With health care costs rising at nearly twice the rate of inflation, affordable health insurance may seem like an impossibility. Absent a major overhaul of the health care system, it's unlikely that the cost of health care coverage will be reduced anytime soon. Despite the ever-growing expense of health care, there are numerous ways that you can save money on your health insurance.
If your state does not have a program like this, or you cannot afford the program, then guaranteed issue health insurance is the only option left to you. Most of these plans work the same as state pools. If you had coverage within 63 days previous to signing up for insurance, your pre-existing conditions will be covered. If you have not had insurance for over 63 days, you will have to wait as long as a year before your pre-existing conditions are covered.
Below, we specifically address how you can lower the cost of your health insurance premium (i.e. the monthly payment) without changing your type of health insurance (e.g. HMO or PPO) or level of coverage. Here are three specific actions you take to lower the cost of your health insurance premium:
1. Increase your deductible: A deductible represents the annual cost that you will incur before your insurance company begins paying for coverage. All else equal, accepting a higher deductible will result in a lower premium. For example, increasing your annual deductible from $1,000 to $3,000 could have the effect of lowering your monthly premium from $175 per month to $125 per month, cutting the cost of your premium by $50 per month (or $600 per year).
2. Increase your co-payment: A co-payment is the amount you will pay when receiving medical care, e.g. $15 per visit to a doctor. By choosing a plan with a higher co-payment you can further reduce the cost of your monthly premium.
3. Increase your co-insurance: Co-insurance refers to the percentage a medical bill that you are required to pay. For example, if your co-insurance rate for a hospital stay is 30%, you will pay the first 30% of the cost, with your insurance company paying the remaining 70%. Many managed care plans will have both co-payments as well as co-insurance, with co-insurance applying to out-of-network medical procedures. A higher co-insurance percentage will help lower the cost of your premium.
These three changes to the terms of your health insurance plan can significantly reduce the cost of your monthly health insurance premium. They are not without risk, however. If you experience a health condition requiring substantial medical attention, it is possible that your overall cost of care could be higher during the course of the year with a higher deductible, co-payment, or co-insurance.
Some people are born with pre-existing conditions, and can never get afforable insurance unless they get it though their work. You can also be refused for health insurance if you just have several controlled pre existing conditions. For instance, if you have hypertension, depression, and you smoke cigarettes, a health insurance company may refuse to give you insurance, based on a three strikes you're out type rule.
Pre-existing sickness like cancer or health risking condition is usually excluded. This is a good reason why planning for your health insurance is necessary. With this deal, you are exposed to the best hospitals and professional doctors.
I believe the next question in your mind is where the best and affordable health insurer could be found? You can achieve this by making your research online via the internet. Get at least five different quotes from this different providers. Compare them at your leisure to get a trusted deal.
Affordable Individual Medical Insurance
With ample opportunities for billing errors within today's complex health care claims and reimbursements systems, it's a wonder people carrying individual medical insurance don't spend more time carefully checking each Explanation of Benefit (EOB). The EOB shows what was charged less what the insurer agreed to cover, the balance being what you owe. Checking your EOB is the first line of defense against overpaying on a health insurance claim.
Your EOB may not reveal a lot, but you can check to see that your name, address, and policy information are correct. You should also confirm that you were charged the ?allowable? rate set by your insurer and not a penny more. Deductibles can be as high as $10,000, and payment comes entirely from your bank account, which makes group discounts all the more important.
Other common errors the EOB may reveal include: Failing to get credit for a deductible that has been paid, in-network providers classified as out-of-network, legitimate claims denied as ?medically unnecessary,? ?upcoding? (being charged for more expensive services than you received), and ?unbundling? (when a single procedure is broken down and billed as many). At Blue Cross/Blue Shield's Web site http://www.bcbs.com/betterknowledge/anti-fraud/explanation-of-benefits.html, there's a brief tutorial on how to read and double-check an EOB.
According to a 2001 Harvard study, illness and its associated costs are responsible for 50 percent of all bankruptcies, so it literally pays to request itemized bills from hospitals and other service providers. They are your next line of self-defense against overpayment. The problem is making sense of them, which may require hiring a patient advocate.
Lee Taber works for HealthCare Mediation Group auditing itemized bills, coordinating appeals, and, when possible, negotiating reduced payments and workable payment schedules to keep clients from getting a damaging credit rating. While costly mistakes are rare, Taber estimates that 40 to 50 percent of hospital bills contain errors: ?The potential for error is high when a bill is 15 pages long and lists every aspirin and other medical supply.?
Advocates receive a percentage of the money they save you. Their cut varies but can run as high as 30 percent. He concisely sums up the benefit of working with an advocate: ?If you don't know what you're looking for, how would you find it??
Indeed, visit the Individual Services page at Medical Billing Advocates of America at http://www.billadvocates.com/ where you can read about a patient who was charged $12 for a ?mucus recovery system??a box of tissues.
If paying someone to fix a mess you didn't make gets you mad, imagine being the victim of medical identity theft. It's like losing control of your social security number and private financial info, but this is a loss that can be deadly. If a phony claim is made using your benefits, your chart could contain wrong information when you need urgent care. If your benefits are tapped out by an impostor, you'll have none left for your own care. According to a World Privacy Forum report on the crime, all levels of the medical system may be involved, in addition to organized crime.
When it comes to your individual medical insurance, do your homework and prepare in the event of inflated bills or medical identity theft. It can save your money and your life.
Both Kuldeep1 & Ryan Patterson are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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