Health Care for all may never be a reality, but there are ways to save money. MSN has a feature on the secrets of health insurance companies. They also have 13 ways to save. We’ll list them here:
1. Know your health insurance plan’s rules and follow them.
There are thousands of different health insurance plans nationwide, each one as different as the insurer or employer that sponsors it. If you’re not well versed about whether you need pre-authorization for outpatient surgery or if you must pick an allergist from a network, you could pay significantly more for your health care.
Don’t assume anything about your benefits and providers. In fact, don’t even believe everything stated in your most recent benefits handbook. Always double-check whether the benefits, services or providers you need are covered under your plan before you receive treatment. Do this by calling your plan’s customer-service department. Then obtain any necessary authorizations or schedule treatment with a doctor within your insurer’s network of providers — if that’s what your plan requires.
If you don’t follow the plan rules for receiving health care, your insurer may deny your claim or pay only a portion of the bill.
2. Buy a “lite” health insurance policy.
All states impose health insurance mandates on policies — requiring coverage for a variety of benefits, procedures and health care providers. That raises premiums for everyone and it doesn’t matter if you ever use the benefits. Perhaps you don’t need or want coverage for maternity stays or chiropractors or mental health treatment. So why pay for a policy that includes those?
According to the Council for Affordable Health Insurance (CAHI), 10 states allow health insurers to offer “mandate-lite” policies, which can be tailored to your own health care needs and more affordable due to the reduced benefits: Arkansas, Connecticut, Georgia, Kentucky, Louisiana, Minnesota, Montana, North Dakota, New Jersey and West Virginia.
3. Coordinate your family’s health insurance plans.
Dual coverage can be expensive. If both you and your spouse maintain coverage, make sure it makes financial sense to pay premiums for both. You don’t want to pay more than you’ll get back in benefits by having duplicate coverage.
If you do decide to maintain both plans — as an added safety net or because the benefits in one plan are needed and not offered by the other — make sure you understand how the benefits in each plan will coordinate with the other.
Coordination of benefits (COB) can be complicated, especially if you have one type of plan, such as an indemnity plan, and your spouse has an HMO.
4. Plan ahead for emergencies.
While you can’t always be fully prepared for an emergency, there are some things that you can have ready. Most importantly, you should know which nearby hospitals belong to your health plan’s network of providers. Learn this information ahead of time, write it down and keep it someplace handy. If you can’t find this information during an emergency, call the 24-hour help line number listed on the back of your insurance card.
According to a March 2008 report issued jointly by USA Today, the Kaiser Family Foundation and the Harvard School of Public Health, four in 10 adults (41 percent) say it’s at least somewhat of a problem for their family to pay for prescription drugs, including 16 percent who say it is a serious problem. That leads many to cut back: Three in 10 (29 percent) say that they have not filled a prescription in the last two years because it’s too expensive and 23 percent say they have cut pills in half or skipped doses in order to make medication last longer.
There are ways to stretch your drug dollar:
- Ask your doctor for free samples of any drugs prescribed. Most physicians have closets full of them.
- Major store chains offer low flat-rate prices for generic prescription drugs: Wal-Mart and Target have lists of prescriptions available for $4.
- Most drug manufacturers provide medications for free or at a reduced cost to people who qualify for their patient assistance programs. Many drug makers operate multiple programs, depending on the medicines involved. Eligibility rules for patient assistance programs vary considerably, but often you must be without insurance coverage for prescription drugs (including Medicaid and Medicare), meet low-income guidelines and be unable to afford your medicine on your own. For more, read Drug makers offer medications to people who can’t afford them.
6. Take advantage of tax breaks.
Flexible spending accounts (FSAs), health reimbursement arrangements (HRAs) and medical savings accounts (MSAs) — known collectively as health care savings accounts — are becoming more popular. One of the most popular is the FSA, an employer-sponsored account that offers you a way to pay for certain out-of-pocket health care or dependent care costs on a pre-tax basis. To get the tax advantages, though, you must open and fund your health care savings account.
Also, dental and vision care count as reimbursable medical expenses under FSA arrangements, so don’t forget to save your receipts for these services.
This can immediately save you $175 a month if you are a New Yorker with a one-pack-a-day habit, according to the Campaign for Tobacco-Free Kids. Additionally, if you apply for life insurance as a smoker, you’ll pay a hard-to-swallow smoker rate. You may need to be smoke-free for a certain amount of time, up to three years with some insurers, to qualify for the nonsmoker rates.
According to a March 2002 Rand Corp. study, being obese adds $395 each year to the average $1,500-per-year health care costs. That’s more than smoking (an addition of $230), aging 20 years ($225) and problem drinking ($150).
