The War Room
Advice
Post

PPO or HSA?

Hello Fellow Sales Savages,


I recently relocated and have to reassess which type of healthcare coverage I would like from my employer. My two options are PPO and HSA?


Do either of you have a preference? Leaning towards PPO as HSA seems more expensive but I would like to hear your thoughts.


Let me know!

๐Ÿ™ Mental Wellness
๐Ÿฉบ Health
18
paddy
WR Officer
+11
Account Executive
I have a PPO since I have a heart condition where I may need to see an out of network doctor on the go so that's the only thing I really take into account...
Incognito
WR Officer
+11
Master of Disaster
Peace of mind has a price ๐Ÿ–ค
CuriousFox
WR Officer
+13
Senior Account Executive
I chose PPO. HSA has much higher fees. However it's the better choice for tax reasons and the only one that works with a Flex I believe? I just know what works for me.ย 
GrizzleMcThornBody
Arsonist
+12
EVP - RevOps
Honesty, insurance is a scam.

Here is what I would do:

First - if you're young and single, find direct primary care. Pay $50 a month to some doctor who can do everything you need, minus catastrophic. If you think you're going to do something dangerous, buy temporary insurance from GEICO or something. It's for 90 days and catastrophic and can help you should you break a bone when snowboarding.

Second - pay for GoodRx premium. Those scripts your direct primary care writes you for sinus infection or whatever will be super cheap.

Third - save money. Set aside whatever your premium would be each month and put it in a low earning savings account. Then when you need to go to the hospital or pay a PCP co-pay, take it out of that account.

I did this for four years and saved a ton of money on premiums over that time. Didn't get insurance until we were having kids. Then it helped barely to be honest. Co-pays, deductibles and max out of pockets are still a fucking joke.
Incognito
WR Officer
+11
Master of Disaster
Ex-fucking-cuse-me โ€œinsurance is a scamโ€

Fuck you very much I do this for a living (not health insurance, but still!)

I do an HSA that pays for all out of pocket costs (premiums/copays) and insurance pays the rest. You donโ€™t want a bankrupting life event (hi. We are in a FUCKING PANDEMIC and gods forbid you or someone you care about is in an accident or gets cancer or some shit).ย 
GrizzleMcThornBody
Arsonist
+12
EVP - RevOps
Iโ€™m not devaluing what you do. Iโ€™m saying the space is corrupt. Itโ€™s an unnecessary evil. Iโ€™m being sincere here @Incognito. I apologize if I offended you. Health coverage right now is a joke. We pay all this money for nothing.
Show 10 more replies
paddy
WR Officer
+11
Account Executive
What's your favorite color
GrizzleMcThornBody
Arsonist
+12
EVP - RevOps
I like white space w solid colors contrast against it.
Show 1 more replies
goose
Politicker
+12
Sales Executive
This is terrible advice and you should not follow it. ย Unless you are a drug kingpin running a full cash operation.
GrizzleMcThornBody
Arsonist
+12
EVP - RevOps
no its not. its great advice if you can do basic math and you're healthy enough to carry the risk.
Incognito
WR Officer
+11
Master of Disaster
As I said in the comments - BOTH! Do the HSA to cover all out of pocket expenses and let a carrier pay the rest.ย 
desperado
Politicker
+7
Head of Sales, Americas
PPO 100%
MinisterOfChaos
Politicker
+8
Commercial Account Executive
As shitty of an idea as it may seem, and how much we as Savages loathe the department, this is actually what HR gets paid to do: explain the benefits the company provides to their employees.

If you're single (or if you're married but with no kids), an HDHP with an HSA option may be the most appealing. If not, and you plan on having even just regular annual check-ups for you and your family, the PPO may be the better option.

Suck it up, talk to HR, make a more informed decision.
happyhunter
Politicker
+6
spittin' sunshine
Our company pays 100% of our monthly insurance which is amazing!!! But I think we all have a PPO. If I had to pay more out of pocket, I would probably stay with that because I have to see doctors and specialists regularly.ย 
Incognito
WR Officer
+11
Master of Disaster
That is amazing!
1nbatopshotfan
Politicker
+6
Senior Director, Enterprise Technology
Do you have a family or any pre-existing conditions? These will factor into your decision. Check with HR they may have a direct line with your insurance provider to call and walk through whatโ€™s best for you.ย 

Itโ€™s tough for us to say without knowing your family and history, along with whatโ€™s included in your plan.ย 
duckduckgos
Opinionated
+5
Business Development
Appreciate the feedback! Going to go with PPO after looking into the details of the plan more.ย 
ju
justatopproducer
Politicker
+4
National Consultant
PPO is typically the better option, although it depends on how much you tend to use it? HSA only allows you to roll over if you keep the same plab as last year. In mu experiemce i didnt and lost the money I input into the hsa. My advice is workout 5 times a week and eat right and you wont have to use your health insurnace anyway.
duckduckgos
Opinionated
+5
Business Development
The best medicine is preventive medicine!
JustGonnaSendIt
Opinionated
+4
Burn Towns, Get Money
I have been on PPO for a long time now. Although I rarely use my insurance, (don't really get sick, just regular checkups) it's very helpful to have the peace of mind that if you're wherever the fuck and your HMO wouldn't be a viable option to cover it, you're good.

Usually the PPO plan is not THAT much more expensive than an HMO.

Regarding HSA's... I've never been part of that party, but I can see the value if you want to have a tax advantaged way of saving for premiums if you have more variables, such as children, in your life.
Oi
OingoBoingo
Opinionated
+1
Sr. Enterprise Account Executive
It depends on your situation, I have maximized both.

- PPO - if you have a spouse, kids etc you definitely want PPO based on full coverage, giving you a greater security blanket when it hits the fan. You typically hit the deductile threshold every year so paying the premium to keep the costs down helps in the long run.

- when I was single I went all in on HSA. You do typically pay full "list price" on anything but if you are keeping your health in check you rarely have to worry about the price of healthcare. The huge perk here is once you contribute its yours for good so you can always revert back to it. From all the saving I did in two years of contributions, I was able to pay for numerous ER visits, two births, wife's dental work. I still have a good amount left that is accumulating interest.ย 

- If you are young, I'd recommend HSA.
Co
Covfefe4ClosersOnly
VP of Sales
Ignore every comment that gave you a direct answer, and focus on the ones saying it depends on your health situation. Iโ€™m in the field. Also, ignore the โ€œI have x company and they suckโ€. Each insurance company sells 30+ different plans per market/portfolio, some of their plans suck, others are great (and expensive).
goose
Politicker
+12
Sales Executive
HSA if you are single and healthy. ย Medical expenses will cost you but most young, healthy people only really go to the doctor once or twice. ย If you have a family or need actual medical care then PPO is probably the best way to go. ย Your employer may have PPO options.
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