Wife and I Disagree About Health Insurance

Robert and his wife disagree about their health insurance options and he calls Dave for his opinion.
Save money on health insurance: bit.ly/3u3sgVt
Visit the Dave Ramsey store today for resources to help you take control of your money! goo.gl/gEv6Tj
Become a Channel Member today: / @theramseyshow
Did you miss the latest Ramsey Show episode? Don’t worry-we’ve got you covered! Get all the highlights you missed plus some of the best moments from the show. Watch debt-free screams, Dave Rants, guest interviews, and more!
Want to watch FULL episodes of The Ramsey Show? Make sure to go to The Ramsey Show (Full Episodes) at: kzbin.info...
Check out the show at 4pm EST Monday-Friday or anytime on demand. Dave Ramsey and his co-hosts talking about money, careers, relationships, and how they impact your life. Tune in to The Ramsey Show and experience one of the most popular talk radio shows in the country!
Ramsey Network (Subscribe Now!)
• The Ramsey Show (Highlights):
kzbin.info...
• The Ramsey Show (Full Episodes): kzbin.info...
• The Dr. John Delony Show: kzbin.info?...
• The Rachel Cruze Show: kzbin.info...
• Anthony ONeal: kzbin.info...
• The Ken Coleman Show: kzbin.info...
• The Christy Wright Show: kzbin.info...
• EntreLeadership: kzbin.info...

[@pyrosp41]

Insurance just needs to be separated from work and let people choose insurance from the market place. It would also allow companies to raise income for people instead of offering insurance.

[@foolsfooled3297]

Great response

[@martinshoosterman]

Insurance just should not be privatized

[@jukey50282]

I hate the fact when I have health insurance I still have to pay. The fact you have to pay monthly and still pay your doctor bill. The concept should be pay for insurance and get free healthcare service. ( which is still not free because you’re paying for insurance) this system is so stupid.

[@charlesg7926]

I don’t have health insurance and I’ve never been disappointed. Studies actually show that sometimes places will charge insured people even more than they do for uninsured people. It’s good for me to be able to only pay when I need it

[@Rishi2015]

@@charlesg7926 what if some very big expensive comes up?

[@MrTmenzo]

Or some states like California will give you a penalty if you don't buy an insurance plan. Bs!

[@SYEDGandu]

same i never had any health insurance. and that is why i never been disappointed

[@JoeLozano214]

Dave : “Dying is cheaper than ppo and hsa “ sell the car

[@kirby1832000]

Sounds like the guy just heard HSA's are better and told his wife they need to go that route but he didn't actually run the numbers. He needs to just run both sets of numbers like Dave said and make a decision based on that. I don't think that's what he did.

[@benreilly595]

Anyone else confused?

[@shachede6828]

@@ALCAN52 you mean uneducated as in having no knowledge about health insurance that is free in some countries and some countries don't even know it exists?

[@kairosinsurance]

Yes, Dave Ramsey is.

[@williamnettleton3413]

I understand a lot about insurance and different things. But some of the middle stuff of deductible and 20% and 10% was a bit fast and I could prolly eventually understand it. I need to just write it out to see each part instead of in my head. Dave is fast with his numbers. Google some of the terms he used if you are starting out. The idiots above this comment are just dumb.

[@ALRinaldi]

The insurance companies try to confuse you with convoluted terms such as premiums, copay, coinsurance, deductible, etc... if you don’t understand them you won’t understand insurance. Once I figured it out, it started to make sense.

[@speedygreenie]

Supremely.

[@jeffjberry]

An HSA isn't an insurance plan. You're referring to an HDHP (High Deductible Health Plan) which can be an EPO, PPO, or HMO. HSA (Health Savings Account) is just a feature in some qualifying plans. That PPO his wife is talking about might just have one. This call made me laugh as an insurance agent. Insurance is freakin confusing, isn't it? :-D

[@angryarkie1642]

Jeffrey Berry this isn’t the first time Dave has completely messed up talking about health insurance. I’ve had to watch it twice to try to figure out what he is saying (meaning Dave)... he doesn’t really know what he is talking about. The biggest problem is He doesn’t grasp individual OOP max (in fact, he referred to a stop loss which is business side). No one can be an expert in everything.. but he sure tries.

