The Unhappy Compromise in the Cheaper Health Insurance Plans

Is it possible that some health insurance plans can be bad for you? For certain kinds of insurance plan, especially the ones with high deductibles, that could actually be true. When insurance companies survey households with high deductible health insurance plans, they find out what you would expect - the fact that you are expected to spend out of your own pocket is enough to discourage lots of families from visiting the doctor for anything other than the most terrrible health problem. For instance, in a family with a high deductible plan, a child who falls down and scrapes his knee on something rusty is often not taken to the doctor for a tetanus shot. Instead, the mother washes the wound and puts on a Band-Aid - literally and figuratively. In families with modest incomes that use high deductible plans, trying to get by on temporary solutions to health problems is the way to manage out-of-control expenses. If they went in for every little thing, they would probably spend all they made on health.

Any doctor believes in how a stitch in time is able to head off having things worsening in the future with  poor care right now. There are advocacy groups around the country, like Families USA for instance, who argue that this particular problem with high deductible health insurance plans is not the half of it. People love high deductible health plans because they charge you a smaller premium in return for your promise that you will pay yourself for any problem that costs less than a certain amount they determine - $1000, or so. What this means is, that unless you happen to be in a tragic health situation, you can consider yourself as having no health insurance. It won’t kick in until your expenses spiral out of hand.

The savings can be significant too; for an entire family, it can cost no more than $6000 for the whole year. And you can also use it as a tax-sheltered savings account if you sign up for a plan that charges no more than $2500 in deductibles. The problem with this plan is that it is always used by people who have very little money. It was in fact, originally designed for people who have lots of money, but just don’t want any bother with high insurance costs. It is for people who are confident that they can swing it on their own. But employers and others have since co-opted these health insurance plans for how cheap they are. And if you feel that it is good enough for the little cover it gives poor people against at least expensive health problems, that may or may not work; depending on what kind of loopholes your insurance provider has put into the deal.

The thing is, the health insurance companies aren’t really there to help you - and if they charge a very low premium, it is not just because you take on a good part of the responsibility, agreeing to a high deductible. If your high deductible premium is really low, what you need to do is to watch out for other cost-cutting measure measures built into the plan. Some of them add up every single thing you charge to your health insurance plan, and say that over your lifetime, you cannot charge any more than a certain amount. They have a cap on how many times you can visit the doctor each year, and if you are admitted for hospitalization, they won’t cover any of your expenses the first day - the day you’re likely to have the most expensive charges. Using services like Ehealthinsurance though can be a great help looking closely into all kinds of plan details. Getting a good health insurance broker should work well too. And don’t go about applying for health insurance at different companies left and right. Any time you’re turned down by one company, the others will be able to share that information, and they will turn you down too.

Tags: health insurance

Self-employed And Medically Uninsured? Health Insurance For Individuals Is Soon To Be Affordable For You!

Being a self-employed individual in the United States is sometimes a bigger pain than it is a blessing. At tax time, you feel it the most. You can see the discrimination between you and a corporate employee making the same hourly compensation as you by simply comparing your tax return amount to his or hers. They always seem to make out better than you. It’s the same with health insurance. Work for a big company, and you’ll get the best health insurance rates possible, but apply for health insurance for individuals and your wallet will surely wince! The exorbitant premiums you must pay will more than likely keep you from getting insured. This fact has been taken into account by the new Health Reform Law, and now the Feds are doing something to make health insurance affordable for you.

Health insurance for individuals is expensive simply because you aren’t bringing  any business to the insurer but yourself. Like other products for sale, the greater the amount you purchase, the cheaper the cost per item charged. Because large corporations can bring more business to insurers, they are given the best premium rates per employee. It’s as simple as that. You can’t blame the insurers. After all, health insurance is a business, not a humanitarian undertaking. Numbers are important to their bottom line, as it is for any business. The more they sell, the greater the profits. As a lone wolf, you’ve had to face the fact: alone, you’ll pay the most.

In its Health Reform Law, the federal government undertook bringing affordable insurance to all Americans. Recognizing that many self—employed people were uninsured because of the price tag on health insurance for individuals (as well as for small businesses), the framers of the law saw fit to include a requirement that aims to bring insurance cost for the ‘lone wolf’ down to the same price as the corporate man or woman now pays. In the near future, health insurance for individuals will be available at group rates. This will be made possible by the proposed health insurance ‘exchanges’.

The concept of health insurance exchanges is a brilliant solution to the inequity the self-employed individual now endures. These exchanges will be available throughout the country. Each exchange will represent a pool of many thousands, perhaps millions, of people up for health insurance. At each exchange, health insurance providers will make their products available, and the number of people  in a given exchange will be treated as a group, just as the employees of a corporation are treated as a group. The people who will belong to the exchange will be owners of small businesses and the self-employed (or unemployed) individual. Being a part of a group, these individuals are no longer required to pay premiums at their highest rates. They’ll get them at group or exchange discounts.

If you’re a self-employed individual looking for medical insurance, you’re in luck. Shortly you’ll be able to purchase health insurance at attractive corporate rates. It makes you wonder if the government, having done this, might not soon turn to the inequities in the tax code that penalize self-employment. For now let’s be happy we can finally get health insurance for individuals at affordable prices. We can be healthy and live!

Tags: health insurance for individuals

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