300 Dollars a month to insure a newborn is this normal???

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Posted 11/15/2012 by sketchy-pea in NSBR Board
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sketchy-pea
BucketHead

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Posted: 11/15/2012 4:53:12 PM
Is this normal or is it just California? Man I live this state, but I tell you, sometimes . . .

MergeLeft
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Posted: 11/15/2012 4:58:13 PM
Was that the cost increase to add children to your existing policy?


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sketchy-pea
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Posted: 11/15/2012 5:07:39 PM
500/month to add a kid to your plan on BS, I mean Blue Shield. I'm so mad right now, but I guess we all have to pay so everyone can benefit? Man. It's nuts. California . . .

megan_in_pink
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Posted: 11/15/2012 5:11:15 PM
that is nuts, my car payment is less then that!

Thank god I live in Canada.



lovestorun

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Posted: 11/15/2012 5:12:26 PM
BCBS totally sucks. They charge me $300+ a month, and I don't even go to the stinkin' doctor!

JenHuedepohl
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Posted: 11/15/2012 5:14:52 PM
The average medical cost for a full term healthy baby for well baby exams & immunizations the first year is about $3500 so you'd get your money's worth.


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ahiller
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Posted: 11/15/2012 5:16:35 PM
We have BCBS and it didn't cost anywhere near that to add our kids to our plan.

fwscrapper
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Posted: 11/15/2012 5:16:59 PM
We have had BCBS for years. We both teach and that is the only choice for us. When we added our first kid 8 yrs ago, our premiums went up at least $300 a month. The next two kids were part of the family plan so it wasn't any more.

We currently pay $700 a month...medical only with them.


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Gsquaredmom

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Posted: 11/15/2012 5:20:50 PM
I switched to the BC BS HMO because I could not afford the premiums and all I did was pay bills. The HMO has been VERY good to us!



momofkandn
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Posted: 11/15/2012 5:24:03 PM
If this is your first child, I am assuming the increase is because you went up a coverage level from employee + spouse to Family. And yes, $300 difference in those two levels is fairly normal not just in CA. Good news is that your Family plan will not incur a higher cost if more children are added at a later date. The cost is the same whether you have 1 child or 10.

Ms. GreenGenes
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Posted: 11/15/2012 5:29:39 PM
You already have Ollie, so you should have already been on a family plan, right? That's crazy!!!!


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sketchy-pea
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Posted: 11/15/2012 5:46:26 PM
I guess I should've mentioned that we are self-employed. We pay upwards of $1400 a month for the entire family to be insured. It's a high-risk plan because despite my physical capability and health, I am considered overweight on the BMI scale. Because of this arbitrary number or premiums are higher than the average person. When we asked about adding baby Leo, we were told that it would be an additional $300 for the first month. I guess that's the cost of doing business. Not only the cost of doing business but doing business in California, as I'm sure the rates here are higher than rates in other states not only are the insurance retire but we pay 11% or so in-state income tax. As a business owner trying to do business in California, that certainly adds up over the years. No wonder so many friends of mine and business owners are leaving the state.

Okay, enough of my rent, I'll just go to my corner and pay my fair share like everyone else.


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Gennifer
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Posted: 11/15/2012 5:57:41 PM
So, $300 a month for the first month, and then does it decrease?

Also, I think it's crazy that you're considered high-risk. There's no doubt in my mind that you are far healthier than many people who are not considered "high-risk," like me. At what point do the changes you've made in the last couple of years make a difference? Do they ever?

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Posted: 11/15/2012 6:27:02 PM

The average medical cost for a full term healthy baby for well baby exams & immunizations the first year is about $3500 so you'd get your money's worth.


I never paid one dime for immunizations... even when I tried! We had our kids immunized at county health dept. I don't know anyone that goes to the dr to do it.

A dr visit here out of pocket for the standard visit is around $75.

Health insurance is totally out of hand.


