Sounds like a lousy health care policy to me
It may have to do with your 'temporary status' Tracy - that you are not getting some more long term and certainly more advantageous benefits.
Just to clarify, I didn't have to pay 20K. I have insurance. I had to pay my yearly deductible ($3500) and my insurance premiums (about $150 a month) and I have to pay for meds myself because I don't have coverage for that (another couple hundred a year not covered because it's for a pre-existing condition). I'm not thrilled to pay that much, but it isn't going to break me and I'm happy with the medical care I've received so it's definitely worth it. It doesn't have anything to do with my temporary status, they don't even know I'm Canadian or anything like that. It's just that I have to buy my own policy. My employer plan is crap. We used to joke about the fact that we worked in a hospital and really couldn't afford to get sick there They cover 80% of this and 70% of that as long as you use the doctors from this list and have your first appointment with them on a Tuesday and wear a red hat and use the secret code word "bulldog" when you make your appointment with them... OK, it's not that bad, but the small print is really killer. A nurse's husband relied on those benefits and it was ridiculous how much they had to pay out of pocket for treatment.
I would rather pay for my ppo coverage and the yearly deductible than have to use their hmo plan. I've been working in hospitals long enough to know I want to be able to pick my specific doctor and hospital without a hassle, cause those things matter a lot. I know that the hmo would have been cheaper, but I don't regret my decision to go with the ppo at all. IMO, it was the best thing available to me. I realize there are a lot of variety in health care plans and several types of health insurance plans that Americans qualify for that I wouldn't (like the VA system, Medicare, Medical, etc), but mine is just a run of the mill large health insurance company.