this post was submitted on 19 Nov 2025
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I currently pay 27 dollars twice a month for just myself. I'm looking to add my spouse to my insurance plan. If I add children it increases my premium to 190 a month, if I want my "whole family" covered it gets increased to 245 a month.

Why am I not able to just add my spouse for 55$ a month?

This is some bullshit. Thanks America.

Addendum: Just heard back from HR, this is working as intended.

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[–] LORDSMEGMA@sh.itjust.works 35 points 18 hours ago (1 children)

Children don't have nearly as much medical expenses as adults

[–] Donjuanme@lemmy.world 7 points 18 hours ago (2 children)

I think that's only as correct as you narrow your lense to make it.

Children incur many more expenses.

Adding an adult only increases the total 60$, adding children increases it 190$, obviously children are more expensive.

[–] Coyote_sly@lemmy.world 13 points 17 hours ago* (last edited 17 hours ago)

No, it's absolutely correct as you broaden it to consider the average adult costs vs the average child.

The real reason you see this is that your employer gets a SUBSTANTIAL subsidy for YOUR insurance via a payroll tax credit. They do not get this for your spouse, so you see the true cost for them.

[–] LORDSMEGMA@sh.itjust.works 5 points 16 hours ago

Children have maybe a few doctor appts per year, maybe an er visit every so often. Chronic illnesses are extremely rare. Adults on the other hand have many more specialist appointments, hospital stays, chronic issues requiring follow up appointments. Adults cost way more to insure and that's why the costs are so different.

Comparatively, kids are quite cheap to insure.