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Free~Bird
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Posted: 11/15/2012 6:27:03 PM

The average medical cost for a full term healthy baby for well baby exams & immunizations the first year is about $3500 so you'd get your money's worth.


I never paid one dime for immunizations... even when I tried! We had our kids immunized at county health dept. I don't know anyone that goes to the dr to do it.

A dr visit here out of pocket for the standard visit is around $75.

Health insurance is totally out of hand.


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peapermint
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Posted: 11/15/2012 6:41:29 PM
I'm in California and we paid $80/mo.


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KrissiesMom
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Posted: 11/15/2012 7:01:59 PM
Check on getting her her own policy. It was cheaper for us to do this than to add our dd to our policy. The reason being if you have a family policy it covers all children in the family which they are assuming you have more than one. Also the first year or two is more expensive than up to 18 years of age.

JenHuedepohl
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Posted: 11/15/2012 7:15:51 PM
------------
I never paid one dime for immunizations... even when I tried! We had our kids immunized at county health dept. I don't know anyone that goes to the dr to do it.
---------------

It's not free. Somebody still pays. In this case, taxpayers. (AKA welfare). Unless Santa and the easter bunny are real and have gotten into the healthcare biz


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Posted: 11/15/2012 7:59:56 PM
Well, we pay close to 1300 a month for the four of us, so that is less per person than we pay.




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Free~Bird
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Posted: 11/15/2012 8:24:32 PM

It's not free. Somebody still pays. In this case, taxpayers. (AKA welfare). Unless Santa and the easter bunny are real and have gotten into the healthcare biz


No shit?
really?
huh.

I figure all the taxes I pay (and yes I pay taxes, plenty of them) takes care of it. Like I said, everyone here goes to the public health dept. Everyone from the richest to the poorest. I've tried to pay before and they turned away my money.


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homespunhurricaine
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Posted: 11/15/2012 8:25:57 PM
Wow that better include life insurance
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Posted: 11/15/2012 8:35:59 PM
Yes, it was $270-ish/month when I added my newborn son to my employer plan in 2011.
ETA: Family plan. And there's no high-risk/low-risk component, that's just the employee share across the board.


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Posted: 11/15/2012 8:55:00 PM

It's a high-risk plan because despite my physical capability and health, I am considered overweight on the BMI scale. Because of this arbitrary number or premiums are higher than the average person.

Well then there is an option for a lower rate if you wanted it. Another pea posted recently about the same thing, she lost weight and was happy her insurance will now go down because she met their numbers.




BuckeyeSandy
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Posted: 11/15/2012 9:22:47 PM
Little high, in AL it was less. But not surprising since everything in CA seems to cost more than "back East".


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Posted: 11/15/2012 9:28:50 PM

We pay upwards of $1400 a month for the entire family to be insured.




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bestcee
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Posted: 11/15/2012 10:03:56 PM

Good news is that your Family plan will not incur a higher cost if more children are added at a later date. The cost is the same whether you have 1 child or 10.


Not necessarily. Our friends were just told that their plan next year charges per person. So, it's not a employee +spouse +dependents, but employee +spouse +dependents (x5)



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Posted: 11/15/2012 10:14:02 PM
I'm sorry your insurance is so expensive in CA! But your post is making me feel really great about my insurance...I currently pay (and will next year since I just got all of my insurance renewal stuff) $315 a month for myself, DH and DS. Once we add another child it will go up to $400 a month for me, DH and 2+ kids (so any additional kids that we add, insurance will stay the same with this plan.)


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susanlk
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Posted: 11/16/2012 6:26:04 AM

It all depends on your plan. My Medica plan is $380 a month for the entire family- I could have a dozen kids and still pay that same price. I'm not going to, but I'm pleased with that element of my plan and pray to God nothing changes.


Wow, that is really low for a family. Our policy costs $334.83 per month for an individual. A family costs $954.26. Unless you have a much higher deductible & co-pays, I find this amazing.

