Envision benefits

[Dofreshman]

Can anyone that works on Envision comment on the health care plan that is offered and other benefits?

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[2Fast2Des]

Can anyone that works on Envision comment on the health care plan that is offered and other benefits?

Other than it is likely doodoo because why on earth would they care enough?

 

[aneftp]

The Envison health care plan is bare bones especially if you have a family. When you factor in high deductibles and premiums. You are basically paying 10-15k out of pocket before any “benefits “ kick in. Outside the normal “covered” services like colonoscopy screening , yearly doctor pcp visits, mammograms

Usap and Envison Probabiy run neck and neck for the worst health care employer sponsored plans of the AMC. So factor that in the overall financial package.

 

[chessknt]

Idk if it is region dependent but the 401k match is an embarrassment like 5k/yr.

 

[Dr. Anonymouss]

Idk if it is region dependent but the 401k match is an embarrassment like 5k/yr.

who is choosing to work for them?? Jesus.

 

[chessknt]

who is choosing to work for them?? Jesus.

I don't know about you but when I became a doctor I always knew I wanted to make a wealthy PE investor even wealthier by siphoning profit off of my work. I believed in capitalism with all of my soul and knew it was my place to bend down so they could climb up on my back on the way to the top with their crony capitalism 'entrepreneurial spirit.'

 

[CubsDynasty]

Much like a strip club, you don’t go there for the buffet.

 

[UscGhost]

who is choosing to work for them?? Jesus.

Because they can pay better and provide a work environment that's more fair than some PP groups.

Entirely depends on location and the specific group

 

[sethco]

Usap and Envison Probabiy run neck and neck for the worst health care employer sponsored plans of the AMC. So factor that in the overall financial package.

Since we're throwing USAP into the mix, thought it only fair to say what my actual premiums are. If you feel I'm paying too much, let me know

I have a family HSA plan (BCBS) with a monthly premium of 557/month. My deductible is 1750/3500 and out of pocket max is 3500/6650 for individual/family. Could of went with the cheaper HSA plan with higher deductibles and out of pocket max, but chose the above as we do end up using some medical care throughout the year. Associates pay less obviously.

How much is everyone else paying for a similar plan?

 

[aneftp]

Since we're throwing USAP into the mix, thought it only fair to say what my actual premiums are. If you feel I'm paying too much, let me know

I have a family HSA plan (BCBS) with a monthly premium of 557/month. My deductible is 1750/3500 and out of pocket max is 3500/6650 for individual/family. Could of went with the cheaper HSA plan with higher deductibles and out of pocket max, but chose the above as we do end up using some medical care throughout the year. Associates pay less obviously.

How much is everyone else paying for a similar plan?

Depends on the state. Are you in an opt in state?

But most of my Usap friends have 10000 high deductible for roughly the same $800 a month. But the have 4 kids. So it’s been a while but some of these plans charge more depending on number of kids. Unlike state and federal where a “family” doesn’t matter if you have 1 kid or 6 kids. It’s still
The same cost.

That’s not too bad considering things.

I’m with a state university plan which is essentially free with no deductible and low $20 co pays. But I do factor that into compensation since my spouse and kids use health insurance (an er visit easily can set you back that $3000 deductible plus 20% do pay up to $6500)

 

[kidthor]

Since we're throwing USAP into the mix, thought it only fair to say what my actual premiums are. If you feel I'm paying too much, let me know

I have a family HSA plan (BCBS) with a monthly premium of 557/month. My deductible is 1750/3500 and out of pocket max is 3500/6650 for individual/family. Could of went with the cheaper HSA plan with higher deductibles and out of pocket max, but chose the above as we do end up using some medical care throughout the year. Associates pay less obviously.

How much is everyone else paying for a similar plan?

I’ve got a different sort of plan… but for comparison mine’s the most expensive (/best?) my academic employer offers which is a bcbs ppo for just me - I pay $300 per month they pay $800. I don’t know the deductible/max off the top of my head but both are pretty good (note it’s not an HSA).

 

[finalpsychyear]

Since we're throwing USAP into the mix, thought it only fair to say what my actual premiums are. If you feel I'm paying too much, let me know

I have a family HSA plan (BCBS) with a monthly premium of 557/month. My deductible is 1750/3500 and out of pocket max is 3500/6650 for individual/family. Could of went with the cheaper HSA plan with higher deductibles and out of pocket max, but chose the above as we do end up using some medical care throughout the year. Associates pay less obviously.

How much is everyone else paying for a similar plan?