You could also have trouble securing life insurance and individual health insurance if you are obese.
It’s harder to quantify what you’ll save in health care costs by exercising more since this number is also linked to losing weight through dieting. But generally speaking, exercising not only improves your health, it also saves you money when you purchase life insurance because healthy people live longer, and longer life expectancies mean better life insurance rates. Many studies show it’s never too late to start exercising and that even small improvements in your fitness level can improve your health and longevity.
10. Seek out free or low-cost health screenings, checkups and services.
Does your HMO offer free blood pressure checks? Low-cost flu costs or nutrition, dieting and physical fitness classes? Take advantage of these lifestyle programs to help you stay healthy and reduce your doctor visits and medications.
11. Raise your deductible or co-payment.
Whenever possible and financially practical, lower your monthly health insurance premium by raising your deductible or co-payment. But make sure that you can pay these potential out-of-pocket costs should you have to.
Ask your doctor for a discount on medical treatments. There’s a long history of patients negotiating with their providers for lower prices on elective procedures, such as laser vision surgery or psychotherapy. Establish the price you believe is reasonable and go for it.
13. Investigate your State Children’s Health Insurance Program.
The State Children’s Health Insurance Program (SCHIP) is a federally funded program designed to provide health and dental coverage for children whose parents can’t afford private health insurance. Every state has its own SCHIP program and is allowed to make its own rules regarding policies and eligibility, within certain parameters. Families that do not currently have health insurance are likely to be eligible, even if parents are working. For little or no cost, SCHIP pays for doctor visits, immunizations, hospitalizations and emergency room visits.
In addition, some states have expanded SCHIP and Medicaid in order to cover pregnant woman and other adults who might otherwise go uninsured.
If you think your child might be eligible, you can get more information about SCHIP in your state by calling the nationwide toll-free hotline, (877) KIDS-NOW, or visiting the InsureKidsNow.gov Web site, which offers information about eligibility in your state and applying for coverage. For more, see State Children’s Health Insurance Program.
Hopefully these tips will help save your money, while the fight for Universal Care goes on.
November 20, 2008 at 3:50 am |
This is a wonderful site with plenty of thoughtful ideas. As a psychiatrist, I would take issue with the suggestion that “lite” insurance might involve skipping mental health (usually combined with substance abuse) benefits. Just like nobody ever plans diabetes, multiple sclerosis, or appendicitis, nobody ever anticipates depression, suicidal feelings, psychosis, panic attacks, ADDH, sexual disorders, anorexia, or Alzheimer’s dementia. Certainly, even teens–who have magical beliefs in immortality–have problems with many of these afflictions, not to mention getting emotionally if not physically addicted to drugs and alcohol. In fact, US law is gradually following some states’ lead in requiring so-called parity between mental health and other medical benefits. Besides alleviating suffering and destigmatizing those with psychiatric illness, there are other good reasons to do so. Untreated psychiatric illness is a major basis for emergency room visits and lost productivity, as well as college drop-outs. A high proportion of patients in ICU’s have prolonged $5000/day stays because of undertreated delirium.
You have a nice list of health promoting suggestions. Here are others: Don’t smoke. Drink only modestly if you must drink illegally. Never get in a car with a driver–especially a teen–who has had even one drink or smoked even one puff of pot. Never inject drugs, including steroids. Don’t speed. Always wear seatbelts. Always wear helmets skiing, boarding or biking–and for all little kids on skates and sleds. Don’t drive a motorcycle, period–the statistics back this up. Eliminate trans fats from your diet and eat modestly from the meat section. Minimize eating tuna, swordfish, shark and mackeral–which have mercury in them. Don’t increase your risk of melanoma by ultraviolet exposure.Use condoms and remember: from an H.I.V. and hepatitis standpoint when you sleep with somebody, you also sleep with everyone else your sexual partner has slept with. Keep up with immunizations, including flu and meningitis before college. Wear ear protection and eye protection when using machinery. Let a medical professional or your parents (not just friends) know if you have suicidal thoughts.
December 4, 2008 at 6:18 pm |
If you are paying for a procedure, such as an MRI or CAT scan, out-of-pocket you can haggle the price with the hospital. The hospital may say, for example, that an MRI is $2000 and that they’ll offer a 20% reduction. You can offer them a significantly lower price and they very well might accept it.
For more extensive procedures, such as radiation therapy, hospitals also have an out-of-pocket price. These prices are sometimes based on income level and because of regulations cannot be adjusted. If your income is at or near the cut-off, the procedure can still be quite costly. For-profit facilities that are not part of a hospital can offer the procedure at a lower price. While these facilities have the same equipment and equivalent doctors/medical staff, their pricing is not regulated like that of a hospital.