Of course we have a $5,000/$10,000 deductible (in-network/out-of-network). Our family doctor co-pay is $35/visit and specialists are $50 (as long as you stay in-network, out-of-network you need to meet your ded. first.)

Then we have the prescriptions that are $15/month for generic if they're maintenance & $50/month for name-brand. Non-maintenance meds fall under different pricing & I'm not sure how that works.


Susan


maryannscraps
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Posted: 11/16/2012 6:40:05 AM
We're on a group family plan and we pay 100%. Yours is pretty close to what we pay. I don't know the breakout on ours for each kid, but our rates have stabilized over the last few years.

To those who say they don't get their money's worth out of their insurance -- you should be thankful for that. We've gotten more than our money's worth and it was hellish to go through. You really don't want to go there. I buy insurance to cover the things we can't afford on our own. Otherwise, I'd just pay out of pocket for the regular well visit stuff. It's the PET scans and chemo and ivig treatments that I'm really happy to that insurance covers.

I'm curious Mrs. Tyler, is that $380 just your part of the cost and your employer contributes, or is that the entire cost of your plan?

momofkandn
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Posted: 11/16/2012 6:56:57 AM
Paying an increased premium per child under a family plan is not the norm. Far from it. I work in benefits enrollment and not a single client we have has that type of rate structure. There are some employers that offer a different rate if you are covering just one child. But once you reach 2, the cost doesn't go up any further. The coverage levels that are offered are mostly determined by your employer. They work with the insurance carrier to balance out the needs of their employees and the resulting premiums of those levels to come up with the best rates for everyone. I encourage everyone to speak to their HR dept if the coverage levels/rates they offer seem unfair or don't meet your needs. It may not result in any changes, but they don't know what you need unless you ask.

Also remember that if you are covering children that are not yours, meaning step children or children of a domestic partnership, that there might be tax implications there. Your premium may not be more than the normal family plan, but your paycheck deduction may be more to pay taxes depending on your state.

And in California, I'm pretty sure that every employer is required to offer an HMO option. Kaiser is huge in CA. I don't know if the rules are the same for self-employed. But it's worth looking into. HMO's aren't so bad in most cases and can save you a lot of money.


laurelsstitchery
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Posted: 11/16/2012 7:07:23 AM

Paying an increased premium per child under a family plan is not the norm. Far from it. I work in benefits enrollment and not a single client we have has that type of rate structure. There are some employers that offer a different rate if you are covering just one child. But once you reach 2, the cost doesn't go up any further. The coverage levels that are offered are mostly determined by your employer. They work with the insurance carrier to balance out the needs of their employees and the resulting premiums of those levels to come up with the best rates for everyone. I encourage everyone to speak to their HR dept if the coverage levels/rates they offer seem unfair or don't meet your needs. It may not result in any changes, but they don't know what you need unless you ask.

Also remember that if you are covering children that are not yours, meaning step children or children of a domestic partnership, that there might be tax implications there. Your premium may not be more than the normal family plan, but your paycheck deduction may be more to pay taxes depending on your state.

And in California, I'm pretty sure that every employer is required to offer an HMO option. Kaiser is huge in CA. I don't know if the rules are the same for self-employed. But it's worth looking into. HMO's aren't so bad in most cases and can save you a lot of money.


Which is all well and good, but she clearly stated that they are SELF-EMPLOYED.


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smilesnpeacesigns
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Posted: 11/16/2012 7:24:32 AM

Well then there is an option for a lower rate if you wanted it. Another pea posted recently about the same thing, she lost weight and was happy her insurance will now go down because she met their numbers.


I can not believe you said that...

We pay for my Dr. visits out of pocket, my DH is a Vet and so gets Vet benefits. He works for a company that has 2 employees (Him and another guy ) then the owner runs a Harley Shop. It doesn't offer insurance but Aflac salesmen come in once or twice a year.

