• workerONE@lemmy.world
    link
    fedilink
    arrow-up
    17
    ·
    edit-2
    1 year ago

    So workers pay 7.3% and employers pay 7.3%? It covers all of your health care costs? U.S. insurance varies in cost but we have medical bills on top of insurance costs.

    • nyoooom@lemmy.world
      link
      fedilink
      arrow-up
      13
      ·
      1 year ago

      But what does your insurance pay for if not the medical bills? It’s supposed to be its entire purpose, pay the medical bills.

      • TexMexBazooka@lemm.ee
        link
        fedilink
        arrow-up
        17
        ·
        1 year ago

        Insurance companies put enormous amounts of resources, time, and manpower into avoiding paying the bills. They’ll find some excuse buried in their 400 page packet, or they’ll deem something not a “medical necessity “ until it’s too late to do anything about it.

        • Default_Defect@midwest.social
          link
          fedilink
          arrow-up
          7
          ·
          1 year ago

          I received a HEART TRANSPLANT and my insurance tried to kick back one of my echo-cardiograms that I get quarterly to make sure my donor heart isn’t being rejected. They’re ridiculous.

      • workerONE@lemmy.world
        link
        fedilink
        arrow-up
        11
        ·
        edit-2
        1 year ago

        There’s different tiers, but in the case of a doctor visit and prescriptions for medication, you typically have a copay amount which insurance does not cover. If you have a serious illness and require treatment in the hospital you would be required to pay 30%-40% of the total bill. Also some insurance requires that you pay a certain amount per year before it will take effect, then the insurance pays the rest for the year. There’s tons of different plans and scenarios, insurance here is a rip off.

    • TalesFromTheKitchen@lemmy.ml
      link
      fedilink
      arrow-up
      4
      ·
      edit-2
      1 year ago

      Yep, all covered except for some extra stuff like getting your teeth deep-cleaned by your dentist or some premium dental prosthetics, but they usually subsidize it. Edit: also having most people enrolled in the public insurance (wealthier people have private insurance) makes this system possible, at least for now.