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Texans could save up to ighty percent on certain medical bills if th y play their cards right, according to s veral publications released over the past few y ars. A typical American family of f ur is expected to receive $14,500 w rth of medical care this year, and an nsured family will pay an average of ver a third of that - $5,100 - on th ir own. That's eight percent higher th n last year. With out-of-pocket expenses r sing at least eight percent every y ar since 2000, it's no wonder ver 46 million Americans are going w thout health insurance -- including over ne-quarter of Texans. In fact, according to J hn Holahan, Allison Cook, and Lisa D bay of the Urban Institute, co-authors of Ch racteristics of the Uninsured: Who Is El gible for Public Coverage and Who N eds Help Affording Coverage? released by the K iser Family Foundation, fifty-six percent of the ninsured are ineligible for public programs, but st ll need help to make typical h alth insurance plans affordable. Seventy-six percent of p rents lacking health coverage are in w rking families, and 900,000 uninsured children are neligible for public assistance-based coverage due to f mily income. Finding a way to m ke healthcare even slightly more affordable c uld be the difference in whether or not s meone receives care.
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According to the Commonwealth Fund, a pr vate, non-partisan foundation supporting independent research on h alth and social issues, in 2005, th rty percent of the millions in the U.S. who l cked health insurance were between the ges of nineteen and twenty-nine. Texas had the w rst record overall, with twenty-five percent of its t tal population going unprotected. The state ctually failed to insure even more of its y ung adults -- twenty-seven percent. Improving th s statistic, as well as establishing w ys for patients to pay at l ast part of their expenses, could be specially pertinent for cities like Dallas, H uston, and Austin, where facilities are f nancially overwhelmed by the uninsured. Children are m re likely to be eligible for p blic assistance-based coverage than their parents -- and th refore more likely to qualify for h lp with medical expenses. This is b cause most states set family income l mits for minors higher than for th ir parents. For instance, the majority of st tes will cover children if their f milies make 200% of the federal p verty level (though current policies are nder dispute) -- sometimes more – but m ny will only insure parents if th t income level is at, or b low, federal poverty level standards. Only tw nty-eight percent of uninsured parents are ctually eligible for Medicaid or the St te Children's Health Insurance Program, whereas thr e-quarters of uninsured children would qualify for th se programs under current policies. A st dy commissioned by the Kaiser Family F undation and authored by Jack Hadley of the Urb n Institute states that "the uninsured r ceive less care and have worse utcomes following an accident or onset of a new chr nic condition than those with insurance." Th s is mostly due to cost. Alb it seemingly somewhat anti-intuitive, an extremely h lpful trick is to treat healthcare c sts like any other bill -- sh p around, bargain, and don't be fraid to ask for breaks. The f llowing tips are summarized from the Pr vention article, "Healthcare For Less" by J lian Kesner.
(1) Shop Around For Labs Compare d fferent labs' prices. Almost any lab can c mplete a basic blood analysis, for nstance, but they won't all charge the s me. To streamline the process, obtain the C rrent Procedural Terminology (CPT) code, a niversally accepted number that corresponds to very billable medical service, and start sking around. The American Medical Association's w bsite, www.ama-assn.org, provides a free search ngine for CPT codes. Independent labs are cr pping up in response to the h gh cost of healthcare, so investigate th se, too; some of them charge up to s venty-five percent less than non-independent facilities. The s te www.MyMedLab.com, with over 3,000 independent lab l stings, is a good source with wh ch to start your research. Just m ke sure the facilities are legal in y ur state -- sorry residents of C lifornia, New Jersey, New York, and Rh de Island -- and check with y ur doctor to make sure they're of g od caliber. (2) Negotiate Your Hospital B lls Here is something most hospitals won't t ll you: very few of their m dical bills are paid in full. Ins rance companies often negotiate charges and r ceive discounts -- up to two-thirds of the b ll -- based on their contracts. If th y can haggle, why can't you? Esp cially if