Insurance fraud is rampant! I'm talking policy premiums. Argh!
7 years ago
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What happens when you don't have Health Insurance?
Comments (65)Late husband worked for a health insurance company, and that was the last time we had a health insurance benefit. When he left that job, we got catastrophic care insurance, with a huge deductible. We eventually opened HSAs as well. Over the last ten years, each of us has had jobs that offered health insurance plans. We looked at the cost (to the employee) of those company plans, and the benefits, and restrictions imposed. We compared them to the cost of our current plans and benefits, (when you pay yourself, you chose who you want with no restrictions). The HSA balance creeps up over time, allowing more payments, (dental, doctor's office visits, optometrist exams,) on a schedule we controlled, instead of what the company plans would allow. Employers have been hit hard the last few years, too. The workplace plans we were offered had higher premiums than our individual accounts with Unnamed Health Insurance Company, and were not of more value to us. In spite of being a "catastrophic care" policy with a high deductible, It seems to be paying for things, or making partial payments for things, every time i turn around. Tick removed from back at walk-in facility: Paid half the bill. Prophylactic medication in case I was exposed to Lyme disease: I was stunned to have the couple bucks and change it cost. I asked the pharmacist "Isn't there a minimum dispensing fee?" Yes, she said, but the insurance covers it. If I hadn't had that policy, it would have been twenty dollars or so, for two pills. As it was, I paid less than three dollars out of pocket. I'm actually quite happy with the situation I'm in: the fewer people sticking there noses into my health care (policy wonks in DC or that lady in personnel) the better I like it. And it had no bearing on Poor Late Husband's demise: He had lung cancer, quite likely from his thirty eight years of smoking two packs a day. There were unusual circumstances that contributed to his sudden death only five weeks after diagnosis. No amount of chemo, surgery etc., would have saved him. I had a cancer scare myself, actually less than three months after his passing. I asked a nurse what would happen if I had cancer, and my insurance didn't cover treatment. She said she didn't know how that worked, and she said the doctors and nurses take precautions to not know anything about the finances of patients. That way, she said, those with or without insurance are treated the same way while in the hospital. I think it's stupid to go without insurance to have more money for lattes and cell phones, but I defend others' rights to spend the money they earn in a way that they find valuable. As for people who "End up in the emergency room because they couldn't afford a doctor" I've personally known, lived near, worked with some of those people...and they abused the emergency room option so they wouldn't have to pay. I've heard them rationalize taking a child with an earache to the emergency room to avoid a $20 co-pay at the doctor's office, and the hassle of scheduling an appointment. Then in the next breath they griped that they had to wait so long to be seen....See MoreInsurance premiums went up $200.00 month!
Comments (48)DH said the other day, "We'll pay for it in our taxes or we'll pay in the ER" which is true. I don't mind at all paying taxes to cover more american's health care costs...but I do mind paying taxes to fund thee deaths of thousands of our youth in wars we shouldn't be fighting. My biggest issue with this debacle is that it's not health care reform (call it that all you want but it's not!) It's just a screw around issue with insurance companies that obviously isn't working terribly well for most. I like parts of it, but the ability to hop prices up the day after the bill passed should have been addressed if our congress wouldn't have tried to rush this through. Goldie shouldn't have to "win"...it should have been a clear mandate to be enforced immediately. This staggered crap just means that when we have a new administration, and we will, it will be available for debate and for new laws to remove all that this bill might have done good. Health care reform though was desperately needed. At every hospital we visited we saw this need. Families that weren't devistated by costs so much as they were by lack of a good system of diagnosis. No standard of care from state to state, no central records keeping....transfering records from hospital to hospital is a nightmare! And that pile of lost paperwork (they forgot to include an early bloodwork result in our package and that carried over from hospital to hospital because we were copying the original package with the forgotten piece). that one little slip was the answer to our son's pain taken within the first month of his life, he suffered for three years because the other doctors didn't see that one piece. And this is not the first case of a medical clue gone astray. So many things aren't covered, so many issues of health care and drug costs that were swept under the table....terrible stuff. And as to the life expectancy issue.....life style does come into play there. I know that at all of the hospitals we went to for rare diseases, the beds were full of children from other countries. Most paid cash to get to America for the quality care of someone who actually specialized in their condition. At Johns Hopkins half or more (it varied) of the children in the program we were in were from other countries, including Canada, Japan, Quatar, Mexico, England and Germany. They paid cash to get in because it was the best program in the world. America is tops in many many areas of the medical world, but getting the kids or adults who need the special care to the specialist facility is an exercise in futility most often. My frustration shows :) I know that many know what real medical trials are....and I can easily say I'd probably view the insurance reform differently if I hadn't experienced what we did. But my experiences led me to see that this is all a silly joke without addressing the real issues that needed to be addressed....See MoreAnyone recently look into Long Term Care Insurance?