[@MrJ.S.]

@@angryarkie1642 Agreed! I didn't completely understand insurance until I started billing for medical services rendered and seeing how each policy treats the claims. You could do the monthly premium numbers game all you want but get thrown a curve ball when your child's medical diagnosis and service needs are not covered by your insurance at all.

[@jeffjberry]

@@angryarkie1642 I still love him 😆

[@PlantyWheetLoaf]

I’ve got family members who have been in the insurance business for 40+ years, but they still get confused by health insurance lol. In fact when I asked them for advice regarding almost this same scenario they were just as confused as I was 😮 luckily our benefits center at work was a huge help

[@janetayala6908]

I can afford a low monthly payment, I need to have some sort of insurance in case of an emergency. What would you recommend?

[@richard1113]

Unless you are sick all the time the HSA is usually better than the PPO. HSA typically has lower up front costs like premiums and ongoing costs like max out of pocket. The PPO typically has higher premiums and higher max out of pocket but it's cheaper when you get health care for things like doctors appointments. The PPO is the way to go if you are really worried about your health and tend to spend a lot. The HSA is better if you don't see the doctor often. Also HSA has a tremendous tax advantage with the savings account.

[@iw5207]

I verify insurance for a living . Literally thousands of plans across the US . Never heard of a max out of pocket of 500k. The most I’ve seen is 12k (which is also ridiculous) Also - we always (if we can) go PPO. We have always always had a PPO. I have 2 kids under 4 and we go the doctor a lot . I can’t give them all my money to meet the deductible on the HMO/ HSA. A plan with an HMO/HSA can be very limiting on who you can see. With a PPO I can see anybody and I don’t have to get insurance approval .Also HSA is not an insurance - it’s just an account you put money in to pay medical expenses (which they also have for the PPO , they just call it the FSA) . When I was pregnant i wanted the best coverage with the lowest out of pocket and that’s what the wife wants . I had a HSA/ HMO when I was first pregnant and every time we went to the doctor “that’ll be $694,$312,$456” depending on what I was getting done . On my PPO I paid a flat $50 copay every time . The HMO/HSA almost broke us at the beginning

[@vincegaddis995]

I am a Health insurance Broker Licenced Nationwide and in my 12 years of service I have never heard of anything like that, a 500k moop for a health insurance plan that is absolutely ridiculous..maybe a short term plan that covers you UP TO that amount but a moop that absurd. I think this illustration was very confusing for me as a broker so I know that the person on the other end was lost in the sauce..to keep it simple find out your maximum out of pocket is for both plans and compare the premiums...furthermore, an HSA isn't even an insurance plan it acts as a rider to an employer-sponsored HDHP or a High deductible health plan..so it was a lot of confusion in this Dave is great entertainment but please sit down with a licenced agent or broker before making life-changing decisions

[@iw5207]

@@vincegaddis995 agreed ! There was no way the max OOP was 500k . Just - ridiculous .

[@cmpdas]

I ran the numbers on a 10k bill and a 20k bill...and as far as I can see my ppo would end up costing more than the hsa at bcbs when all is said and done.

[@LilMermaid28]

My mind hurts. lol. I know I have HSA but I don’t go the hospital a lot. So yeah that’s as much as I know lol

[@darfcrow]

Dave, you didn't listen well enough to understand the question.

[@Newtttton]

You have a new born. Get the best protection money buys. That’s PPO. Wife wins.

[@nicolemb105]

Health Insurance has to be looked at individually..can't just say HSA or PPO is better. I work in this field and you can't just make a blanket statement like that.

[@ChrisInvests]

It's best to separate your emotions from your financial decisions 🤷‍♂️

[@raftingdon2]

The exact opposite of what Dave preaches in baby steps.

[@zayacz123]

The way I understand it, this is employer subsidized insurance. Wife wins. She doesn’t trust his math.

[@stevensalazar6296]

Waiting for that 3rd option M4A to become available.

