCBS Basic

First Some "school" on insurance as I understand it after talking to numerous others, (please correct me if I am wrong).
Deductible - Limit set by plan that once reached "co-insurance kicks in"
Co-insurance, defined amount the plan will continue paying once deductible is hit that is typically better than your copay
Max out of Pocket - After co-insurance is paid, you pay the difference, this will add up to maximum amount out of pocket threshold, so if some god awful thing happened to me the most I'm on the hook for is the first number in the Max OOP), or if both my wife and daughter included max out of pocket is the second number.


BCBS Basic: 2018 Monthly premium - $392.12,No deductible, 5,500/11,000 Max out of pocket (individ/Family)

GEHA HDHP: 2018 Monthly Premium $296.36 $1,500/$3,000 deductible, After Deductible 95% is paid Max out of pocket $5,000/$10,000

So first lets look at the Premium, upfront I am saving $95.76 per month ($1,149/year). Then the GEHA had a "Premium pass through" of $125/month for the family plan which means the insurance company puts $125 into my HSA account for being under their health plan (simplified there may be more to this), but end result every month id get $125 in my HSA. My plan, would be to also contribute the premium difference between the two which would be $125 (pass through) + 95.76 (Premium diff between BCBS & HDHP) = HSA contributions $220.75/Month or $2,649/Year.

So my logic is this, yes it sucks to pay more with having no copay, and the overall "what will I owe?" but if I contribute to the HSA at a minimum the difference, the most I would be out to hit my deductible is $351, and If I stick with BCBS then I am out all that money anyway. The rest of the money (up to the deductible) would be covered by the HSA which if I don't hit deductible I can carry it over)

Ideally of course I would look to max out my HSA as I have for the TSP and perhaps one day we would go back to a typical plan. But my understanding is I am responsible for $100% of my medical costs up to 3K, after that I am only responsible for 5% up to $5000 or $10K if it happens to all of us.

So someone more knowledgeable about this please tell me if my logic is flawed. My thinking is I piss away that $96/Month in BCBS and then I still have copays on top of it, this would allow me to "reclaim" some of that money.


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AGG (F Fund)
iShares Lehman Aggregate Bond (AGG)

S&P 500 (C Fund)
S&P 500 INDEX,RTH (^GSPC)

DWCPF (S Fund)
Dow Jones U.S. Completion Total Stock Market Index (^DWCPF)

EFA (I Fund)
iShares MSCI EAFE Index (EFA)