this post was submitted on 04 Jul 2023
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Hello,

I have a question about the healthcare insurance in US.

I have heard that it is tied to your employment and the company provides for it.

So here are a couple of questions:

  1. Is there no way for an individual to get their own personal insurance and not be dependent on the company?

  2. What about freelancers, business owners and retirees? Do they forfeit their insurances?

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[–] Moohamin12@lemm.ee 2 points 1 year ago (1 children)

Where I am, companies provide protection which are generally pretty okay. But everyone still gets personal ones, and they do not cost too much. Perhaps, 50-100? And tend to cover the gaps the organisation's sometimes don't.

Oh, and you do not have to pay extra for the company's. It is part of your remuneration package. (we get paid less though).

[–] nan@lemmy.blahaj.zone 2 points 1 year ago* (last edited 1 year ago)

In the states I’ve worked for companies that paid the entire thing and I had no bill for insurance, and others that paid less. It is one of the things people consider when looking at a benefits package for an employer.

Health insurance for an individual is expensive. Even if you pick a plan that is cheaper, it is going to have a significantly higher deductible and out of pocket cost for care, and likely less flexibility in providers, medications, and covered services, so you can get less and spend more money before they even start paying. I checked individual plans through the same company that my employer-provided insurance is though, and for the same premium (my portion) the deductible is six times higher and the maximum out of pocket was over 4.5-times higher.

This isn’t necessarily because individuals are getting screwed by the insurers. Employers often pay a significant amount, $1000 or more isn’t unheard of. Usually people find out just how much when they leave a position, the employer offers them cobra coverage which lets them keep their insurance for a while but they have to pay the full amount, and it is a jaw-dropping number.