We've had a high deductible health plan since 2012, but in a way this is the first year that we're really experiencing what it's like. Since Pickle was born, she has been classified as disabled by the state, and receives medical assistance as a secondary insurance. They cover any bills that our primary insurance doesn't cover, which is only the deductible ($3,300) and 20% cost sharing up to an additional $3,300. Most years, we really only have her medical expenses, so we haven't had to spend much on medical care despite having a high deductible health plan. (I should also note that we pay no premiums, as those are covered entirely by Peanut's employer.)
This year, that's different - Baby Bear and I have both had doctor visits, and I had a lovely trip to urgent care for food poisoning and mastitis last week. We'll have to pay for all of that out of pocket - I remember being kind of slumped against the check-in desk wondering rather bitterly what this fantastic evening was going to cost me. It was an inane thing to be thinking about, because a) I really, really needed antibiotics and b) it'll all even out in the long run - I essentially got two pregnancies and deliveries for free, so it's probably time I started paying some bills!
It's going to hurt opening those bills when they show up, but I'm trying to remind myself that this plan is actually a good thing - we already know the maximum amount that our out-of-pocket medical expenses can be for the year and I know that they will actually be less than that (since Pickle has had an appointment as well, and has more scheduled for the early part of the year, and those will be covered by MA but will count towards our deductible and out of pocket). It's nice that it's a known entity, so that we can save up in anticipation (and use a health savings plan to get some tax savings on that money as well). In the grand scheme of things, $6,600 a year for the excellent level of medical care we've received is an absolute bargain.