6

I get expensive multiple meds per month and im pretty sure i could get basically anything i wanted that is available covered based on my experience...

How do they make money, am i an outlier and nobody else wants to take and have covered their drugs?

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[-] nimble 6 points 1 month ago

Insurance works by aggregating a bunch of people together who don't necessarily need benefits right now, and that makes it so there are funds to cover benefits for those who do need it.

Many people end up paying more than they use over the long run (those executives aren't rich from their own bootstraps), but if you're currently coming out ahead then that's great.

[-] ClownStatue@piefed.social 3 points 1 month ago

This is also why insurers start publicly losing their shit when insurance sign-up rates start falling for 20-year-olds. Those young folks help pay the bills of the old sickly folks. It’s basically a sort of pyramid scheme where the maintainer of the scheme takes a fairly large cut of the proceeds.

[-] taco@piefed.social 1 points 1 month ago

Timing matters too, as insurers keep the money invested. If you're collecting the same in claims that you've paid in premium, they're still profiting.

[-] Carnelian@lemmy.world 3 points 1 month ago

I pay for insurance but don’t have any prescriptions at the moment. As long as enough people don’t need treatment then they’ll come out ahead monetarily.

As an aside, you keep saying “want” about your medicine, I’ve never heard of this. A doctor prescribes it based on how it can improve your health situation. It’s not so much that I don’t want my medicine covered that but things are all okay for now and they're not needed

[-] activity_sphere_aardvark@piefed.world 1 points 1 month ago* (last edited 1 month ago)

Figure of speech ;)

this post was submitted on 25 Aug 2025
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