this post was submitted on 19 Nov 2025
67 points (91.4% liked)

Ask Lemmy

35591 readers
1349 users here now

A Fediverse community for open-ended, thought provoking questions


Rules: (interactive)


1) Be nice and; have funDoxxing, trolling, sealioning, racism, and toxicity are not welcomed in AskLemmy. Remember what your mother said: if you can't say something nice, don't say anything at all. In addition, the site-wide Lemmy.world terms of service also apply here. Please familiarize yourself with them


2) All posts must end with a '?'This is sort of like Jeopardy. Please phrase all post titles in the form of a proper question ending with ?


3) No spamPlease do not flood the community with nonsense. Actual suspected spammers will be banned on site. No astroturfing.


4) NSFW is okay, within reasonJust remember to tag posts with either a content warning or a [NSFW] tag. Overtly sexual posts are not allowed, please direct them to either !asklemmyafterdark@lemmy.world or !asklemmynsfw@lemmynsfw.com. NSFW comments should be restricted to posts tagged [NSFW].


5) This is not a support community.
It is not a place for 'how do I?', type questions. If you have any questions regarding the site itself or would like to report a community, please direct them to Lemmy.world Support or email info@lemmy.world. For other questions check our partnered communities list, or use the search function.


6) No US Politics.
Please don't post about current US Politics. If you need to do this, try !politicaldiscussion@lemmy.world or !askusa@discuss.online


Reminder: The terms of service apply here too.

Partnered Communities:

Tech Support

No Stupid Questions

You Should Know

Reddit

Jokes

Ask Ouija


Logo design credit goes to: tubbadu


founded 2 years ago
MODERATORS
 

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.

top 23 comments
sorted by: hot top controversial new old
[–] my_hat_stinks@programming.dev 3 points 4 hours ago (1 children)

You have to pay for health insurance? When I heard US residents had to get insurance through their work I assumed employers would actually provide the insurance, not just give you the chance to pay for it yourself... We have free healthcare here and my employer still for some reason provides us with free health and dental insurance.

You guys need a revolution. You're getting charged more because that's what you as a country allow them to do.

[–] Thedogdrinkscoffee@lemmy.ca 3 points 4 hours ago

America is not a civilized country anymore, if it ever was.

[–] exasperation@lemmy.dbzer0.com 6 points 8 hours ago

Generally speaking, health insurance through employment are priced at 3 levels of service:

  1. Self
  2. Self plus one
  3. Entire household

Generally speaking, each additional person is cheaper than the last additional person. So option 3 is almost always the cheapest per person, with option 2 being pretty cheap per person, and option 1 being the most expensive per person.

That fact is obscured by the fact that generally speaking, employers only give a diminishing subsidy so that they're covering less and less as you add more people to the plan.

So if option 1 is $250, and option 2 is $400, and option 3 is $500, maybe the employer will contribute $200 for option 1, $250 for option 2, and $300 for option 3 so that your portion of the premium is $50, $150, and $200.

Also the reason why insurance is cheaper per person when a bunch of people bundle together is because there's less risk of each covered person being really sick, and more likely that it's just one person in the family who needs a bunch of treatment, so the higher out of pocket max tends to make the per-person cost cheaper for the insurance company, and therefore for the person paying premiums.

[–] LORDSMEGMA@sh.itjust.works 35 points 16 hours ago (1 children)

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

[–] Donjuanme@lemmy.world 7 points 15 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 15 hours ago* (last edited 15 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 13 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.

[–] mannycalavera@feddit.uk 7 points 12 hours ago

It's to encourage people to have children. The good Christian way.

[–] AreaKode@lemmy.world 14 points 16 hours ago

Because we're running the country like a business now. Which means the shareholders matter more than the people. Plus, we're doing some layoffs right now...

[–] tirednapstablook@lemmings.world 1 points 8 hours ago (1 children)
[–] some_kind_of_guy@lemmy.world 1 points 7 hours ago

More like creamium

[–] mesamunefire@piefed.social 10 points 15 hours ago (1 children)

Thats incredibly cheap for a whole family (if this is medical) just FYI. I know it doesn't feel like it but I used to work in insurance and thats about what you would end up paying. Except most policies are around 100$ more for family at the very least.

[–] sandwichsaregood@lemmy.world 2 points 6 hours ago* (last edited 6 hours ago)

Yep I pay an outrageous $1100/mo for my spouse and I. The coverage isn't even that good. Looking to shop around this year because that big of a bite out of paycheck really hurts, but I suspect I'm not going to find any better.

[–] jordanlund@lemmy.world 3 points 12 hours ago (1 children)

Interesting too that adding a spouse is 2x your own insurance.

Take the "entire famlly" rate and subtract the "you+children" rate. $56.27 for just the spouse.

[–] glimse@lemmy.world 4 points 12 hours ago

I don't think this should be the case, of course, but it "makes sense" that they don't subsidize it. OP's spouse is not an employee, therefore not as valuable.

[–] dreadbeef@lemmy.dbzer0.com 1 points 10 hours ago

Those kids are future ~~wage slaves~~ employees!

[–] SpacePanda@mander.xyz 4 points 14 hours ago

Thats awesome! Mine is 900 a paycheck. So we are on Medicade. Which is about to go up 1000$ because America. I'd say it would be cheaper if i died, but, without my income my family is homeless. They wonder why Luigi did what he did.

[–] Eat_Your_Paisley@lemmy.world 4 points 15 hours ago

I pay $370 a month if I were to add my family it goes to about $800

[–] Blaze@piefed.zip 4 points 15 hours ago (1 children)
[–] Donjuanme@lemmy.world 4 points 14 hours ago
[–] ShellMonkey@piefed.socdojo.com 3 points 15 hours ago

It's really just the first additional outside of the primary. My employer has a self+children option (in case the spouse has their own plan) that's around the same as a self+spouse.

[–] Rhynoplaz@lemmy.world 1 points 15 hours ago (1 children)

You just have a shitty plan that wants you to get on your wife's insurance instead.

[–] CmdrShepard49@sh.itjust.works 3 points 15 hours ago

Agreed. My work offers me the option to add a spouse or children or both.