Sarah Howard
Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.
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Does your health insurance deductible reset on January 1st? Cancel reply
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Terrifically glad this question was posed. As the severely skewed graph is beginning to indicate, another obscene weakness of the American health care system (not the individual players) but the system itself. Economists often prefer a better, fairer and more abundant future as one where policy focuses on increasing supply, not merely socializing demand.
https://newrepublic.com/article/164540/health-insurance-deductibles-give-black-friday-whole-new-meaning
Not only does my deductible reset, my company changes insurance every year in June so every June I have to gather all information and work through getting my out of pocket from January to June applied so that I am only out the $7,000 deductible once. It usually takes a month or two to get through all the hoops.
I’m a teacher, so my insurance follows the school year calendar
HMO – no deductible
University is on Fiscal Year so June 1. Americans are so afraid of socialized medicine but I only see Americans complaining on this site, not our UK or Canadians. Please set me straight: do you all dislike your socialized medicine? What do you dislike about it? I’m not trying to be controversial. Just trying to gather facts from people who live it.
I have returned to the U.S. We lived in the UK for 15 years, and treatment at that time was always being postponed. That was socialized medicine. It kept me healthy. But we had a friend with cancer who died before they could operate. And a woman would get her first mammogram at age 50. We knew a woman who died about 6 weeks later because her breast cancer was already too far along.
Other members of our family live in Canada and use socialized medicine there, and it is wonderful by comparison. So it depends on how the “socialized medicine” is run. In the UK, they choose which hayfever drug is covered. So you do not have a choice. Some say Medicare is socialized medicine. But Medicare never says you must use a certain drug. They offer cheaper and more expensive options, an you choose.
Thank you KSannie
No deductibles, but both my wife and I had to change Medicare Advantage plans for 2022 because our current ensurer decided to break ties with the largest healthcare operator in our area in Georgia. Since I have seven doctors in that group (several of which I’ve been seeing for more than 20 years!) the only choice was to change to a different carrier
I said yes for my current Medicare advantage insurance. I will be switching plans January 1. Old plan did not have good coverage for insulin. Expensive and runs into Medicare gap (donut hole). New one caps insulin at $35 per month per insulin type. I plan to switch from pump to MDI. Have pump fatigue. Tired of being connected 24/7. If not happy can go back to a tubed pump. This plus the insulin are covered free under Part B. Which I find hard to fathom but I guess they figure the pump should last for years. But they also cover the insulin free. Strange Medicare rules.
My Medicare Part B fully covers my insulin since I use a pump (Omnipod). I believe it’s classified as durable medical equipment.
That was my understanding, too, of Medicare Part B with insulin being covered 100% when using a pump. Unfortunately it’s not the case for myself. Mine only pay’s 20% of the cost.
yes… it is all screwed up !!!!
NoO deductible with Kaiser.
I always thought ALL Insurance “Annual Deductible” reset at the start of the year, though some policies run the policy year from January 1 to December 31 while other policies run the policy year from the first date the insurance came in force until the same date the following year.
But based on policy wording, I’m wondering how much more my costs will be next year since in 2021 nearly 100% of my needs were covered through Pharmacy Benefits with NO co-pay or deductible, but the documentation says in 2022, my insurance will only cover up to 80% of costs leaving me having to pay for most things I haven’t been having to pay extra for in 2021.
Mine restarts in January. A few years ago when my job was switching plans they waited until January 1st to have the new (current) insurance start. In the past I have had insurance where it started mid-year. Fortunately the deductible does not come into play for my diabetes supplies (pump, infusion sets, sensors etc). I have a straight co-pay for all of that.
I have to pay 50% of my CGM and pump supply costs and $15 per Rx until I’ve spent $1500 out of pocket, then meds/supplies 100% covered. Usually end up just getting my Dec refills free. It’s like a holiday surprise that I paid for. Haha
I answered I don’t know. It depends, my employer benefit year is 81-731. My other coverages are 1/1-12/31. I also recognize that specialized medicine and single-payer coverage are two different things. The UK system is a system where HCP’s etc are “govt” employees. Most other single-payer countries still have private practice HCP’s choice of hospital etc. The “network” thing is an American thing, invented by health plans. A while ago I crunched the numbers and yeah, my taxes would go up by about $500=600 But…my monthly premiums are $1,100/month. Single-payer would be more $ in my (or my employer’s) pocket.
N/A. I don’t have health insurance, apart from the NHS (National Health System) over here in the UK (United Kingdom of Great Britain and Northern Ireland), which is financed via direct taxation from the wages/salaries of all working people.
My insurance has copays but no deductibles
On a Medicare advantage plan, no deductible.
I clicked “yes.” But, I’m not certain. It seems that my Medicare deductible hits me each year at the beginning of the year.
I live in the UK and all my prescriptions are free as Diabetes qualifies for free prescriptions for all medication on the NHS (National Health Service)
I think my deductible in Washington with KP cheapest Medicare Plan is $4000 per year. The doughnut hole. Only time I met that was after being hit by a car resulting in broken hip.