[@petesspspsps]

This guy simply doesn't understand health care or the terminology. He's confusing premiums with saving in an HSA (which has nothing to do with your premiums). Not to mention he's confused about his deductible/out-of-pocket, etc. Dave realizes it's a lost cause towards the end. This guy needs to spend some more time learning about the insurance...

[@laylahsamy3842]

im a recent immigrant and im trying to understand the medical insurance scene but its SO INSANELY COMPLICATED IDK what is going on...any tips DR followers/Family???

[@dajaegers]

You don't need feelings...you need a calculator. Love DR!!

[@anastasiabeaverhaus9]

Do you mean HMO? Because HSA is in addition to health insurance not an insurance plan. And, it depends on the plans. We have a PPO because it is actually cheaper due to what it covers and lower deductible. HMO had a lower monthly contribution but you were nickel and dimed on every service. But, you need to look at your actual plans to figure out which is a better because it varies a lot.

[@MultiAnne36]

I'm shopping right now. Going to blow all my savings of I buy one this year but we have needed it lately. All plans I have seen have big deductibles.

[@angryarkie1642]

Please stop coaching people on health insurance. You completely messed that up.

[@duran9664]

What?! Is there a premium lower than $580 a month that would cover preexisting conditions?! I’m paying that for BCBS PPO 🥴 it’s hurts badly

[@ClaxtonBay123]

Maybe I'm missing something but pre-existing conditions are covered no matter what your premium is.

[@duran9664]

@@ClaxtonBay123 Define "are covered." The sad hurtful reality is that you only have an "ACCESS" to plans that cover pre-existing conditions. Then it depends on your premiums, deductibles, co-pays, out-of-pockets, and in-network or out-of-network situations, which most of the time are totally NOT affordable. What is the point if they tell you "are covered," but you must pay this insane amount first. IT IS A HUGE TAX in shape of medical expenses. The biggest tax a person can pay. I am drawing for two years now and my credit score is tanking because my inability to keep up with the medical bills that keep coming even though I am still paying the F#$%ing $580 premium a month :( If you are a vet, poor enough to use Medicaid, or old enough to use Medicare, I don't believe you will truly understand this bad situation that millions of middle class people r struggling with.

[@ClaxtonBay123]

@@duran9664 Not covered means they won't cover it at all and you'll have to pay for all of it. Not sure if you remember when insurance companies didn't have to cover pre-existing conditions but paying some copays is a worthy trade off. Maybe an HMO would be better for you.

[@duran9664]

@@ClaxtonBay123 U mean that insane time when insurance companies deny u coverage of tumor treatment because one its symptoms is high blood pressure and because u were diagnosed with HBP before they used it as an excuse to deny u..

[@duran9664]

@@ClaxtonBay123 HMO is horrible. Doesn't have enough network. It only covers what is in its tiny tiny limited network that doesn't actually have most the esencial specialists that u need especially in case of big health crisis.

[@WorldOfMellie]

I Iive in the UK 🇬🇧 so my head just went 🤯

[@josephscott1870]

I live in UK i have private medical insurance, nhs is useless and more expensive i pay 12.5% of my salary for nhs roughly 6k a year my private is 800 per year, much cheaper and better

[@canman5060]

@@josephscott1870 What happen to the NHS in Britain ?

[@josephscott1870]

@@canman5060 its terrible

[@danielwilson8495]

HSA is designed to eliminate early benefits but provide a tax shelter whether you have medical bills or not. With a premium savings of $2088 per year and a max out of pocket difference of about the same ($2k) this becomes a bit of a no brainer. Take the HSA. you aren't saving "a bazillion" dollars (more like $1200 in tax liability) but there is very few circumstances that would justify the guaranteed cost of the PPO premium and the risk of a possible max out of pocket medical event vs the possible HSA higher max out of pocket and the guaranteed tax savings.

[@rolandfor]

So basically dont get sick lol

[@laylahsamy3842]

sickness is not a choice...

