• 7 Posts
  • 219 Comments
Joined 3 years ago
cake
Cake day: July 3rd, 2023

help-circle



  • There’s not a whole lot to it, it starts with finding a good doctor and practice which isn’t unique to concierge. Beyond that you pay an annual fee per person, around me that’s in the $2-3k range. That fee is out of pocket and outside insurance: this fee doesn’t cover specialists, surgery, etc. In exchange for the fee you typically get more attention and appointments on demand. The downside is that the cost is on top of insurance and you could argue its buying into or supporting a two tiered healthcare system, where the benefits you’re getting are because you’re pricing out people who can’t afford to do the same.



  • I’ve been looking into this quite a bit lately. The realistic option is to use an ACA plan, but man the plans are rough compared to my employer provided insurance based on any metric: premium, oop max, out of network coverage, you name it. That all sucks but mostly comes down to budgeting. What I’m actually worried more about is how narrow the networks are for the average plans in my county, the average plan has something like a 14% provider participation rate which is abysmal.

    What I’m most likely going to do is lean into concierge medicine for primary care and then couple it with whatever ACA plan makes the most sense.













  • I’ll put up and answer my own question as well. We’re a month out from bonus season at work, I won’t know for sure until then but early indicators are that I’ll finally beat out 2021 as my top earning year.

    Change wise I’ve been spending more time getting across what health care will look like after retirement, as is I can’t see myself doing my current job for more than another year or two. The first observation is that market place plans are vastly worse than my employer plan, perhaps not shocking. There is a single PPO plan left in my county’s marketplace but it costs a pretty penny. Semi-related I’ve realized that due to the way bonuses and deferred compensation work at my employer, I’ll have a tail of income for three years after quitting. More money is great of course, but I’m realizing it’ll leave us unable to control our MAGI which likely precludes any ACA credits.