You pay $20k per year in premiums for a family of four to avoid paying more than the out of pocket maximum in a calendar year, and to have to an agent negotiate prices and appropriate services with the healthcare seller.
The likely amounts owed below your out of pocket maximum also have to be incorporated.
Also, my gold metal level BCBS network PPO plan is near $30k per year for a family of 4, so $20k seems like it might be sacrificing quantity/quality of in network providers.
Ours is a BCBS-MA plan, but where the company is self-insured financially (BCSC makes their profit on the administration side, but not on the risk side [or maybe not as much on the risk side; I'm not sure]).
The likely amounts owed below your out of pocket maximum also have to be incorporated.
Also, my gold metal level BCBS network PPO plan is near $30k per year for a family of 4, so $20k seems like it might be sacrificing quantity/quality of in network providers.