Im full 1099. pay 800/mo for me and wife for HSA 7k/14k deductible HSA plan then 100% after meeting it.

 

[sethco]

Family of 6. I pay all myself, I believe, but don't quote me on that. USAP definitely pays a portion for Associates, but don't know how much

 

[finalpsychyear]

How much can you put in your hsa? I only have an fsa so haven’t looked into investing it really

7750 this year is max a few hundred more than last year. I Immediately invest this money. Fully tax deductible and all gains tax free if you ever use it for med expenses. Can't contribute once you go on medicare. Great way to build it up for possible future health expenses. Would love to see it grow into 200-300k of tax free money which is conservative in next 20 years. Also, after 65 for non health expenses its tax like an trad IRA.

 

[sethco]

I’ve got a different sort of plan… but for comparison mine’s the most expensive (/best?) my academic employer offers which is a bcbs ppo for just me - I pay $300 per month they pay $800. I don’t know the deductible/max off the top of my head but both are pretty good (note it’s not an HSA).

Makes me nostalgic for my health plan in residency at UPMC. Ridiculously cheap. Less than 100/month for the family for the "Cadillac" plan. Also wasn't an HSA plan. Definitely one of the big benefits working for Academics, especially given the rapid rising costs of health care premiums

 

[ans2021]

I pay close to 3k/mo for a high deductible plan with 7k max out of pocket.

 

[anbuitachi]

Since we're throwing USAP into the mix, thought it only fair to say what my actual premiums are. If you feel I'm paying too much, let me know

I have a family HSA plan (BCBS) with a monthly premium of 557/month. My deductible is 1750/3500 and out of pocket max is 3500/6650 for individual/family. Could of went with the cheaper HSA plan with higher deductibles and out of pocket max, but chose the above as we do end up using some medical care throughout the year. Associates pay less obviously.

How much is everyone else paying for a similar plan?

wow thats low!

 

[ERRES2288]

State institution. 550/month for family ppo. 250/750 deductible. Copays 20 pcp or 35 for specialist

 

[sethco]

Yikes! Is that through your employer or through the marketplace? Large family?

Family rates (at least 1 kiddo) should be the same no matter how big the family, right?

 

[sethco]

I think hsas in many cases are just a scam to allow higher deductibles on fairly expensive plans. If you’re someone with expensive medical needs it crushes your finances. I prefer low deductible plan myself, seen it too many times where the late 30s and 40s see your body break Down in ways you never expected

I don't really agree with that. HSAs are a great savings tool, being triple tax free if used for health care expenses. At worst, it's another pre-tax retirement account at age 65. However, agree that HSAs probably shouldn't be used if the individual and/or family consumes a lot of annual health care. If youngish and relatively healthy, a HSA is pretty great

 

[GassYous]

I pay close to 3k/mo for a high deductible plan with 7k max out of pocket.

At that point you should be uninsured and self pay everything. How often are you using 40k a year?

 

[chessknt]

At that point you should be uninsured and self pay everything. How often are you using 40k a year?

Is this serious? Would you go without medmal insurance if it cost that much and self pay lawsuits too?

 

[Southpaw]

Since we're throwing USAP into the mix, thought it only fair to say what my actual premiums are. If you feel I'm paying too much, let me know

I have a family HSA plan (BCBS) with a monthly premium of 557/month. My deductible is 1750/3500 and out of pocket max is 3500/6650 for individual/family. Could of went with the cheaper HSA plan with higher deductibles and out of pocket max, but chose the above as we do end up using some medical care throughout the year. Associates pay less obviously.

How much is everyone else paying for a similar plan?

This is a great plan. I pay almost 3x your premium for 2x deductible. My guess is the overall coverage is the same.

 

[sethco]

wow thats low!

This is a great plan. I pay almost 3x your premium for 2x deductible. My guess is the overall coverage is the same.

I didn't think it was anything special. Prices are getting ridiculous, even for HSA and catastrophic plans that should be relatively cheap

 

[TexBlazer2106]

View attachment Screenshot 2023-02-15 at 17.20.40.pdf.pdf

I thought the plans weren’t that bad. They were better than my wife’s state sponsored plan.

Edit to add: this is envisions ‘23 plan comparison

 

[abolt18]

400/mo for employer HMO through BCBS for the whole family. No deductible. $10 for PCP visit and $30 for specialist visit.

This is a state institution.