Hopefully when we move I will be able to get a full time job that has benefits, I'll hopefully work in a factory. The downside to that is they hire with a temp agency for the first year so they don't have to offer insure to people for a year and 3 months. Luckily I am pretty healthy.

We always went to the Health Dept for the kids shots too, the insurance paid them. We didn't have to put out any money people who were uninsured paid 1$ per kid , I'd rather help pay for kiddo's shot then have a bunch of kids getting ill and passing away.

That was back when I had a job in a factory that offered good insurance. They have since shut down and I haven't been able to find anything since.


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sketchy-pea
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Posted: 11/16/2012 7:46:37 AM
Well, it is the truth, I could lose 30lbs or so and maybe that would shift things in my favor, but believe me when I tell you, I'm probably going to have to lose a lot of muscle and go into ketosis to get where I need to be by insurance standards. I hit the magical age of 30 this weekend which will bump the rate up another 200 bucks/month.

Anyhow, we're looking into options. Bottom line is, the money we could save in taxes, insurance, and general cost of living over the next five years, is much more than our home will appreciate in California over the same time. Which leads us to wonder, is it worth it to stay? Probably not. I mean, I love the state and the people, but it's getting silly now.

KristinL16
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Posted: 11/16/2012 7:51:18 AM
There are still states that have health departments that offer health care and vaccinations? Where?

This thread is a good example of why we need healthcare reform.


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scoobers
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Posted: 11/16/2012 7:58:10 AM

Good news is that your Family plan will not incur a higher cost if more children are added at a later date. The cost is the same whether you have 1 child or 10.


This is not an accurate blanket statement to make. Our plan through my company charges a flat rate, PER CHILD up to 3 children. The child rate is $244.


I could lose 30lbs or so and maybe that would shift things in my favor, but believe me when I tell you, I'm probably going to have to lose a lot of muscle and go into ketosis to get where I need to be by insurance standards.


I was looking at BMI charts a week or so ago. If I weighed what the BMI charts show I should, I would be sickening thin. BMI should be a guideline but not an absolute.



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Posted: 11/16/2012 8:15:43 AM
When we were self-employed, we were paying close to $900 a month for a family of four. No high risk, no maternity coverage, mid range deductible. Our insurance was also through Blue Cross. We rarely went to the doctor. Insurance is one of the sucky things about being self-employed.


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Posted: 11/16/2012 8:25:49 AM

There are still states that have health departments that offer health care and vaccinations? Where?


Your state does, at the county level, as a quick Google search shows.
Scott County
Washington County

There were many others, but those are the top two that popped up in my search.

Not arguing that we need healthcare reform, just sayin'. I know that in Texas we have county health clinics, too, but it's not feasible for everyone to start going there because insurance is just too dang expensive.



smilesnpeacesigns
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Posted: 11/16/2012 8:26:58 AM

There are still states that have health departments that offer health care and vaccinations? Where?


Arkansas. Our Health Dept offers vaccinations, low cost birth control, pap smears, prenatal care ( for those without insurance ) STD tests and vaccinations if needed.

We also have a clinic with a sliding pay scale it offers dental work too and they allow you to make monthly payments.

The only thing I can find wrong is when I had insurance I got a kidney infection, my fever was 105 and I was admitted to the hospital right away. Well after the factory closed down and I had no insurance I got a kidney infection and had the same symptoms and the hospital would not admit me.

So I don't know if the first time I was really sick and they took good care of me and the 2nd time they didn't OR if the first time they took advantage of my insurance company....



Even with the snark, trolls and spelling police you are a great group of ladies!

*rosebud*
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Posted: 11/16/2012 8:32:50 AM
I don't think that's a California thing.

My friends are self-employed....crappy health insurance, mom/dad plus 3 boys. They pay $1300 per month. They live in Ohio.

This is why health care reform is needed.