[@aleksullivan6623]

lol

[@mikemoore9184]

Dave has the right idea, but he's incredibly confused about how health insurance works. There is no copay above max oop. He also confused max oop w annual coverage limits. AND somehow doesnt know that ACA compliant plans like all HSA's will cover all costs above max oop. The coinsurance happens between the deductible and the max oop. This guy needs to find a good broker, not call dave

[@kairosinsurance]

Did you really just say the max out-of-pocket could be up to $500,000? This is the reason you should let insurance agents discuss this. ACA limits the max out of pocket. And there's no way to calculate a person's better scenario without seeing the premiums. HSA are not always less expensive.

[@vincegaddis995]

YOU ARE SO ON POINT WITH THIS ONE...Also, this is a topic that needs to be broken down into pieces so that the consumer can understand what's going on it was rushed and I can bet a hundred bucks the guy on the other end was still lost and confused

[@jourdynqura4940]

I typically look at the deductible amount. I believe hsa are offered because the health plan offers a high deductible. I'd rather pay more monthly to have a low deductible than pay a low premium and have a high deductible. Its a peace of mind... and yes its a math thing but each family is different.

[@Ngocnito]

Hmo all the way. I've been a biller 10 yrs and opt for this option. Unless ur in need of constant care, id suggest the hmo. Ppo's are good for those with chronic deseases that requires u in a the dr or have surgeries often

[@scottlouis6116]

hmos u cant choose your doctor and isnt covered nationwide...or so ive heard

[@iHealthBrokers]

@@scottlouis6116 It's not that you can't choose your doctor, you just have to choose one that is in network. If you choose an out of network doctor, your services will not be covered unless you are approved for a gap exception (that's a whole different can of worms!). With PPO's you can choose in network doctors OR out of network doctors. You'll just have MORE coverage with an in network doctor. A lot of people end up confused and ultimately sign up for a plan that isn't right for them. It's really all about YOUR needs.

[@rayn1ful]

did i mention in canada when i go to the doctors whether its once a year or thousand times a year i dont have to worry

[@themax37]

I'd probably be dead right now if I wasn't Canadian.

[@rayn1ful]

@@themax37 finally someone that aggrees with me about Canadian health care , keep getting Americans biting my head off when i make comments about this

[@larissagonzales6075]

how is the quality of health care and is there long wait times?

[@rayn1ful]

@@larissagonzales6075 few years ago , i got diagnosed with cancer , found a big tumor on my body , on a monday ,went to doctor, had surgery on thursday , (same week) and by friday morning i was home recovering and also same week . (thou in a lot of pain)

[@willmallory9085]

Bottom line: make decisions based on logic (math) not emotions!

[@adams5507]

tell that to the female specie

[@willmallory9085]

@@adams5507 I do. Some don't mind it, and others hate me because of conviction. "Get out of your emotions!" Try it.

[@bosstime2010]

Disagree. Dave admitted one plan is better if they have high medical expenses and the other if their expenses are moderate. So it boils down to trying to guess how their health will be .

[@willmallory9085]

@@bosstime2010 what you say is true, but he said, "follow the math!" This comment is more than this video.

[@jasonrodgers9063]

Having a baby costs $130K?? WTF!!!

[@SecretRabbit93]

I think this dude thinks he is going to just have the hsa and not have the actual insurance.

[@mclaine33]

Joshua Powell which is not possible. You can’t have an HSA without a HDHP.

[@TheeMelloMan]

I had a lot to learn.

[@michelleosborne1431]

What about dental? That's all I need. My dental issues will cost & no free dental clinic in my area and I'm just out of range to qualify for medicaid. If we drop our income by a few hundred dollars, we could get that but that isn't right to do.

[@barefootminis]

I'm confused. I thought a health savings account was what most people have as an accessory to a health ins plan. Why not have them both? Have the cheapest health ins you can get and put a little in your hsa every pay period.

[@richard1113]

You can only have an HSA if you have a HDCP (High Deductible Care Plan). If you opt for PPO you cannot have an HSA account (or more specifically, you can't contribute to one).

[@barefootminis]

Thank you!

[@TheDecoCottage]

Richard Forester Not correct. I have a high deductible PPO with an HSA. A PPO just refers to the type of plan it is. A PPO and HMO can still qualify for an HSA if they are considered a HDHP.

