Should Health Insurance Rates Be Tiered Like Car Insurance?

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Meaning higher risk groups are tiered at higher rates than lower risk. Would that not make insurance more affordable for average citizens? Maybe that would also incentivize people to lose weight, stop smoking, and just eat a healthier diet. I am generally healthy, see the doctor maybe once every few years, don't smoke, and am about the right weight. Should I pay the same premium as a fellow co-worker who sees the dr. every time he has a sniffle, is on multiple meds, is about 50 lbs. overweight, smokes, and brings Mcdonalds and a 44 oz. coke in every day for breakfast? His wife and his two children are quite overweight and his kids who are 9 and 13 are not into sports or activities, and sound like they play a lot of video games. Not sure if this idea is possible but it seems logical. Just throwin' it out there for debate.
 

Honey Badger Don't Give A Shit
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It's already tiered in the manner which you describe
 

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Where I work it is the same for everyone. The only factor is how many family members are on your plan. I could see if you were shopping for private insurance how it could be that way, but for those of us who get it through their employers it may not be. Does anyone have discounts or surcharges depending on other factors through their employers? I remember once when I was younger that a company I worked for charged smokers $20 more than non-smokers.
 

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It's already tiered in the manner which you describe

+1

they are tiered already

groups are priced differently as risk is spread. If a group has a bad record, that's group's premiums increase

if you want to buy individual policies, everything you said already applies
 

Rx. Senior
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Reward people for being healthy rather than smoking, drinking and being fat and unhealthy? That's just un-American
 

Rx. Senior
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they are tiered already

Not where I was working. Maybe the employer was paying different amounts, but that just means the employee is screwed double, paying for their unhealthy coworkers and having the unhealthy coworkers benefits package force salaries down
 

Honey Badger Don't Give A Shit
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Where I work it is the same for everyone. The only factor is how many family members are on your plan. I could see if you were shopping for private insurance how it could be that way, but for those of us who get it through their employers it may not be. Does anyone have discounts or surcharges depending on other factors through their employers? I remember once when I was younger that a company I worked for charged smokers $20 more than non-smokers.

You're referring to a health insurance plan that is administered to a group.

People who buy their health insurance privately do so in a manner very much akin to what you posed in your lead post.
 

Honey Badger Don't Give A Shit
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+1

they are tiered already

groups are priced differently as risk is spread. If a group has a bad record, that's group's premiums increase

if you want to buy individual policies, everything you said already applies

+2

What W99 said is pretty much what I was intending to state.
 

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