 

[pmichaelmd]

Hospital: $467/mo for medical, $18/mo for vision, $135/mo for dental, plus contribute $516/mo to HSA. All this for employee + >2 family members ( I cover myself, my wife, and 5 children on this plan). High-deductible, but we meet that within a few months usually as there is always one of them who needs an MRI or ortho consult from sports or dental work or ...

 

[Gasworks]

I pay close to 3k/mo for a high deductible plan with 7k max out of pocket.

I pay $3200 / month (pre tax) for family gold plan with 0 deductible. I opted for this plan since I try to maximize my business expenses and this plan covered all of our meds and existing doctors. I did try to find a private plan outside of the marketplace which was basically a high deductible plan with a separate indemnity plan that would pay the deductible and still qualify me for an HSA. Unfortunately my wife’s assorted imaginary health problems meant that we didn’t qualify for any plan outside of the marketplace.

 

[aneftp]

I pay $3200 / month (pre tax) for family gold plan with 0 deductible. I opted for this plan since I try to maximize my business expenses and this plan covered all of our meds and existing doctors. I did try to find a private plan outside of the marketplace which was basically a high deductible plan with a separate indemnity plan that would pay the deductible and still qualify me for an HSA. Unfortunately my wife’s assorted imaginary health problems meant that we didn’t qualify for any plan outside of the marketplace.

So it basically costs you equivalent to 25k plus after tax dollars even after deductions for healthcare.

That’s why I tell everyone to do the math when comparing jobs with everything included


I told of the the locums docs many months ago a full time job is better with the state benefits than their $300/hr locums job IF they only wanted to work 40 hours a week with no calls/weekends.

I did the math for them. 300/hr x 40 hours a week x 40 weeks equals $480k no benefits. Their effective tax rates with usual business deduction is likely in the 12-15% range

Vs 450k w2 and effective tax rate 22%. Because they have access to pretax 457/403 (or Roth) plus 401a plans (pretax) and basically free healthcare. And matching. And paid holidays.

I told them unless they wanted to work 50 hours plus or more with calls. The 450k w2 job 40 hour job with healthcare is a better deal with guarantee money. Cause while they may pay more in federal and Medicare taxes (Probabiy 40k more in federal taxes alone) vs 1099. The healthcare benefits alone is 20k. Plus the matching retirement money is another 20-25k. So the w2 job was better deal

Now if they were making. $350/hr. The math becomes very fuzzy if it’s 40 hours a week. Anything more than $350-hr and or wanting to work 45 or more hours leans towards 1099 income even with the higher private healthcare non subsidized costs.

Factor everything including healthcare costs into the total package.

 

[UscGhost]

So it basically costs you equivalent to 25k plus after tax dollars even after deductions for healthcare.

That’s why I tell everyone to do the math when comparing jobs with everything included


I told of the the locums docs many months ago a full time job is better with the state benefits than their $300/hr locums job IF they only wanted to work 40 hours a week with no calls/weekends.

I did the math for them. 300/hr x 40 hours a week x 40 weeks equals $480k no benefits. Their effective tax rates with usual business deduction is likely in the 12-15% range

Vs 450k w2 and effective tax rate 22%. Because they have access to pretax 457/403 (or Roth) plus 401a plans (pretax) and basically free healthcare. And matching. And paid holidays.

I told them unless they wanted to work 50 hours plus or more with calls. The 450k w2 job 40 hour job with healthcare is a better deal with guarantee money. Cause while they may pay more in federal and Medicare taxes (Probabiy 40k more in federal taxes alone) vs 1099. The healthcare benefits alone is 20k. Plus the matching retirement money is another 20-25k. So the w2 job was better deal

Now if they were making. $350/hr. The math becomes very fuzzy if it’s 40 hours a week. Anything more than $350-hr and or wanting to work 45 or more hours leans towards 1099 income even with the higher private healthcare non subsidized costs.

Factor everything including healthcare costs into the total package.

Always worth comparing the numbers for sure.

22% effective tax rate seems pretty low for a W2..but I could be wrong.

Often 1099 people have a spouse with insurance..so the benefits come from them. Also most don't have that high of a health plan as a 1099 individual.

And the 1099 truly shines with the defined benefit plans

 

[aneftp]

Always worth comparing the numbers for sure.

22% effective tax rate seems pretty low for a W2..but I could be wrong.

Often 1099 people have a spouse with insurance..so the benefits come from them. Also most don't have that high of a health plan as a 1099 individual.