Comments (8)Yes, but his information is accurate, so at least it lets Mary know a little bit more as she continues her research. I agree Mark has breached the terms of posting here, but sooner or later Mary's got to talk to an agent or broker to get some idea of whether she even qualifies for an LTC policy, aside from type and price. One can only go so far in continuing to post discussion threads. The trouble with LTC is that people talk about it and talk about it, but very few people actually do it. When people talk about financial planning, this is why I keep insisting that it has very little to do with ROI. True financial planning is mitigating your personal risks against not achieving the retirement lifestyle you want to have. If your LTC risk is high, as ours was, and you don't take steps to mitigate it, your financial planning was and is, inadequate. If you have a high risk of needing help with LTC and haven't budgeted properly for it - whether self-insuring or buying some type of LTC insurance - you are playing dice with your money and possibly involving some risk to those who would need to help take care of you. Mary's got the right idea - you want to deal with a company that is solid and reliable - but she's participated in many LTC discussions over the past four years, and still has yet to 'pull the trigger.' LTC insurance just keeps getting more expensive, and if one waits too long, sometimes the decision gets taken away, by a health issue that precludes getting any affordable LTC policy of any type. I have a sense of urgency about it, because I personally have friends/family who were offered LTC insurance in the last ten years and turned it down, and now that they're closer to retirement, honestly admit they regret not buying it. Now they're terrified, and rightly so...but it's too late for them. They're medically rateable, and can no longer afford it....See MoreMy DH wants this house: someone talk sense into him!
Comments (62)jkom, You seem the to be the only one with an understanding of the structural bracing necessary in an earthquake territory. The earthquake issue poses very real and expensive challenges in updating old houses. Do folks in other parts of the country not worry about crumbly concrete? I have only lived in the Pacific NW. It is actually quite common to see old houses lifted up on jacks and have the foundation re-poured and the house set on a new foundation. Our GC told us that it costs 50K-100K to do that. Since that is quite commonly done, my DH's proposal is to rotate the house at the same time if physically possible! In a $1mil house, it is a doable proposition. We live in a remodeled 1950s house right now. We took off all old lap-sheathing under the old siding, placed structural plywood sheathing with bracing everywhere. We had to get engineer's sign off prior to starting the project... We bolted framing to the foundation in the basement before finishing the basement. Our current house has been 'earthquake retrofitted'. It cost A LOT of money without really increasing the value of the house. When you go to sell the house, most people (young buyers or people from elsewhere in the country) don't realize what it takes to do that. We have friends in the SF bay area, CA that bought a house with the idea of total remodel. When they started to rip out things, they discovered that the foundation was damaged beyond repair and the previous owners covered it up to sell it. They actually demolished the house, then rebuilt on the lot. They sued the original owners... Our friends ultimately won the case. I think our friends with really deep pockets may have ended up paying more money in legal fees than what they got out of the settlement because they were MAD about the fraud. These things happen, buying things that are beyond what one had anticipated. I am putting a big padding number to not be surprised, hence my $500K to $750K number to update structurally to not have a total loss.... Anyhow, old houses with structural issues in an earthquake territory is a sad thing. There was an amazing old house on a steep hill in my neighborhood with really a stunning view. WAY WAY better than the one we are considering. The house was used as the Italian Consulate in its heyday. It even had a ballroom. Due to structural issues, the person who bought the house ended up donating the property to the city and the house was demolished, and the lot subsequently became a park. I think the tax break they got from the donation was easier to swallow than what it could have cost to restore. One of the due diligence we need to do is to see if we can get a reasonable earthquake insurance on this property. Many old houses in Seattle cannot get ANY earthquake insurance unless you do the extensive earthquake retrofit. For those folks not familiar with earthquake premiums, you buy separate earthquake policies in addition to the regular home owners insurance. The premium is usually equal to the regular home owners insurance. The deductible is generally 20K or more on an earthquake insurance. We have multiple rentals and we carry earthquake insurance on all of them. It costs several thousand $s every year for that! After what happened in Japan and Katrina, we are unsure if the earthquake insurance will actually be helpful if the city was a TOTAL disaster to the point where bridges fell down, tall buildings tumbled. But alas, we play by the rule and hope that the insurance companies also play by the rule....See More- 7 years ago
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