Exclusive Provider Organization (EPO) An Exclusive Provider Organization , or EPO , is a type of health insurance plan in which members must utilize doctors and providers within the EPO … The EPO should have a copay for most services even before the deductible is met. HDHP + HSA: Deductible is $5,000. Here is some more info about the two plans. Press J to jump to the feed. Yes, you can. Learn about budgeting, saving, getting out of debt, credit, investing, and retirement planning. The right choice depends on how healthy you are and how you want to pay for your healthcare. Premium: 192.41 x 24 pay periods = 4617.84, Inpatient: Deductible, then 20%, + $500 per admission, Employer contribution: 1100 (paid out quarterly). Trying to choose between an HSA and a PPO? The IRS determines the … Hopefully we will have the baby later next year as well. Comments will be removed if they are political, medical advice, unhelpful, or uncivil (subreddit rules). If not, you might not be able to afford going to the doctor when you get sick or injured. This is simply false. With the HSA, I will pay $200 that will be a part of the deductible.. but it's $200.. Is that correct? But you must follow a few rules. If you have an HDHP as an employee benefit, you might be eligible for an employer match in an HSA. Please contact the moderators of this subreddit if you have any questions or concerns. Join our community, read the PF Wiki, and get on top of your finances! But HSA … 6 Differences Between an HRA vs HSA. An HDHP will usually mean a lower premium for employers who offer health insurance as a benefit. An HSA is a triple tax-free miracle that allows you to make tax-free contributions, accumulate tax-free growth, and pull out tax-free withdrawals to pay medical expenses. I pay out of pocket for the first $2,700, the final $2,300 of the deductible is reimbursed by my company. I take no medications. Ah, I see what you mean. Health Savings vs. Usually the HSA-PPO option is best if you are young and healthy. I'm 24, single, I'm starting to worry about my health more now that I'm on my own. An HDHP plan is typically about 10% cheaper than a traditional preferred provider organization (PPO) plan and is usually associated with a company funded tax-advantaged health savings account (HSA… HSA Basics. It usually has lower monthly premiums than a PPO or an EPO health plan. HSA eligible plans are available in pretty much every state. I assume your employer’s HSA … The HDHP/HSA will cover nothing but preventative services/drugs until you meet your (much higher) deductible. Maybe I don't understand things as well as I think I do. Healthcare can be costly even for the heartiest among us. However, they can file for reimbursement later in the year. Welcome to r/personalfinance! So if I go in for an office visit that costs $200, with the EPO, I pay a co-pay of $40 that will NOT be a part of the deductible (but it's "only" $40). An HSA is different from the plan types of PPO, HMO or EPO. The Complete HSA Eligibility List. A High Deductible Health Plan (HDHP) has low premiums but higher immediate out-of-pocket costs. Here's a plot comparing the two plans, assuming 25% marginal tax rate: imgur.com. Employer match. Employees often play les… Using real life numbers from my EOBs: 4 visits to a specialist (sleep) costing $3100. Cookies help us deliver our Services. I usually don't go to the doctor but I will start going annually for check ups. Press question mark to learn the rest of the keyboard shortcuts. The EPO should have a copay for most services even before the deductible is met. An HSA or a PPO. An HMO, or Health Maintenance Organization, is a type of health plan that offers a local network of doctors and hospitals for you to choose from. That means your HSA … After the $5,000 is paid, I have 100% … So, keep reading to find a complete breakdown of EPO vs PPO health insurance plans, below. Annual Maximum: 1,750 ( excludes orthodontia), Lifetime Max for orthodontia: $1750 per person. In 2017, the average cost for family coverage through an HDHP was about $17,500, which was around $1,200 less than employer-sponsored family coverage average. This plan has a lower deductible and exclusively covers you for in-network doctors and facilities. Fronstin P. Trends in health savings account balances, contributions, distributions, and investments, 2011-2017: Estimates from the EBRI HSA database. SEH Platinum EPO National Access $10/$30; SEH Platinum EPO Regional Preferred $10/$30; Gold. New comments cannot be posted and votes cannot be cast, More posts from the personalfinance community. PPO + HSA premiums will save you ~$1k/year. By using our Services or clicking I agree, you agree to our use of cookies. If you don’t have an HDHP, you can’t have an HSA. That's where i'm leaning towards until I stop going to PT. An HSA is a tax-advantaged account that can be used to pay for IRS-defined health care expenses, including long-term care and COBRA premiums. The high-deductible health plan (HDHP) is frequently among the health insurance choices offered by companies these days. HSAs, also known as health savings accounts, have risen in popularity over the past few years because along with High Deductible Health Plans (HDHPs) they can … The PPO seems more flexible but it has a deductible, where as the EPO … Yep, and I wouldn't trust a HMO. 1. Learn about budgeting, saving, getting out of debt, credit, investing, and retirement planning. I think that is all the information that I've been mulling over. We’ll explain them in detail. PPO vs HDHP HSA $1,500 vs $5,000 deductible $3,500 vs $6,450 out of pocket max $2,171 vs $1,796 yearly premium cost No employer contribution to the HSA as far as I know. Some plans are $3,000 to $5,000 less than the average. If I expect to have a lot of medical expenses, wouldn't this be cheaper? HSA vs. PPO Plans: Which Benefits You More? Platinum. Except in the case of an emergency, you’ll pay the full price for any out-of-network care. Here it is - the most-comprehensive HSA eligibility list available on the web. Ask a financial planner to be sure. Hello. Your graph relies on a comparison of the deductible and OOP max but again ignores the fact that most services are only subject to the copay under the EPO and ignore the deductible. From A to Z, every item and service deemed eligible for tax-free spending will be … The dental plan at ~ $ 1k/year in general, HSAs cover a broader variety of qualified medical expenses including! 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