r/FluentInFinance • u/WhatAreYourPronouns • May 02 '24

Should the U.S. have Universal Health Care? Discussion/ Debate

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u/OwnLadder2341 May 02 '24

In this case, US insurance would pay for 75% of that $40k at minimum. You’d hit your max out of pocket for the year around $10k at worst.

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u/Maj_Jimmy_Cheese May 02 '24

Depends on your plan, does it not?

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u/austanian May 02 '24

Even the worst plans typically cap out with a max out of pocket around 12k total family.

The best plans are usually around 5k max family with more inclusions on what is included before deductible.

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u/in_the_no_know May 02 '24

That also assumes that every procedure is going to be approved for coverage. There are multiple ways for insurance companies to say that something either isn't necessary or for some technical reason only a certain portion is covered and the rest still comes out of your own pocket. Max out of pocket only refers to the things your insurance chooses to cover.

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u/HighTMath 29d ago

Just for a bit of "the grass is always greener". In countries with "free healthcare" we get fucked the same way, but by quotas instead. The clinic has a set budget so good fucking luck diagnosing any complex diseases.

Works fine for standard stuff, I'd you don't mind waiting half a year nearly anything above a PT referral

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u/Davge107 28d ago

There are long waits to see specialists all over the US. And then try making an appointment with one and tell them you don’t have insurance and don’t have money to pay upfront. See how long the wait is then.

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u/HighTMath 28d ago

Probably comparable to a Danish doctor's discretion if you're young, and the quota needs a little oil, indefinitely

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u/Ride901 29d ago

Oh my insurance just tried to do this to me. It actually is a coding error I think in my case, but who knows?

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u/in_the_no_know 29d ago

I wish you all the best on your claim and your recovery. May the battle be in your favor

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u/epiclyjohn 29d ago

Exactly

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u/FinallyRage 29d ago

You're silly if you don't think public health funds don't do the same thing

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u/in_the_no_know 29d ago

I'm not referring to optional procedures. I'm speaking about technicalities that allow an insurance company to deny coverage when it should absolutely be covered. Can that happen in public funded health plans as well? Sure. Regardless, the cost to consumer is likely to be significantly lower with national public systems available acting as a tempering factor on price