How much do you actually spend on Crohn’s each year with good employer insurance?
I’m an international student studying in the US from Korea and was diagnosed with Crohn’s this past summer while I was back in Korea.
One thing I’m trying to wrap my head around is how different the U.S. insurance system will be. In Korea, Crohn’s qualifies for a government program that heavily reduces the patient’s share of medical costs. For example, I paid roughly $40 for an MRI and around $30 for a colonoscopy. I also have private Korean indemnity insurance, which reimburses about 80% of many of the remaining eligible costs, so my actual yearly medical spending has been pretty minimal.
I’m returning to the U.S. now, and after graduation I already have a corporate job lined up that comes with employer-sponsored health insurance.
For people here with Crohn’s who have decent employer insurance: what do your yearly healthcare costs usually look like?
Should I basically expect to hit my out-of-pocket maximum every year because of biologics, colonoscopies, MRIs, labs, GI visits, etc.? Or is that not necessarily the case with a good employer plan?
I’m still learning how deductibles, copays/coinsurance, specialty pharmacy benefits, manufacturer assistance programs, and the out-of-pocket max all interact in the U.S., so I’d really appreciate hearing what people actually end up paying in practice.
Coming from Korea, where my Crohn’s-related costs have been extremely low, I’m mainly trying to figure out what a realistic annual healthcare budget would be in the U.S.