1. This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies. Learn More.
  2. We've had very few donations over the year. I'm going to be short soon as some personal things are keeping me from putting up the money. If you have something small to contribute it's greatly appreciated. Please put your screen name as well so that I can give you credit. Click here: Donations
    Dismiss Notice

health care

Discussion in 'General Discussions' started by ralphie250, Feb 2, 2017.

  1. ralphie250

    ralphie250 Fully Erect Donor

    Location:
    At work..
    do you have health care?

    what does it cost you?

    what is your deductible?


    I have to go have an mri on my back this afternoon and when they called me yesterday to confirm my apt and stuff they informed me that I had to pay $1500.00 to have it done. now I understand that this is my deductible but FUCK.....(my individual deductible is $1500.00 and family deductible is $2500.00. no I don't know what the difference is ) I have blue cross blue shield of Georgia and I pay out the ass for it. I believe I paid around $17,000.00 last year for health insurance, that's just basic health care. that don't include vision or dental. then I find out that even after I meet my deductible for the year I am still responsible for 5% of whatever I have done the rest of the year. I mean fuck... almost seems like a fucking rip off
     
    • Like Like x 2
  2. Baraka_Guru

    Baraka_Guru Möderätor Staff Member

    Location:
    Toronto
    Yes. As a Canadian citizen and a resident of Ontario, I'm covered under the Ontario Health Insurance Plan (OHIP), which is the government-run health insurance plan for the province. It's funded by a payroll deduction tax by residents who are gainfully employed, by businesses in the province, and by transfer payments from the federal government.

    It only costs something if it's not covered by OHIP. This includes the following:
    • Prescription drugs for individuals under the age of 65 (although medication while hospitalized is covered)
    • Smoking cessation drugs
    • Most alternative medicine consultations and treatments, including Chinese medicine, homeopathy, acupuncture, and Reiki
    • Physiotherapy treatments for people 20 to 64 years of age, unless they meet specific criteria
    • Circumcision
    • Dental care (unless you are on social assistance)
    • Chiropractic services
    • Items such casts, crutches, and splints
    • Eye care is covered only under certain circumstances
    • Immunizations for travel (hepatitis A, hepatitis B, Twinrix, HPV)
    • Missed appointment fees
    • Various treatments such as cosmetic procedures, cryotherapy for warts, and more
    • Medical forms and notes
    • Tensor bandages, splints, and other medical supplies

    Prescription drugs, physio, dental care, chiropractic care, eye care, etc., are often covered at least in part by group insurance plans through places of employment. I'm currently covered under my common-law wife's group insurance through the school board she works for. It's top-quality coverage.

    There are deductibles only on group or individual insurance items not covered by OHIP. In my case, there are deductibles on semi-private hospitals, prescription drugs ($25 per person; $50 per family), massage, and hearing aids, which are 100% reimbursed (and with premiums 100% board paid), with the exception of prescription drugs, which are 80% to 100% reimbursed depending on the drug.

    That said....

    I'm not sure this is very helpful as a comparison, but I thought maybe you'd like to see "how the other half lives" when it comes to health care.
     
    Last edited: Feb 2, 2017
    • Like Like x 2
  3. ralphie250

    ralphie250 Fully Erect Donor

    Location:
    At work..
    What is ohip

    Sent from my VS990 using Tapatalk
     
  4. Baraka_Guru

    Baraka_Guru Möderätor Staff Member

    Location:
    Toronto
    It's the Ontario Health Insurance Plan (explained in the first part of my post above).
     
  5. martian

    martian Server Monkey Staff Member

    Location:
    Mars
    Notable too that we do have a provincial drug plan that covers prescription drug costs not included in OHIP. The Trillium Drug Plan is available to all Ontario residents but has a deductible based on income (I believe it's 2% annually). This really only makes it cost effective for people who either have very little income or people who have very high prescription drug costs (I am in the latter category).

    Most provinces have some kind of similar assistance available. Generally speaking if you need healthcare in Canada there will be a way to get it without incurring undue financial burden.

    Reading about things like having to pay for an MRI makes me vaguely uncomfortable. What happens if you don't have the money? Do you just not get the test?
     
    • Like Like x 4
  6. Baraka_Guru

    Baraka_Guru Möderätor Staff Member

    Location:
    Toronto
    Medical debt - Wikipedia
     
  7. redravin

    redravin Cynical Optimist Donor

    Location:
    North
    Yes, I have AETNA through my union.
    I pay a about $1200 a year for it out of my paycheck but I have a low deductible and pay almost nothing for my medication.
    In general it is pretty decent insurance by the standards of the US.
     
