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Are you unemployed? Otherwise, this is just not true. Assuming OP and his wife earn average incomes for academics in the US, they'd pay 2x ~920 USD per month in Germany, totaling 80% more than the premium and only 9% less than the worst case scenario of OP having to pay the full deductible.


Average salary for a full professor in the US is $129K, which would put it closer to $800.

That being said, the average professor salary in Germany is around 84,000 Euro, so it's closer to $560 a month.

You also ignore that after the high deductible is paid in the US you're still paying co-insurance and co-pays. (I love how US health insurers describe these as "your contribution" to your healthcare costs, as if you weren't already paying premiums and deductibles, but the magical insurance fairy is...).


Yeah but you need to put the 1k OP pays into the context of US salaries, not German salaries.


Worst case is significantly worse: deductible, out-of-pocket maximum, copay of X%, and potential for out of network costs.




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