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It’s no secret that U.S. health care costs are rising through the roof.
Unless you and your family are endowed with superior genes, you’ve probably
faced your share of health care expenses.
Luckily, there are ways to cut your health care costs without reducing the
quality of care you receive. Here are a few tricks and tips for reducing your
family’s health care costs—
Choose wisely. First and foremost, it’s important to select the best
health insurance plan for your personal situation. The cheapest plan is not
always the best. Even if your monthly premiums are extremely low, you’ll lose
money in the long run if the plan doesn’t provide the benefits you need.
Typically, if you’re young and healthy, you probably won’t be making many
trips to the doctor’s office. So your best bet may be to choose a plan with
lower premiums and higher copays. On the other hand, if you’re older, have
health problems or have young children, you’re probably going to spend more
time in the physician’s or pediatrician’s office—so you should consider a plan
with lower copays, for which you’ll pay a higher premium.
Follow the rules. It’s extremely important to know the rules of your
particular health insurance plan and follow them as closely as possible. If you
don’t, your insurance company could deny your claims or reduce the benefits
that it pays, leaving you with a hefty bill.
Don’t ever assume that a medical procedure is covered by your plan or that a
physician is in your network—and don’t expect the doctor to tell you. It’s no
one’s responsibility but your own to know your health plan’s rules. Take a look
at your insurance plan’s handbook or Web site to see if you are covered before
you receive treatment. If you’re still unsure, call your plan’s customer
service number.
Create an emergency plan. Don’t wait until a medical emergency
strikes to figure out which hospitals are in your insurance plan’s network. You
and your family should have an action plan in place in case one of you becomes
extremely ill in the middle of the night.
Figure out which hospitals are in your network and keep the addresses and
phone numbers of the closest ones on hand. Familiarize yourself with your
plan’s rules about ambulance services and emergency room copays. You also
should figure out if your physician’s or pediatrician’s office offers
after-hours services. This could save you a trip to the hospital and a great
deal of money. If an emergency does arise and you’re not sure what to do, call
your provider’s 24-hour emergency help line number, which usually can be found
on the back of your insurance card (but don’t delay in seeking care in the case
of a true emergency).
Save at the pharmacy. Ask your doctor to prescribe generic drugs,
which are more cost-effective than brand-name drugs. You could reduce your
prescription costs by $10 to $40 per medication.
Tap into health care spending accounts. Several different types of
health care savings and/or spending accounts are becoming increasingly popular
in the United States. One of these, the flexible spending account (FSA), is an
employer-sponsored plan that allows you to set aside money and then pay for
out-of-pocket health care expenses on a pre-tax basis. (FSAs also are available
for dependent day care expenses.) From a health care FSA, you can use pre-tax
dollars to pay copays, deductibles, dental and vision expenses, and any other
health care expense that is not covered by your insurance plan.
Get healthy. If you are a smoker or are considered obese, you’re
paying the price when it comes to health care. The direct health care costs
associated with smoking exceed $16 billion a year. Over a lifetime, smokers pay
approximately a third more in health care costs than non-smokers—even though
smokers live for fewer years.
Overweight people also face higher medical expenses. According to a 2002
study by Rand Corp., Americans who are obese pay $395 more a year in health
care costs than those of a normal weight. Not to mention that overweight people
often have a difficult time obtaining health insurance—which means that they
can be stuck with the bill if they suffer from a serious illness or injury.
Experts believe that if you quit smoking, lose weight (if you are
overweight) and exercise more, you’ll save untold amounts of money in the long
run on health care expenses. Plus, because they generally live longer,
healthier people get better life insurance rates.
Know your plan and try to curb any unhealthy lifestyle issues, and your
health care dollars can go a lot further.
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