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Re:Using AI to negotiate a $195k hospital bill down to $33k by maxerickson on Tuesday October 28, 2025 @05:55PM (#45739742)
A lot of people with FSAs will have insurance that disqualifies having an HSA.

I have the paranoid idea that they designed FSAs in such a goofy way for budget scoring and it drives me nuts.

Re:Using AI to negotiate a $195k hospital bill down to $33k by no_wizard on Tuesday October 28, 2025 @07:43PM (#45740814)
>A lot of people with FSAs will have insurance that disqualifies having an HSA.

Which should be illegal. It should be only HSA across the board. Its nonsensical that this is a thing.

I'd love an HSA, but I can't due to my plan (can't do a high deductible plan for $reasons).

I think there may be some loophole in setting up an independent HSA but I haven't looked into it enough, only recently heard of such a scheme

Re:Using AI to negotiate a $195k hospital bill down to $33k by com2kid on Tuesday October 28, 2025 @10:38PM (#45742004)
FSA is just a 30%-ish discount on medical expenses. It is useful for eye glasses and such. A lot of QoL services qualify for FSA, including weight loss coaches and therapy.

Heck my (prescription) meta ray bans were paid for in part with FSA funds.

Re:Using AI to negotiate a $195k hospital bill down to $33k by tptacek on Tuesday October 28, 2025 @07:26PM (#45740645)
The preceding comment was discussing HDHPs, which depend on HSAs.
Re:Using AI to negotiate a $195k hospital bill down to $33k by maxerickson on Tuesday October 28, 2025 @09:56PM (#45741745)
You think it's obvious that "lesuorac" was scoping their comment to people that have an FSA with an HDHP?

Doesn't read that way to me.

Re:Using AI to negotiate a $195k hospital bill down to $33k by tptacek on Tuesday October 28, 2025 @09:57PM (#45741748)
It's obvious in that they specifically referred both to HSAs (not FSAs), and to HDHPs, which depend on HSAs, not FSAs. FSAs are not a kind of HSA.

So, yeah. Little bit.

Re:Using AI to negotiate a $195k hospital bill down to $33k by maxerickson on Tuesday October 28, 2025 @10:16PM (#45741851)
Which they? The comment I replied to literally says:

"If you have a FSA I strongly suggest that you get an HSA instead."

Did you mean to reply to them?

Re:Using AI to negotiate a $195k hospital bill down to $33k by tptacek on Tuesday October 28, 2025 @10:35PM (#45741981)
You are I are both commenting on a subthread started by a comment that included "What you're describing isn't true for people on High Deductible Health Plans, and those plans are a bit of a racket because they're frequently paired with HSAs where [...]", none of which is true. I don't care about FSAs and am not trying to argue with anybody about them, but that preceding comment is very wrong about HSAs and HDHPs.
Re:Using AI to negotiate a $195k hospital bill down to $33k by lesuorac on Thursday October 30, 2025 @09:06AM (#45759622)
The post I was replying to originally used the word "FSA" in the locations that they currently use "HSA".

My post does seem a bit weird after their edit but at least one person learned something.