Domain: tiger-web1.srvr.media3.us Open Enrollment Season: 2023 | Money Talk
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Open Enrollment Season: 2023

Posted on 11/9/23 at 4:15 pm
Posted by deeprig9
Unincorporated Ozora
Member since Sep 2012
74210 posts
Posted on 11/9/23 at 4:15 pm
I haven't seen my rates for next year yet, the portal opens at my company in a week.

I priced out some plans on the Gov Exchange, was honest about all income, and the prices were still at or below what I'm paying through my employer plan.

I'm considering just dropping my employer plan and going with the exchange.

First of all, can I do that? Or is the exchange only for people who don't have an employer option?

Secondly, what am I not considering, what how why, are the self-paid rates shown on the exchange lower than my employer subsidized plans, for apple to apple coverage?
Posted by Puffoluffagus
Savannah, GA
Member since Feb 2009
6455 posts
Posted on 11/9/23 at 4:26 pm to
quote:

apple to apple coverage?


May not be apple to apple coverage.

Different hospitals, providers/physicians that may be in network with your employer plan, but not the exchange plan.

Additionally, need to look the differences in coinsurance and co pays between different plans. Lastly, there may be differences in what's actually covered- weight loss surgery, infertility, etc. As well as what meds are covered. You need to look through the policies of eqch.
Posted by CEB
Member since May 2023
78 posts
Posted on 11/9/23 at 5:27 pm to
On Healthcare.gov there is a cost estimator for you to enter your providers, any prescriptions and estimated number of Dr visits to estimate total annual cost.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
136652 posts
Posted on 11/9/23 at 5:36 pm to
quote:

I priced out some plans on the Gov Exchange, was honest about all income, and the prices were still at or below what I'm paying through my employer plan.

I'm considering just dropping my employer plan and going with the exchange.

Look up a healthcare insurance advisor ("sherpa"). It's a free service (to you). They are normally very helpful.

Usually employer insurance is better, but maybe ACA supplements are playing a role.
Posted by JusTrollin
Member since Oct 2016
267 posts
Posted on 11/9/23 at 8:27 pm to
I found the cost estimator is not accurate and when I went to sign up the price tripled.
Posted by tigerforever7
Baton Rouge
Member since Aug 2012
1218 posts
Posted on 11/10/23 at 6:53 am to
I believe if you are offered employer coverage you do not qualify for a subsidy in the exchange. Which if you do not get a subsidy the plans / cost are really bad.
Posted by LSUSports247
Member since Apr 2007
993 posts
Posted on 11/10/23 at 6:57 am to
Does your employer not cover a portion of your premiums?

I doubt the individual exchange policy will be cheaper than a group policy especially if your employer is covering some of it.
Posted by dkreller
Laffy
Member since Jan 2009
33686 posts
Posted on 11/10/23 at 6:58 am to
HSA
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