Eli5: How does health insurance work in the U.S?

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I have been working for a new company for a year now, and have been on their insurance through Aetna the entire time. It’s the first time I’ve had health insurance through work.. So I’m paying monthly out of my check for the health insurance, but then im still going to owe my health provider out of pocket at the end of the year if i don’t pile up enough medical bills?

In: Economics

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Anonymous 0 Comments

Depends on your plans type, and other specifics. But yes, many plans have deductibles our out of pocket maxes that you’ll have to pay on top of the premiums from your paycheck. My plan requires us to pay $4000 as a family on top of the premiums before they cover anything. My wife’s old plan before Covid layoff was like a $20 copay for routine doctor visits, $50 for a specialist, and some percentage of bigger ticket costs up to the per person limit.

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