Guidestone – Health Insurance Premium Increase Coming in 2008

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My wife and I are 42 years old. We are in perfect health. My two teen-age daughters are also in perfect health. Praise God! We have no chronic conditions (yet), no regular and ongoing treatments or medications. We only go to a doctor when we absolutely have to.

Last week I received my 2008 Medical Plan Election from Guidestone Financial Resources. I almost passed out when I discovered that my family’s health insurance premiums for their “second from the bottom” option (Health Choice 1000) will be increased by 10.6% in 2008. It will cost my church and my family an almost unbelievable $8,640 next year just to have basic health insurance coverage.

Not that our coverage is that great, but I guess no insurance really is anymore …

This is our current plan, in a “nutshell”:

  • $2,000 Family Deductible
  • The plan pays 80% of Medical Expenses (Additional $4,000 out-of-pocket maximum)
  • We pay a $25 co-pay for visits to the doctor, except for specialists … where we pay $35
  • We have an additional $100 deductible on drugs, with $15 co-pay on generic and $30 co-pay on preferred.

We had, as best I can tell, six doctor’s visits in my family this past year. The insurance paid well under $750 total for our doctor’s care and drugs. Even worse than that, three of my claims were denied outright (at first) by the insurance “computer.” I had to invest my own time to pursue an endless maze of telephone menus, connect with a “live” person, and have my claims resubmitted. I wonder how many ministers there are who may not be as diligent as I am in these matters … who simply go ahead and pay based upon bogus denials and faulty statements. That would be an interesting study …

Anyhow … if something catastrophic happened to a member of my family, we would still be faced with $6,000 in out-of-pocket expenses, in addition to all co-pays. I suppose that when and if something like that does happen, I will be completely thrilled to have the coverage. But that’s the big “bugaboo” of insurance, isn’t it?

But the enormous rate increases? (400% times the rate of inflation) … I just don’t get it. Is our healthcare system that broken? Is the government already too deeply involved in an industry that should be market-driven? Shouldn’t there should be a system of rewards or lower premiums for healthy families which make little use of their plan’s benefits?

Guidestone president O.S. Hawkins was quoted in a news story by the Baptist Convention of Maryland/Delaware as saying:

“Even with anticipated rate increases for 2008, in many areas GuideStone medical plans will still be priced lower than they were three years ago. In fact, almost 80 percent of our participants will pay less for their medical coverage in 2008 than they paid in 2004. With a wide variety of plans available, participants have the opportunity to control costs by choosing a plan that meets their needs and their budgets.”

While those facts may, indeed, be true, the reality is a bit different. Dr. Hawkins seems to make it sound like our premiums have been lowered since 2004 (actually … they were lowered last year … a BIG blessing!). But overall that’s just not the case. Here is the reality: Guidestone (formerly the Annuity Board) made several new, cheaper options available a few years ago. In essence, they created eight “levels” of coverage where there once only three or four available. The reason that “almost 80%” of the participants are paying less is because they have elected to purchase cheaper coverage with reduced benefits (higher co-pays, astronomically higher deductibles, and lower percentage of overall pay-outs). I know this is true. I am one of those Southern Baptist ministers paying less money for less peace of mind. Indeed, if I still carried comparable coverage to what I had three years ago, it would take $10,296 a year just to pay our insurance premiums ($858 / month).

I am just thankful that my church purchases my health insurance outside my salary “package.” My church will absorb this increase. But my previous church refused to do so. They considered insurance as part of my “package.” It was up to me whether or not to be insured. It was “not their concern.” My last year on staff there I suffered a significant salary reduction because the “cost of living” raise I received fell well short of covering the increase in the (then) Annuity Board health insurance premiums.

I fear that there are thousands of churches in our convention that take the same approach. In 2008 and beyond there will, undoubtedly, be ministers who will be forced to decide whether they will carry $10,000 worth of insurance premiums, or carry that same $10,000 home to feed and clothe their families. I fear that there will someday be scores of pastors’ families that will be added to the ranks of the uninsured in the United States.

I think our churches deserve better. I know that our pastors, staff ministers, and employees do. I hope that our churches will research their options and to their utmost to take care of their pastors and staff.