MergeLeft
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Posted: 11/16/2012 8:40:11 AM
When DH was out of work we could not afford the insurance through my district ($800/mo to insure our family of 4 PLUS we still had to pay 20% of all covered services) so we purchased a high-deductible catastrophic plan through Humana for $400/month. It would have been less but I put us in the high-risk category due to my weight. It covered one well visit per family member per year at 100%, and then the deductible kicked in and we paid cash. We were on that plan for over a year and saved a great deal over what we would have with the plan through my district. I became a big fan of the Walgreens Take Care clinics for minor things like UTIs or sinus infections - much cheaper than a doctor's visit and you get the same care.

Now that DH works for an oil company we have outstanding insurance - $100/month to cover the entire family and only reasonable co-pays, no percentage that we have to pay. I don't know how long it will stay that way but we're enjoying it for now.



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Posted: 11/16/2012 8:42:11 AM
We were on an individual BCBS plan when ds was born 11 years ago and our premium went up $300/month. We switched to a group plan when he was 2 months old though.



scrappy_princess
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Posted: 11/16/2012 9:47:52 AM
Have you looked into an independent plan with Kaiser? Or used a broker who specializes in health care?

I see you are in the Sacramento area, as I am. If you are interested I can refer you to an excellent broker who can find you a MUCH better rate.

Not all individual plans have a weight component, BTW.


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sketchy-pea
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Posted: 11/16/2012 9:56:10 AM
Scrappy, shoot me a peamail or just post the info here. Thanks!

Kerry in CT
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Posted: 11/16/2012 11:49:42 AM
My coworker pays $485 in NY.


Kerry in CT

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Posted: 11/16/2012 11:52:49 AM
Wouldn't it depend on the company you work for -- they all negotiate different rates. I know we have much lower rates than others who have the same plan simply because of where DH works.



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Posted: 11/16/2012 12:04:26 PM

We had our kids immunized at county health dept. I don't know anyone that goes to the dr to do it.

I have never heard of this. What about the routine checkups with a pediatrician? Shouldn't all records be consolidated with a single provider when possible? I don't understand going to the county health department instead of the child's doctor.

3kidmama
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Posted: 11/16/2012 12:07:15 PM
Don't forget, Peas, that California Lawmakers are notorious for deciding what insurance plans MUST offer as part of basic coverage. That ups the cost significantly for what plans can be offered in their State.

Only politicians who have "Cadillac" medical coverage paid for by taxpayers think you can keep regulating things like that and not expect it to cost.


jjjulee
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Posted: 11/16/2012 12:33:01 PM

There are still states that have health departments that offer health care and vaccinations? Where?


Tennessee does as well. I believe it's a sliding scale for health care, but the vaccinations are free.

maryannscraps
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Loc: massachusetts

Posted: 11/16/2012 12:43:12 PM

I have never heard of this. What about the routine checkups with a pediatrician? Shouldn't all records be consolidated with a single provider when possible? I don't understand going to the county health department instead of the child's doctor.
HRSA offers free vaccines through their Vaccines for Children program and administers it through the state health departments. If you're uninsured or underinsured you might want to take advantage of the programs. The CDC wants all children immunized.

You're given the records when you get the immunizations.

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'Cause I'm as free as a bird now

PeaNut 104,551
September 2003
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Loc: Missouri

Posted: 11/16/2012 12:44:02 PM

I have never heard of this. What about the routine checkups with a pediatrician? Shouldn't all records be consolidated with a single provider when possible? I don't understand going to the county health department instead of the child's doctor.


My kids are 23 and 18 now, but when they were little, my dr wouldn't even do the immunizations. He'd tell us go to county health. I like it because all of their records are in one spot.
I'm sure when they were little we more than qualified for free immunizations as we weren't even close to rich.

My youngest had to get shots to enter upward bound his freshman year. They were supposed to be $15 but when I went to pay, they gave me my money back because they'd just done a free clinic for the community and didn't think it was fair to charge me. I would have been happy to pay it or more.

I use the county health to check my BP once in a while too. They have a really nice staff and just built a new building.


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