• workerONE@lemmy.world
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    So workers pay 7.3% and employers pay 7.3%? It covers all of your health care costs? U.S. insurance varies in cost but we have medical bills on top of insurance costs.

    • nyoooom@lemmy.world
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      But what does your insurance pay for if not the medical bills? It’s supposed to be its entire purpose, pay the medical bills.

      • TexMexBazooka@lemm.ee
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        Insurance companies put enormous amounts of resources, time, and manpower into avoiding paying the bills. They’ll find some excuse buried in their 400 page packet, or they’ll deem something not a “medical necessity “ until it’s too late to do anything about it.

        • Default_Defect@midwest.social
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          I received a HEART TRANSPLANT and my insurance tried to kick back one of my echo-cardiograms that I get quarterly to make sure my donor heart isn’t being rejected. They’re ridiculous.

      • workerONE@lemmy.world
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        There’s different tiers, but in the case of a doctor visit and prescriptions for medication, you typically have a copay amount which insurance does not cover. If you have a serious illness and require treatment in the hospital you would be required to pay 30%-40% of the total bill. Also some insurance requires that you pay a certain amount per year before it will take effect, then the insurance pays the rest for the year. There’s tons of different plans and scenarios, insurance here is a rip off.

      • smackmyballsoff@lemmynsfw.com
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        Exactly! It’s ridiculous. My father is disabled and on a fixed income. He has insurance but his treatment still costs him thousands a year, even though he only receives a few thousand to live on.

    • TalesFromTheKitchen@lemmy.ml
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      Yep, all covered except for some extra stuff like getting your teeth deep-cleaned by your dentist or some premium dental prosthetics, but they usually subsidize it. Edit: also having most people enrolled in the public insurance (wealthier people have private insurance) makes this system possible, at least for now.