small company. A few months ago, out at lunch with the "girls" the HR person said they were looking into using Medical Savings Accounts instead of the insurance we have.
I am married, DH is trying to start his own business after being laid off last year (so he is covered under my insurance), and we have a 5yr son. When the HR person mentioned the $2,000 deductable before catastrophic care would kick in I nearly died -- I am living too close to the edge of the finacial abyss to even imagine what would happen if I needed to cough up that much $$ before getting the insurance $$. You can put tax deferred money into the account -- but what happens if there is an accident (my spouse had a skiing accident (out of state) a couple of years ago -- which, after doing the emergency room/trauma care out of state, after he came back and saw several doctors, and after the shoulder and knee surgery, the bill was over $7,000. He had been at his place of employment (he was working then) over 6 years. But, if the same thing happened directly after "starting" this plan -- how much would we have to pay out of pocket before insurance would pay? They are banking on "young workers" not having big medical problems -- but at 40, I've already had an MS scare (it wasn't, but had to have CAT scans and seizure tests -- over $2,500 -- not to mention a C-Section birth (which gave us a healthy baby (not that I'm having anymore...).) I was ready to go into our March Benefits meeting armed with questions, but they opted to stay with the insurance plan they currently have.
I'm still trying to find out more -- for I may not be so lucky next year. She even told us they are doing it so their bottom line can improve. For me, I still need more information.
Here are a few sites which talk about pros and cons....
Medical Savings Accounts: Theory, Politics, Pros, and Cons Thomas J. Hendrix, PhD, RN
Kathleen Kaufman, RN, MS
The Internal Revenue Service recently ruled all employers, regardless of size, can adopt a medical savings account–type program as part of an employee benefit package. This frees all employers to adopt a version of a consumer-driven health plan as part of their benefit package. This could continue a trend toward consumer-driven health insurance that began with the Health Insurance Portability and Accountability Act of 1996. The authors review current health insurance problems, including a discussion of competitive market and insurance theory. The medical savings account experiment is summarized, including pros, cons, politics, and theory. Finally, the authors briefly review the theory of agency and conclude with a call for nursing to fill this niche quickly for the good of our patients.
more:
http://ppn.sagepub.com/cgi/content/short/4/1/82Medical Savings Accounts: The Pros and Cons of Rationing from BlueCollar Dollar
http://bluecollardollar.com/MSA.htmlthis site looks like it provides HSAs--
http://www.msainfo.net/