r/HealthInsurance • u/DecentDeer2818 • Jul 04 '25

Plan Choice Suggestions Is this coverage pricing the norm?

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Hi all,

I just got a job offer in NYC where the cost of living is crazy high, as you probably know. This is my first corporate job and I need advice/feedback on is this pricing structure for insurance is the norm.

I know you can’t believe everything you read on the internet but I’ve read that the general norm is for the employer to cover 80-85% of the monthly premium.

I would be earning less than 75k and only covering myself but the price still seems quite high? I’ve never paid more than $118 bi-weekly.

Thank you.

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9

u/Jujulabee Jul 04 '25

Without knowing what the benefits are in your plan, it is impossible to say.

What is your deductible? What are co-payments? What is your co-insurance. What is your maximum out of pocket?

However $400 for health insurance is not that high - especially in an extremely high cost of living area. Medical costs in New York are extremely high - on the other hand you have access to the best care in the country versus being in a medical desert.

-4

u/DecentDeer2818 Jul 04 '25

Sorry, I (I guess, incorrectly) assumed that Cigna EPO would be the same across companies. I will update the original post.

5

u/Jujulabee Jul 04 '25

Lord no.

CIGNA has hundreds of plans and your company could have a self funded plan which means that it is completely designed by your company.

1

u/DecentDeer2818 Jul 04 '25

Okay it won’t let me edit the original post. I’m truly at a loss because it’s so much higher than what I’m used to and I’m taking a massive pay cut as I try to switch industries.

9

u/Jujulabee Jul 04 '25

The benefits are pretty good as compared to many employer plan.

Look at how much your employer is paying each month to subsidize your premium - a bit more than $1000 and those benefits aren't taxed.

1

u/DecentDeer2818 Jul 04 '25

Interesting, I wouldn’t have really considered that.

Thank you for responding and for your insight. I appreciate anyone taking the time to give me advice.

4

u/pharmucist Jul 05 '25

Those are actually quite good benefits. The deductible is not bad at all. The out of pocket max is pretty high, but a lot of the items are a copay and deductible does not apply. I mean, ER and hospital is covered, no deductible, all preventative is covered, no deductible. It's actually pretty great.

3

u/Go_Corgi_Fan84 Jul 05 '25

This is really good and explains the premiums. Like I’d trade my $45 premium for this —- the diagnostic testing coverage (mri, ct,labs) being 100% covered is amazing

1

u/Comfortable_Two6272 Jul 05 '25

This would be great coverage for $393 in my LCOL compared to nyc area.

2

u/Uberperson Jul 05 '25

This looks like my coverage for Cigna in FL. Except ours is just you + spouse which is around $400ish a month, and whole family which is closer to $600 I think.