It’s open enrollment time for my health insurance, which means that this is the first time in about a year that I’ve had the occasion to look at my coverage in depth.
I’m sure that I’ll find more gems in this piece of shit health care takeover that the government rammed through last year, but here’s the first two things that jump out at me, and will cost me more money immediately. So much for bending the cost curve downward.
We have a Flexible Spending Account, or FSA. That means a small part of each paycheck is put into a special account, managed by our insurance company. The money is taken out on a pre-tax basis, which means that it decreases the amount of pay that the government taxes. The limit on this money is $5,000 per year.
We can ask for reimbursements from this money when we spend on qualified health-related expenses like co-pays, Over The Counter drugs like Advil or Zyrtec, Contact Lens Solution, Prescription Glasses, etc.
So, we play a game each year to guess how much money we’ll spend on health-related products, and then set that money aside. We get the benefit of not paying taxes on that money, the trade-off is that we have to jump through hoops with the insurance company to get reimbursed. (The catch, by the way, is that if we don’t spend it all by December 31, we just lose it.)
It’s a lame system, but it’s a way to cut down on health care costs.
But now, starting in 2011, Over the Counter drugs are no longer qualified expenses. So whereas this year we were able to be reimbursed for Advil, or my allergy medicine, next year we can’t. So on every OTC drug purchase, we will pay more.
And, as an added super-special bonus, the $5,000 limit drops to $2,500 in 2013.
To put things into perspective, The Wife and I put $1,300 in our FSA this year. We’re two (reasonably) healthy people who are under 30. (I guess technically I turned 30 this year, she’s not quite 30 yet.) We ran out of FSA money in about October.
If we were a little bit older, a little less healthy, or we had even one child, we’d hit that $5,000 limit pretty easily. We’d shatter the $2,500 limit for sure.
I’m only through the first few pages of the Open Enrollment guide. I’m sure that more surprises await me.
So our elite betters passed the bill, now we get to find out what’s in it. And as expected, I’m not liking what I see.



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