And the 1099 truly shines with the defined benefit plans

Remember with state/university plans. You have access to 50k-60k in pretax retirement deductions. With the 401a/403b/457b. That shields a ton of taxes. HSA shields another 6k. Dependent care shields 5k. Limited flex fsa shields another 3k with the HSA.

 

[CubsDynasty]

Academic center I worked at only had 403b, with a match based on a strategically low base salary. None of the other stuff besides FSA. So not every state/university plan offers those benefits.

 

[amyl]

USAP Texas - I pay 387 for me and my husband for health dental and vision. It’s a great plan… dental pays for most of my cleanings etc.
USAP pays 4/5 of associates health care and the associate pays 1/5.
I will back sethco 100% to say USAP benefits are great plus Retirement, match, profit sharing…
For god sakes never put USAP and envision in the same category-

 

[dannyboy1]

So it basically costs you equivalent to 25k plus after tax dollars even after deductions for healthcare.

That’s why I tell everyone to do the math when comparing jobs with everything included


I told of the the locums docs many months ago a full time job is better with the state benefits than their $300/hr locums job IF they only wanted to work 40 hours a week with no calls/weekends.

I did the math for them. 300/hr x 40 hours a week x 40 weeks equals $480k no benefits. Their effective tax rates with usual business deduction is likely in the 12-15% range

Vs 450k w2 and effective tax rate 22%. Because they have access to pretax 457/403 (or Roth) plus 401a plans (pretax) and basically free healthcare. And matching. And paid holidays.

I told them unless they wanted to work 50 hours plus or more with calls. The 450k w2 job 40 hour job with healthcare is a better deal with guarantee money. Cause while they may pay more in federal and Medicare taxes (Probabiy 40k more in federal taxes alone) vs 1099. The healthcare benefits alone is 20k. Plus the matching retirement money is another 20-25k. So the w2 job was better deal

Now if they were making. $350/hr. The math becomes very fuzzy if it’s 40 hours a week. Anything more than $350-hr and or wanting to work 45 or more hours leans towards 1099 income even with the higher private healthcare non subsidized costs.

Factor everything including healthcare costs into the total package.

In your scenario the W2 is getting paid 450 for a 40 hr week with 12 weeks vacation, and no night/ weekends? I know the market is good. Not sure it’s THAT good.

 

[narcotics999]

So it basically costs you equivalent to 25k plus after tax dollars even after deductions for healthcare.

That’s why I tell everyone to do the math when comparing jobs with everything included


I told of the the locums docs many months ago a full time job is better with the state benefits than their $300/hr locums job IF they only wanted to work 40 hours a week with no calls/weekends.

I did the math for them. 300/hr x 40 hours a week x 40 weeks equals $480k no benefits. Their effective tax rates with usual business deduction is likely in the 12-15% range

Vs 450k w2 and effective tax rate 22%. Because they have access to pretax 457/403 (or Roth) plus 401a plans (pretax) and basically free healthcare. And matching. And paid holidays.

I told them unless they wanted to work 50 hours plus or more with calls. The 450k w2 job 40 hour job with healthcare is a better deal with guarantee money. Cause while they may pay more in federal and Medicare taxes (Probabiy 40k more in federal taxes alone) vs 1099. The healthcare benefits alone is 20k. Plus the matching retirement money is another 20-25k. So the w2 job was better deal

Now if they were making. $350/hr. The math becomes very fuzzy if it’s 40 hours a week. Anything more than $350-hr and or wanting to work 45 or more hours leans towards 1099 income even with the higher private healthcare non subsidized costs.

Factor everything including healthcare costs into the total package.

Where can you get a state hospital job with 450k working 40hrs a week and 12 weeks vacation?

 

[ERRES2288]

Where can you get a state hospital job with 450k working 40hrs a week and 12 weeks vacation?

Yea..not sure that exists. I’m state institution about the same pay and hours with 9 weeks but have 1 weekend a month. No nights.

 

[Hoya11]

Makes me nostalgic for my health plan in residency at UPMC. Ridiculously cheap. Less than 100/month for the family for the "Cadillac" plan. Also wasn't an HSA plan. Definitely one of the big benefits working for Academics, especially given the rapid rising costs of health care premiums

When I lived in pittsburgh for fellowship there I paid 1400 a month for a beautiful 3 bedroom condo.. unbelievably cheap area compared to NE

 

[aneftp]

In your scenario the W2 is getting paid 450 for a 40 hr week with 12 weeks vacation, and no night/ weekends? I know the market is good. Not sure it’s THAT good.

