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High insurance premiums don’t result in pay for care

Editor,

Being proactive, I went to the LoboCare clinic to get a flu shot (before the free clinics) and a Tdap booster. My primary care is on sabbatical. I paid my co-pay, got my shots and left, satisfied overall with the experience. Then I got my reconciliation from my health insurance provider.

The total bill was $282. I got a $92 discount, and my insurance is paying $62. Lucky me, with the co-insurance I get to pay $128, on top of the co-pay. I also pay $158 in premiums every month.

UNM said they sent out a notice about the co-insurance, but there was nothing we could do about it. It’s not like we could opt out or change to another plan. UNM benefits did not do a good job in explaining exactly how the co-insurance was going to work. Now we know.

I’m paying $158 a month for what?

Catherine Osborn
UNM staff

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