Need help deciding: HDHP or PPO
Hey y'all, so I (24 Male, single) recently just accepted a full-time offer from the company i was interning with and needed help deciding what medical plan to go with.
The employer pays 100% of the premium for the HDHP, and the PPO would cost $13.20 weekly for a single person. They also contribute $750 each year to an HSA. I would also like to note that I am relatively healthy and have no health issues.
Here are the details:
Deductibles
PPO
In-network individual: $1,500
In-network family: $3,000
Out-of-network individual: $3,000
Out-of-network family: $6,000
HDHP
In-network individual: $3,400
In-network family: $6,800
Out-of-network individual: $6,800
Out-of-network family: $13,600
Out-of-pocket maximums
PPO
In-network individual: $4,000
In-network family: $8,000
Out-of-network individual: $8,000
Out-of-network family: $16,000
HDHP
In-network individual: $5,000
In-network family: $10,000
Out-of-network individual: $10,000
Out-of-network family: $20,000
Coinsurance
PPO
In-network: 80% plan pays
Out-of-network: 60% plan pays
HDHP
In-network: 100% plan pays
Out-of-network: 70% plan pays
Office visits
PPO in-network
Primary care: $25 copay
Specialist: $50 copay
Urgent care: $50 copay
ER: $250 copay
HDHP in-network
Primary care: Deductible, then $25
Specialist: Deductible, then $50
Urgent care: Deductible, then $50
ER: Deductible, then $250
Prescriptions
For the PPO, prescriptions are copays before deductible:
30-day generics: $10
30-day formulary: $35
30-day non-formulary: $60
30-day specialty: $60
90-day generics: $25
90-day formulary: $87.50
90-day non-formulary: $150
90-day specialty: Not covered
For the HDHP, prescriptions are generally:
Deductible first, then the same copays
Out-of-network prescriptions are not covered