Well. I think it’s closer to 11 weeks. Since it’s 9 weeks plus 12 paid holidays. If u work on holidays U will get comped those days. The weekends are comped extra pay. Couple of the guys don’t need the money so don’t work weekends.

For the pay and hours worked. No weeknights. Weekends are limited to extra pay. I probably could have offer to work 7-3 this morning for extra pay but my kids have some family stuff. So I didn’t offer. I think it’s a fair deal.

 

[GravelRider]

Well. I think it’s closer to 11 weeks. Since it’s 9 weeks plus 12 paid holidays. If u work on holidays U will get comped those days. The weekends are comped extra pay. Couple of the guys don’t need the money so don’t work weekends.

For the pay and hours worked. No weeknights. Weekends are limited to extra pay. I probably could have offer to work 7-3 this morning for extra pay but my kids have some family stuff. So I didn’t offer. I think it’s a fair deal.

I have interviewed at or poked around multiple University positions…some state, some not. I have never seen more than 4 or 5 weeks vacation. With those paid holidays, a couple of places got close to 6 weeks…that’s total of vacation + cme + holidays. Are you including sick days in that?

9-11 weeks off for a state university position with good benefits is probably as rare as the democratic partnership where partners make $800k+.

 

[UscGhost]

I have interviewed at or poked around multiple University positions…some state, some not. I have never seen more than 4 or 5 weeks vacation. With those paid holidays, a couple of places got close to 6 weeks…that’s total of vacation + cme + holidays. Are you including sick days in that?

9-11 weeks off for a state university position with good benefits is probably as rare as the democratic partnership where partners make $800k+.

I imagine private practice in that same area likely pays more than 350 per hour. Usually academics doesn't pay more than private

 

[ambiturner]

I have interviewed at or poked around multiple University positions…some state, some not. I have never seen more than 4 or 5 weeks vacation. With those paid holidays, a couple of places got close to 6 weeks…that’s total of vacation + cme + holidays. Are you including sick days in that?

9-11 weeks off for a state university position with good benefits is probably as rare as the democratic partnership where partners make $800k+.

When we looked at our academic comp, the industry benchmark for vacation the consultants told us was 35 days off, which includes the 12 paid holidays and 5(?) sick days. Fortunately we still get more than that. Also that total doesn’t include non-clinical days, which can be anywhere from zero to a day a week for purely clinical faculty.

 

[GravelRider]

When we looked at our academic comp, the industry benchmark for vacation the consultants told us was 35 days off, which includes the 12 paid holidays and 5(?) sick days. Fortunately we still get more than that. Also that total doesn’t include non-clinical days, which can be anywhere from zero to a day a week for purely clinical faculty.

So 35 minus the 5 sick days is 30 days…or 6 weeks vacation. That’s the best I’ve seen at any university practice and often university jobs have less….at least from what I’ve seen. The sick days are an ambiguous PTO perk to me. Are you using all 5 sick days? Can you plan a sick day? If there are an average of 3 days per year where I would feel unwell enough to warrant calling in sick, can I use the other two sick days to take advantage of some nice weather?

9-11 weeks off in a university practice would seem to be an outlier to me, but I guess they do exist.

 

[aneftp]

I have interviewed at or poked around multiple University positions…some state, some not. I have never seen more than 4 or 5 weeks vacation. With those paid holidays, a couple of places got close to 6 weeks…that’s total of vacation + cme + holidays. Are you including sick days in that?

9-11 weeks off for a state university position with good benefits is probably as rare as the democratic partnership where partners make $800k+.

Includes sick days. Frankly they don’t care if u use sick days or annual leave days. Both state university places I have worked at (different states). The anesthesia chair didn’t care. As long as it’s pre-planned and staffing was adequate. It was fine with them. Since the only true hospital holidays are new years Xmas, thanksgiving , Labor Day, July 4th and Memorial Day. The other 6 holidays including June 19th is regular days we get comped for working.

Technically you can’t use more than 2 sick days without a doctors note (that’s the federal worker policy also). The trick (totally legal). 2 sick days, 1 annual leave day, 2 sick days. Or any combination like that so you don’t use 3 sick days in a row. The weekend also can break the sick day rule. Thursday Friday sick days. Weekend breaks it. Than Monday and Tuesday can be sick days as well.

Federal employees like at the VA get equivalent of 9 weeks also off when u factor in sick leave. 26 annual leave days. 13 sick leave days. 5 cme days (they are pretty liberal with cme days). Can do virtual cme (cough cough ace course 60 hours) at the beach condo and use ur 5 cme days off.

