Healthcare..is there another option that most don’t think of?

Friday, 28. May 2010

okay, so here is the deal, with all this healthcare talk all over the place it got me thinking. My husband and I own our own business, and therefore to buy personal health insurance for our family, the amount is outrageous! for a family of 4 for a decent plan, it cost us 650 dollars a month, plus a 25 dollar copay each time we go, and if anything major happens, we have to meet a 5000 deductible first. Prescriptions however only cost us 10 dollars, no matter what it is. However, we are a fairly healthy family. My children only go for their yearly checkups, and if they get an infection that just will not go away on its own. I only go once a year to the girly doctor. My husband goes once a year for a checkup. So, about 6 years ago, we dropped our insurance, we have not had insurance for 6 years! and this is why. for one year, we stuck our 650 a month into a savings..and when it came time for us to need something medical, we took it out of that savings and paid out of pocket. We called around to all the doctors in our area and within a 20 mile radius, and found one who understood we were paying cash from our own pockets and therefore, he gives us a discounted price for your normal basic run of the mill things..checkups, call in prescrips, etc. As for dental, it was way to expensive to begin with, we in turn also called around to dentists for our children at first only, so they could have a yearly check up. Why did we do this? because we never ever went to the doctors! our 650 was being wasted because we never barely used it! we were astonished to see that after a year we had saved up roughly 7800 dollars, and only used 1000 of it, which meant a savings of 6800 dollars…now after 6 years? we have about 30,000 saved…and we have not had to use it for any major health problems. With dropping our insurance we knew we had to insure our health, and that of our childrens..so we began to eat healthier, and we made sure our children as well as ourselves took very very good care of our teeth. We buckled down on our excercising and eating right, dropping all bad habits, smoking, drinking, sugary sweets (we still have the occasional sweets) and that also saved us money..at the time cigs were only 2 dollars a pack..but it does add up! so here is my question..what if everyone did this? what if everyone in america…dropped their healthcare? and only paid the doctors who worked for decent prices out of pocket in cash? and if we began eating healthier and diminished bad things? what would happen then? what would the health insurance agencies do? what would the other medical doctors who charge and arm and a leg do? Just something to think about is all I’m saying. Right now..my husband and I are only 29 and 33…if we continue as we are, we stand to save 204,000 dollars by the time he’s 63 and I’m 59..add the interest rate to it that our bank gives us, and we have decent amount of money. We have talked about if something big pops up, like broken bones, and such, or illness, but our doctor has assured us that he can guide us in those situations, what to do, where to go if need be. My point is …if a good percentage of people did this, especially those who are well off? and could afford to do it this way? would the prices not come down? to make it more affordable for everyone? I can tell you in six years, we have not had a huge problem. We had the birth of our 2 year old, I went to a midwife, the whole thing cost us 10k, alot yes…but we had it saved already, midwife is not the most common pick today..but I can tell you my experience was equal to that of the birth of my 8 year old in the hospital, in fact it was a bit better, more comforting really. Not for everyone..but again..what if a large enough percentage of people followed along?
rrm….what coverage is that? and how does it work? I haven’t seen something like that, but then again, we haven’t gone searching for any in the time being. Any info you could give me on would be appreciated. Like, what does it cover? and are their deductibles, only certain hospitals to go to? etc. Thanks for the info!
michel, not to mean honey, at all…but that is kind of one of my points on the buckling down issue, we do have to be more vigilant about ourselves, more aware of our surroundings, it causes us to be that way when we have no coverage..which would mean…I would never ever, under any circumstances, pour hot oil into any container..doesn’t mean I’ll never have an accident, it just means I am much much more vigilant about me and my children.

Some oppose proposed health care Public Option? Does the current All Private ‘option’ work?

Wednesday, 28. April 2010

VA (Veterans Administration) healthcare is one of the best yet cheapest providers out there. Of course, it’s only for veterans.
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Public Option will provide similar services and savings to rest of country.
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This buying/bargaining power specifically opposed by drug companies during Medicare Prescription Drug Benefit debate.
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Their well-funded lobby – which bought services of a Republican former Congressman for $2,000,000.00 a year – ensured Medicare, unlike the VA, NOT ALLOWED TO BARGAIN down drug prices!

4 Tier Prescription Plan – An Affordable Option That Saves You Money And Puts You In Control Of Your Prescription Costs

Tuesday, 9. March 2010

The cost of Prescription drugs are increasing dramatically and unfortunately more and more of the expense is coming out of the consumer’s pocket. As only about 60% of employers help to cover health insurance and prescription costs for their employees, this places more of a burden on the consumer. A 4-Tier Prescription plan is an option that saves you money on your prescriptions and makes prescription coverage more affordable for you.
What is a 4 Tier Plan?
With a 4 Tier plan, prescription medications are divided into co-payment categories that are called Tiers. A consumer’s co-payment is normally the least for generic or brand name medications that are on the Preferred Brand Drug List. Example of Tier Pricing: Drugs in the 1st Tier are priced less than $10, prescriptions in the 2nd Tier are less than $20, drugs that fall in the 3rd Tier are less than $50 and drugs that are in the 4th Tier are at special negotiated discount prices. Consumers can normally fill prescriptions at most pharmacies and there are no deductibles that have to be met, no age requirements, no claims forms and no waiting periods. Consumers simply present their prescription card to the pharmacist to receive the discounted Tier pricing.
Are Generic Medications a Good Alternative?
A drugs brand name, is the trade name under which the product is marketed and sold, and is protected by patents so that it can only be produced by one manufacturer for a certain number of years. Generics are basically a chemical copy of the brand name drug. The drug may look different such as a different color or shape, but the active ingredients must be the same for both. Using Generic drugs does not compromise the quality of your health care and they are lower-cost alternatives to brand name drugs. The preferred drug list contains only FDA-approved generic medications. Brand name drugs are also included on the Preferred Brand drug list.
How can a 4 Tier Prescription Plan be beneficial for you?
A 4 Tier prescription plan is designed to provide you and your physician with a high quality benefit. One that helps manage costs while still offering enormous choice. When you visit your physician, take your prescribing guide with you and have your doctor choose a preferred drug that is in the same therapeutic class in place of an expensive brand name medication that is right for you. This can significantly lower your prescriptions costs and allow you to keep more of your hard earned money in your pocket.
Today’s consumer must take a more active roll in his or her own healthcare and the associated costs. A 4 Tier Prescription plan provides a prescribing guide with the preferred drugs available in each Tier. This allows you, along with your physician, to choose a drug from the same therapeutic class that is right for you and that can save you a substantial amount of money and put you in more control of your out of pocket prescription expenses. 4 Tier Prescription plans are available to both individuals and employer groups.

Petrea Dishman at Affordable Health & Benefits