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Starbucks Baristas: The daily grind

Full History - 2021 - 07 - 16 - ID#olkqyu
3
What does Starbucks insurance cover? (self.starbucksbaristas)
submitted by blue-haired-barista
Asking because I'm in some serious need of decent health coverage, being on Medicaid can only do so much. Looking to see multiple doctors once I have good insurance, including a dermatologist, counselor, psychiatrist, chiropractor, and maybe even a surgeon that can help with a potential breast reduction surgery.

For those that have insurance through Starbucks, how much do you pay? What is covered and what isn't? Is it worth it? Better than Medicaid at least?

Really in a bad place mentally and financially and I can't afford anything out of pocket. I know Starbucks doesn't really care about lowly baristas but this insurance is my last hope. I'm planning on enrolling when it opens up next month. I don't know where else to turn. Any information is appreciated.
samwise122 3 points 2y ago
When you enroll in health insurance through Starbucks, you choose which provider to go with (BCBS, United, Aeatna, etc) and what level (bronze, silver, gold). Each one has its own description of what is covered. I think you might be able to preview the different plans in mysbuxben.com but I don’t know off the top of my head. I have a silver level plan that is moderately priced and I’ve been really happy with it.

Edit: I just logged in and it seems you can get the information you need. You’ll have to register for an account but you’ll need one anyway if you sign up for coverage during open enrollment.
monzoink 2 points 2y ago
I believe they will send everyone benefit enrollment packets in the mail next month so you can see all the plans.
StormTheParade 1 points 2y ago
A lot of coverage will depend entirely on the plan and provider you pick. Derm and Chiro may not be covered, if Chiro is covered then you may have a visit limit.

Breast reduction most likely will not be covered unless it's determined to be medically necessary.

Your premium will also vary depending on what plan you take. That being said, I believe the plans with Starbucks, while being PPO, are still high-deductible, so both your deductible and your OOP max are going to be quite high. Your annual appointments with your PCP and (if applicable) gyno will be covered at 100%, but otherwise, you'll have copays and bills still.

The health insurance is still quite good, at least in comparison to the health insurance I ended up with after I left the company and got a new job. But I believe routine appointments are the only things that are covered in full at 100% before you meet the deductible.

You can also call and speak with a benefits advisor through the line on mysbuxben.com
kenmarie93 1 points 2y ago
Former barista (years ago) and I actually currently work in Health insurance for a Medicaid plan. Depending on your state really Medicaid should cover most of the things you’ve listed. And with Medicaid you should not have an out of pocket expense because it’s based on income (if you have any expenses they should be very VERY low). The Medicaid plan I work for covers chiro, dermatology, OP behavioral health, and breast reduction (but for elective surgeries like this, the provider office you go to must show some indication of medical necessity as this kind of procedure can be considered cosmetic in nature). If you can’t afford out of pocket expenses I wouldn’t recommend switching off Medicaid. With *most* commercial based (employer provided) health insurance plans, you will have an out of pocket deductible you will be expected to pay as well as an out of pocket max. So although I work for Medicaid (I’m not personally eligible for Medicaid) I have an employer provided commercial plan which is actually really good all things considered- but again I have out of pocket expenses I’m expected to pay. I had cancer treatment this last year and had to pay $6,000 out of pocket for it all (this is my out of pocket max) and granted my treatments scans, etc were over $300,000 worth of expenses lol. But just know with commercial plans you will have more out of pocket expenses. There’s good and bad too both. You may be able to find more providers willing to accept a commercial plan versus a Medicaid plan, you may get authorizations approved fasted with a commercial plan, etc. Hopefully that helps a bit! I know it’s very confusing, I mean I work in health insurance and there’s still things that confuse me lol.
blue-haired-barista [OP] 1 points 2y ago
No one in my area will take Medicaid, and those that do are no longer taking patients.. It's more of an issue of I don't have any other choice at this point. Having another health insurance will open doors for me. It's definitely going to cost me but at this point Medicaid has not been able to help me. Tired of having insurance that doesn't benefit me in the slightest. If no one will take my insurance, what's the point in having it?
Salad_Accurate 1 points 2y ago
same i’m trying to get enrolled but i’m having trouble finding out how
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