9 weeks is industry standard these days.

 

[2Fast2Des]

Includes sick days. Frankly they don’t care if u use sick days or annual leave days. Both state university places I have worked at (different states). The anesthesia chair didn’t care. As long as it’s pre-planned and staffing was adequate. It was fine with them. Since the only true hospital holidays are new years Xmas, thanksgiving , Labor Day, July 4th and Memorial Day. The other 6 holidays including June 19th is regular days we get comped for working.

Technically you can’t use more than 2 sick days without a doctors note (that’s the federal worker policy also). The trick (totally legal). 2 sick days, 1 annual leave day, 2 sick days. Or any combination like that so you don’t use 3 sick days in a row. The weekend also can break the sick day rule. Thursday Friday sick days. Weekend breaks it. Than Monday and Tuesday can be sick days as well.

Federal employees like at the VA get equivalent of 9 weeks also off when u factor in sick leave. 26 annual leave days. 13 sick leave days. 5 cme days (they are pretty liberal with cme days). Can do virtual cme (cough cough ace course 60 hours) at the beach condo and use ur 5 cme days off.

9 weeks is industry standard these days.

Is working the VA worth it? What is the pay like compared to private or big health/PE? Can you do your own cases?

 

[Hoya11]

Includes sick days. Frankly they don’t care if u use sick days or annual leave days. Both state university places I have worked at (different states). The anesthesia chair didn’t care. As long as it’s pre-planned and staffing was adequate. It was fine with them. Since the only true hospital holidays are new years Xmas, thanksgiving , Labor Day, July 4th and Memorial Day. The other 6 holidays including June 19th is regular days we get comped for working.

Technically you can’t use more than 2 sick days without a doctors note (that’s the federal worker policy also). The trick (totally legal). 2 sick days, 1 annual leave day, 2 sick days. Or any combination like that so you don’t use 3 sick days in a row. The weekend also can break the sick day rule. Thursday Friday sick days. Weekend breaks it. Than Monday and Tuesday can be sick days as well.

Federal employees like at the VA get equivalent of 9 weeks also off when u factor in sick leave. 26 annual leave days. 13 sick leave days. 5 cme days (they are pretty liberal with cme days). Can do virtual cme (cough cough ace course 60 hours) at the beach condo and use ur 5 cme days off.

9 weeks is industry standard these days.

And the group is ok with gaming sick days like that ? Last minute ?

 

[aneftp]

And the group is ok with gaming sick days like that ? Last minute ?

There is no gaming. These are preplan days off with scheduling already accounted for.

Nothing last minute.

Now if u so have an acute sickness, no one is gonna to question u if u are sick or have a child sick.

 

[aneftp]

Is working the VA worth it? What is the pay like compared to private or big health/PE? Can you do your own cases?

I have friends at VA northeast, mid Atlantic, south, mountain west. Every VA is different in terms of staffing and supervision or solo cases.

Salary is low. $300-350k depending on region. Some VA are easier than others.

Hint the VAs with job openings all the time are less desirable. If a VA has a job opening with a 2 week window to apply. That’s a fake job opening. Never bother applying because by law they gotta post it as a job opening. But it’s really already given to someone.

VA generally fits this profile
1. Old doc ready to retire in 5-7 years
2. Young mommy docs. Remember with 12 weeks paid family leave. That’s equivalent to a 75-80k “benefit” That’s a ton of money not having to use any annual or sick leave.
3. Crazy docs with mental problems (yes there are quite a few of those in the system)
4. Military docs (usually on reserve). They can game the system also with leave

 

[TexBlazer2106]

300-350K is high for the VA, doubtful that most fall into that range across the country.

 

[TexBlazer2106]

USAP Texas - I pay 387 for me and my husband for health dental and vision. It’s a great plan… dental pays for most of my cleanings etc.
USAP pays 4/5 of associates health care and the associate pays 1/5.
I will back sethco 100% to say USAP benefits are great plus Retirement, match, profit sharing…
For god sakes never put USAP and envision in the same category-

It's interesting that you have such a negative view of Envision. In San Antonio, Tejas/Envision has been much more stable than Star/USAP. The later has lost maybe ?half of its work force due to poor work conditions.

I guess it just varies in different places. Regardless, PE will be pushed out of the anesthesia space almost completely in 5-10 years. Margins will just be too thin.

 

[GassYous]

300-350K is high for the VA, doubtful that most fall into that range across the country.

I don't think so. VA salaries are public information you can look them up.