    • Like Like x 2
  8. ralphie250

    ralphie250 Fully Erect Donor

    Location:
    At work..
    Short answer. Yes you dont get it

    Sent from my VS990 using Tapatalk
     
  9. snowy

    snowy so kawaii Staff Member

    We pay about $150 out of my husband's paycheck for medical, vision, and dental for both of us, so about $1800 a year. I pay nothing out of my paycheck for vision and dental so we have double coverage, and given that my teeth hate me, having approximately 4k in dental coverage is a good thing. I'm also dependent on eye care, so that was a consideration as well.

    Our health insurance is $500 individual deductible, $1500 family deductible, and $2500 individual out of pocket maximum ($7500 whole family). It pays 80% after hitting the deductible. Last time I had to have an MRI, I paid $275 or so out of pocket, which then got reimbursed by our HSA. We usually put enough in our HSA to cover our deductible every year.

    If I go to urgent care twice in a year for a migraine, I will hit my deductible, as between the drugs and an IV, that's usually $250 a pop. I don't worry about doing it though, because I know we have that money in our HSA.
     
    • Like Like x 1
  10. ralphie250

    ralphie250 Fully Erect Donor

    Location:
    At work..
    just seems like a rip off
     
  11. Fangirl

    Fangirl Very Tilted

    Location:
    Arizona
    We have a similar set up.
    Just now, I made an appointment to get a crown on my tooth. Being so early in the year, we have not met our deductible. The cost for the procedure will be $630, all of which the HSA covers. I have a heart condition and have three prescriptions as well as yearly testing like my echocardiogram and complete blood panel. I literally cannot skip getting this stuff done.
     
  12. Japchae

    Japchae Very Tilted

    Ours is around $300 a month for the two of us, with a $1600 deductive for each of us. His company pays half the deductible for us into an HSA so that helps. It's the out of pocket Max that is getting ridiculous... I think it's up to $10k each. After our deductible is met, we pay $20/40 for pcp and specialists, and 40% of additional charges. Sucks. But, we can go to almost anyone. Dental and vision are extra.
     
  13. ralphie250

    ralphie250 Fully Erect Donor

    Location:
    At work..
    I found out that after our family deductible or out of pocket max is met then everything is covered 100%, but still my out of pocket max family is 10k that's a lot of money.... I know its not a lot compared to a medical bill when youre in the hospital for a week but for a blue collar worker its a lot.

    is it true that health care in Canada is free? if so how is that?
     
  14. Fangirl

    Fangirl Very Tilted

    Location:
    Arizona
    (edit)
    @Baraka_Guru describes it in the first response to your OP: "It's funded by a payroll deduction tax by residents who are gainfully employed, by businesses in the province, and by transfer payments from the federal government."
    It is not free, it's paid for by taxes.
     
    Last edited: Feb 6, 2017
  15. snowy

    snowy so kawaii Staff Member

    My insurance is the same as the plant workers where my husband works. Blue collar-white collar doesn't matter to their employer.
     
    • Like Like x 1
  16. Fangirl

    Fangirl Very Tilted

    Location:
    Arizona
    Same. We've had Blue Cross/Blue Shield PPO for decades (with a small break). The insurance policy doesn't change with the job descriptions.
     
  17. Lindy

    Lindy Moderator Staff Member

    Location:
    Nebraska
    I had to look it up. I get health insurance through my significant other/domestic partner's job. It costs him about $160 monthly for the two of us and includes limited vision and dental. Individual deductible is $500 with a stop loss maximum of $4,000. It pays 80% between $500 and $4000, and 100% of doctors, hospitals, etc above $4000 but there is no stop loss on drugs and medications.

    As an aside, the bills can mount up fast. One of his co-workers spent ten days in the hospital last month and the bill was $56,000 for just the hospital charges, not including the doctors, etc.
     
  18. spindles

    spindles Very Tilted

    Location:
    Sydney, Australia
    Healthcare is one area where Americans really do get screwed. Oz, like Canada, has a government funded medical system. While I can buy other private cover, generally it isn't worth it. I had an MRI on my shoulder recently (12 months ago) and it cost my about $200 - the remainder of the cost is worn by my taxes :)
     
  19. genuinemommy

    genuinemommy Moderator Staff Member

    I have health care.
    It is roughly $200/month for our family to have basic health coverage through my husband's employer. We have a $2,500 deductible per person. Anything over that is covered at 100%, no lifetime limit on expenses or any of that BS. There are no co-pays. Preventative care is covered with no out of pocket expense.

    Over the course of my entire life, I have been covered under some health care plan or another. Usually through my parent's or my spouse's workplace. There was a brief time in my 20's when I paid for a high deductible plan that included catastrophic coverage and limited preventative care. It was $40 a month. I have been very careful to always have health coverage, because I have seen medical bills destroy my friends' livelihoods. I haven't wanted that for myself. I realize I'm pretty lucky that I have always had health insurance.