With health care costs soaring through the roof, the cost of
health insurance premiums are increasing as well. Health insurance is a
necessity, however, when you consider the costs of one visit to the
emergency room, surgery to set a broken bone, scans, lab and other
costs. When your budget is limited, how can you keep the costs of your
health insurance premiums down? There are several steps you can take to
reduce your health insurance costs and still maintain adequate medical
coverage when you need it.
First step is to consider what health
insurance options you have. Does your employer offer a group medical
benefit? Many employers (and/or labor unions) offer health benefits to
full-time employees. Group health insurance is usually the cheapest way
to get medical coverage; an employer can negotiate with health
insurance companies to get a group health plan at cheaper rates. In
addition, many employers will pay part of the premium, reducing your
health insurance cost even further. Another consideration is whether
your spouse has health coverage available through their employer? If
so, compare your health benefits plan to that of your spouse, and decide
which health plan is the better buy. It may be possible to have one
spouse carry family health insurance coverage and the other drop their
health benefits. Many employers have multiple health insurance options,
so review these plans as well. Choose the health plan that best meets
your needs at the cheapest rate.
If no health insurance coverage
is available through your employer, there are other ways to obtain
health insurance coverage. Individual and family private health
insurance policies are available. Shop and compare benefits and
premiums from each health insurance plan. If you and your family are
generally healthy, the new Health Savings Account (HSA) may be worth
consideration. The HSA is an account that allows you to save tax-free
dollars for your medical/health expenses. Similar to an Individual
Retirement Account (IRA), you are limited in the amount that you are
allowed to contribute each year; however, with the HSA, withdrawals for
health expenses are not penalized, and no tax is paid on the withdrawal.
When paired with a health insurance policy that has high deductibles
and low rates, the HSA may be ideal for you. Save money in the HSA for
deductibles and co-pays, and you're set.
For those over 65 or
permanently disabled, Medicare is available through the federal
government. The original Medicare is an 80/20 plan (they pay 80% of
eligible expenses and the insured pays 20%) with an annual deductible
and a monthly premium. Supplemental health plans are available to cover
this deductible and co-pay. These supplemental health plans are
usually private and the insured pays a premium. In addition to the
original Medicare plan, there are Medicare HMOs. In these Medicare HMO
health plans, the Medicare premium is paid to an HMO to provide benefits
to the insured. HMO plans are more restrictive in that patients must
get care through a network provider, but often these plans cover more
prescription drugs and preventive care than original Medicare does.
Recently
some employers have offered lower premiums to employees who do not
smoke cigarettes. This is currently a controversial topic for some, but
it certainly may begin a trend. In the future, employers and their
health insurance providers could offer reduced premiums for employees
who maintain normal weight, exercise regularly, and receive certain
wellness benefits. Maintaining a healthy lifestyle lowers the risk to
the health insurance company that they will be paying big bucks in
health care down the road. And health insurance, as any other
insurance, is all about risk.
Bottom line: going without health
insurance coverage is a big risk for you. Find health coverage that you
can afford just in case Murphy comes knocking at your door!
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