[@richard1113]

@@TheDecoCottage This is true as I have had an HDHP PPO with an HSA. But in general it's usually a choice between a PPO, HMO, or HSA plan. As I said in my very first sentence the key is having an HDHP in order to contribute to an HSA.

[@dominickjohnson8401]

Where did dave grt 1 million from on ppo? Smh.. my max is 1500 and i oay 150 a month

[@ushealthcareoptions3771]

This total confusion about how Health Insurance works is what left a lot of people lost and have no idea of what is most beneficial for themselves and their families. This scenario has helped a lot of scammers to thrive in the health industry by selling people health insurance policies that do not cover them and cause them to have a financial burden on top of their health condition. Being a licensed health advisor helped me learn how the system works and how it evolves with changing laws and regulations. Make sure you find someone who know what they are doing and who you can trust. Do not buy any policy before you verify who you are talking to and what are the guarantees put in place to cover you instead they turn to be dishonest. Have them show their license to sell insurance in your state. Are they Health insurance agents or are they sales people or just marketers ? Hope this helps.

[@SuperGUERO17]

What resource do you recommend to educate me on health insurance as a regular person? I missed the deadline to signup for my companies benefits, I'm overall healthy and really only need coverage for one prescription medication and vision.

[@outsidethebox262]

With all the wheezing from doing a phone call? U need the best insurance you can get....

[@Redfield517]

These plans sound all like a scam

[@noresrestoration9916]

Just get a medically underwritten plan!!

[@devenmurray3580]

This is why we just need a single payer

[@SYEDGandu]

well well well i disagree aswell. This is not fair tbh.

[@Edbeatty91]

It sounds like the wife is confused because they prob received bills with a lot of discounts taken off by insurance. Besides Dr & hospital visit copays listed on your plan it is really hard to tell how much the insurance is going to take off of each bill based on their agreements with providers for services. I think they lost that point. By "she feels like it works better" she means that their bills got lowered somehow & she thinks if they switch then not much will be taken off of the bills by insurance.

[@jimroscovius]

I like the PPO because of the security of it.

[@kelvinfeliciano]

How much you pay every month for insurance??? Not how much you putting in HSA 😅!!!

[@WISHBONEL7]

What do people really talk about before they get marriied and procreate ?.

[@pixeldemon3267]

Nothin really

[@xds21x9]

"I like your eyes"

[@makeupviews]

@@xds21x9 🤣🤣🤣

[@thecatnextdoor12]

They comment on the things/events they see while on a date. Nothing deep.

[@raftingdon2]

The guy that preaches to not following math to get out of debt, just said health insurance is a "math problem, doesnt care about feelings". The piece of mind of being covered, even with a bit of a higher premiums, is worth some value. Using Dave's logic on medical, he wouldn't follow baby steps. The HSA has everything to do with it. Zero in HSA, means dropping a very high amount for a dr visit without having those funds to offset the cost.

[@beckyshell4649]

I agree Insurance is very much a what-if kind of thing. The insurance company is betting you won't get sick and use up more than you put in and you are betting you will need more. The insurance company could not stay in business if they lost many of these bets. They are counting on the fear people have of being wiped out by a major medical event. What you are buying is a bit of peace of mind.

[@PH-md8xp]

Dave had an opportunity to clarify the difference between an HDHP (High deductible Health Plan) with HSA (Health Savings Account) and a PPO or HMO which has lower deductibles but higher premiums, but didn’t. :)

[@sunnydays4966]

I seen this before 3 days ago youtube clames is only 4 hours OLD. What the heck.

[@dunnock343]

Derek Kirchinger you probably watch it live.

[@matmat265]

How do we fix the student loan debt crises?

[@geeterdun5966]

Fix Stupid.

[@MrTmenzo]

People( or in this case kids) need to be responsible and pay their dues. You cannot avoid paying fed student loans. It will be deducted out of your social security check if you didn't pay it off till then. My advice is to save money by going attending community college.

[@scottlouis6116]

kids need to start going to community colleges or less expensive schools. Uni's need to stop paying professors so much and lower tuition cost. Also, more kids should choose trades or jobs outside of colleges, intead of spending 80k for a BS degree

[@MrJay197409]

It's called government insurance paying the $75 hospital bill and done.

