does anybody have comp benefits?
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- Location: Utah, USA
I was fortunate to start my treatment when I did. Our company was recently purchased by another company and as of January 1, our benefits were covnerted to their plans and no longer cover ortho for those over 18. Under the old plan the insurance limited the total cost to $3800 and covered $1500. Add in the $300 new patient incentive that my ortho gave me and I feel like I got a mighty sweet deal.
Expander in 8/9/06
Lowers on 11/30/06
Uppers on / Expander gone on 1/31/2007
Class III elastics added 3/14/2007
Expander #2 - 6/27/2007
20-24 months w/ fixed metal braces
Lowers on 11/30/06
Uppers on / Expander gone on 1/31/2007
Class III elastics added 3/14/2007
Expander #2 - 6/27/2007
20-24 months w/ fixed metal braces
Adult ortho benefits
We have excellent benefits in my organization. For adults, the program covers 50% up to $1500 for orthodonture. It also covers 50% of a few of the ancillary things, like the crowns, but also with limits. So the program will cover $2500-$3000 of my cost, and I'll have to cover $6-8K, depending on exactly how many crowns I end up with.
Perversely, the rules for kids (which in our plan is dependents in school under age 23) are different, and more is covered. The 50% still applies, but the cap is higher for orthodonture.
The other thing that helps for me is that my organization participates in Flexible Spending Accounts, which means that I can divert money to a healthcare account and that is excluded from income taxes. My wife is on some expensive medications, so even though my cost is spread out over two years, I still can't get it all tax-free (there is a $5K cap/year in the IRS regulations) but Uncle Sam is not taking his usual bite out my income for those dollars. Depending on your tax bracket, that's a nice deal or a big deal.
tc>
Perversely, the rules for kids (which in our plan is dependents in school under age 23) are different, and more is covered. The 50% still applies, but the cap is higher for orthodonture.
The other thing that helps for me is that my organization participates in Flexible Spending Accounts, which means that I can divert money to a healthcare account and that is excluded from income taxes. My wife is on some expensive medications, so even though my cost is spread out over two years, I still can't get it all tax-free (there is a $5K cap/year in the IRS regulations) but Uncle Sam is not taking his usual bite out my income for those dollars. Depending on your tax bracket, that's a nice deal or a big deal.
tc>
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