Is POS Worth the Higher Premium Vs. HMOx?

ardpub

New Member
5
I am a 31 year old male with no pre-existing conditions or health issues. Generally, a year of medical treatment includes a wellness check and maybe one or two additional trips to the doc for common minor illness, at most, and an annual skin cancer screening at a dermatologist.

I currently have a high deductible ($6500) ACA Blue POS plan (with no subsidy) and after the huge rate increases in Louisiana, my premiums are now over $4k/year. My question: I could save about $600/year by switching to a HMOx ($4500 deductible) on Humana but both my doctor and dermatologist wouldn't be in their network. If my annual out-of-pocket costs for continuing to see my current doctors out of network on the HMOx were less than $600, would it seem like a good idea to switch, or are there other factors worth considering, assuming I stay healthy and don't exceed my deductible for the year?
 
I am a 31 year old male with no pre-existing conditions or health issues. Generally, a year of medical treatment includes a wellness check and maybe one or two additional trips to the doc for common minor illness, at most, and an annual skin cancer screening at a dermatologist.

I currently have a high deductible ($6500) ACA Blue POS plan (with no subsidy) and after the huge rate increases in Louisiana, my premiums are now over $4k/year. My question: I could save about $600/year by switching to a HMOx ($4500 deductible) on Humana but both my doctor and dermatologist wouldn't be in their network. If my annual out-of-pocket costs for continuing to see my current doctors out of network on the HMOx were less than $600, would it seem like a good idea to switch, or are there other factors worth considering, assuming I stay healthy and don't exceed my deductible for the year?

There is a really big factor that makes this a very bad idea-HMO plans require a PCP referral for specialists as well as for any admittance to a hospital-if your PCP doesn't participate you would need to see someone else for any of this or you could simply be denied treatment under the plan if you didn't have that referral.
 
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