[@masond7573]

This is why we need universal healthcare

[@bosstime2010]

I have to disagree that the decision is only based on math. He admitted that how often they have health issues decides which plan is cheaper. Unless Dave has a crystal ball, the decision has to be made on their feelings of what might occur.

[@brianrigney9462]

Which again comes down to the math. They need to know at what point the ppo would be cheaper.

[@bosstime2010]

Brian Rigney unless they have a crystal ball and know how often they will need medical treatment, it's still becomes a guessing game. If Dave ran the numbers and in all cases it would be cheaper one way, I'd agree with you both. But his number crunching didn't determine that.

[@brianrigney9462]

@@bosstime2010 what I'm saying is you can calculate the break-even point where it would become cheaper to be on the ppo and estimate the odds that you will reach that point. But you need to know the break-even point first. Which it doesn't seem the caller knows.

[@bosstime2010]

Brian Rigney I'm with you Brian. My issue is that Dave makes it appear that feelings mean nothing with this issue and its strictly math. My opinion is that is both. They have to decide since the math can go either way, they have to decide what's more likely to occur. Kind of reminds me of the debate of whether to do the debt snowball or avalanche. Dave actually doesn't use math to decide since the math favors paying highest interest first.

[@bosstime2010]

Brian Rigney it's a good and healthy debate though.

[@corinnemcwilliams3954]

this dude makes no sense. what are the chances of hitting the max out of pocket when the PPO is paying 80% of your medical bills throughout the year? I mean unless you're in and out of the hospital multiple times a year...

[@neolithic3]

He should get the maximum health insurance he can because he sounds like he just ran a marathon and all he is doing is talking on a phone......

[@robo9876]

It's not a math thing its a predicting the future thing

[@rayn1ful]

this is why americans need to adopt canadian practices on health care !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

[@traceycancio1795]

Who pays for health care in Canada? How is it funded?

[@Thetrue70]

I want to go to heaven when I die but in an American you can’t be rich without screwing peoples life most of the time.😅

[@fmaz1952]

Move to Canada!

[@lindseyvelveeta2156]

Pass

[@F1WW13]

2nd

[@rzk2f875]

First

[@pijomaster4862]

Change that intro melody please...

[@MrWatchmen759]

All I got from this video was we need free health care for everyone. There is no reason why were the only western country without one

[@Dangermaniac206]

@ratliff2006 then pay your own private healthcare idiot, you can have public and private coverage at the same time

[@James-vj5hz]

Once the country is out of debt and there's enough money, sure.

[@LittleHatori]

Free healthcare means government run. & we pretty much do have free healthcare. Bc if a diabetic is going into shock, they can get 911 and get treatment at a hospital to keep them alive regardless if they can pay or not. They may owe the hospital but they dont have to pay it (a homeless friend of mine goes to the emergency hospital and cant pay but she needs pain meds for the fluid in her legs). The hospital will save ur life weather u have medical or not. I reccomend u watch some Thomas Sowell or Milton Friedman bc becoming socialist healthcare system is a completely separate thing. Xoxoxo

[@catitude4]

There is no such thing as free. Maybe you want to pay most of your pay in taxes. That's what it is. 20,000 dollars apiece, that will be your"free healthcare".

[@MrWatchmen759]

catitude4 I have health care, but if it means paying more taxes so every family gets covered I don’t mind.

[@rayn1ful]

some people need to get it through they're thick skulls , government healthcare is the way to go like we have here in CANADA

[@larrybud]

No thanks! We already know what government healthcare looks like, it's called the VA. And looking how they run, they have no interest in health or care.

[@nickdiaz8484]

Free universal health Care like Canada and we won't have this problem. Vote Bernie.

[@benb7727]

Whaaaaat?

[@dunnock343]

You either pay for you select insurance or you pay in taxes. Paying in taxes will cause lower care quality and longer waits. It’s simple math. High prices keep people from coming in for a checkup when nothing is wrong, which will clog the system. While yes high prices keep some people coming, it’s a small price to pay for the bigger picture.

[@tres2112]

The sarcasm is too deep for me.