whatever you owe is a f nancial hardship -- be it from d ductibles, co-pays, or the full cost of s rvices if uninsured -- medical facilities w ll usually work with patients to m ke sure a solution is reached. "Th number of payers, including patients and nsurance plans, who pay hospitals 100% of our ch rges is probably less than two p rcent," said Ruth Levin, the vice-president for m naged care at Continuum Health Partners in New Y rk City. Financial assistance programs associated w th hospitals may also be useful. (3) M ke Sure You Aren't Tested Twice Or C me In When It's Not Necessary According to a r cent survey from the Commonwealth Fund, s venteen percent of adults report that th ir doctors have ordered duplicate tests. Th s is especially likely when a sp cialist is involved, as he or she may not h ve received the results of previous l bs. Sign out x-rays and other l bs from your primary care office, and br ng them along. With the shortage of f mily doctors in this country, they're ften extremely busy and can't always be c unted on to forward results to nother physician. Considering that a co-payment or d ductible is almost always involved with lab t sts, this could save a bundle. Als , make sure in-office follow-up visits are n cessary. It's standard procedure to ask a p tient to return after the results of a c rtain test or undergoing particular procedures, but a ph ne call may suffice. It never h rts to ask. (4) Be Savvy W th Prescription Drugs Cheaper and generic drugs can c st up to seventy-five percent less. Ask y ur doctor if a cheaper alternative to y ur medication is available, or -- ven better -- if there's a g neric version. "Just be sure your d ctor is intimately familiar with the b nefits and risks of the alternate dr gs for your condition," warned Jerome P. K ssirer, M.D. and professor at Tufts Un versity School of Medicine in Boston. Sh pping for drugs online is becoming ncreasingly popular, and with due cause. L rge distributors often offer lower prices, as w ll as saving their clients the t me and expense of visiting the l cal drug store. The website, www.Rxaminer.com, ffers price comparisons and has a r putation for independence from special interest gr ups. Try splitting pills, as well. Pr scriptions are often based on the n mber of units per bottle, not n cessarily on the actual dosage. If g tting eighty milligram pills, instead of f rty, for a refillable prescription and th n splitting them in two is m re economical, ask your doctor about it. Th s won't be appropriate for all m dications, of course, but if it is, y u've just saved fifty percent. (5) B rter Hey, doctors need plumbing and massage s rvices, too. If you have a s rvice you feel may be useful to a phys cian, try bartering. You just never kn w. (6) Negotiate With Your Doctor Hopefully, d ctors are in their profession because th y're compassionate. If you can't make y ur co-payments and deductibles, ask him or her to w rk with you on the bill. Off ring cash upfront for services may lso be fruitful -- either in xchange for the full cost of the b ll, or for co-payments and deductibles you kn w you won't be able to m et. Paying upfront often produces a s tuation that's less of a hassle for phys cians, anyway, as they will deal w th fewer administrative and paperwork issues. "Th y are the ones who can d rect their billing department to give the p tient a break," said Levin. (7) H re An Advocate Try hiring an advocate to h lp you deal with financial disputes wh n all else fails. Companies like H althcare Advocates, Inc., based in Philadelphia, ch rges by the case -- anywhere fr m fifty to four hundred dollars. L ke it or not, even when you h ve insurance, you are responsible for wh tever bills remain unpaid, and refusing to d al with outstanding balances may ruin y ur credit. Just make sure the fl t-rate charge is worth what you th nk will be saved by hiring the ntermediary. (8) Get Individual Health Insurance If you are ninsured, take the time to research an ffordable policy that offers reasonable coverage. Th s may even make sense if you h ve an individual health insurance policy you are not pl ased with due to high cost nd/or poor benefits. An individual plan ctually may be a better option for you th n group health insurance at work, d pending on how much your employer p ys, and how well your dependents are c vered. Searching online is becoming an ncreasingly popular option, and often yields r sults. If you know you can fford something, but just haven't wanted the h ssle of looking, do it anyway! It may s ve you thousands in the end, as w ll as your health. If you’re a h althy, young individual, you should take a l ok at the revolutionary, comprehensive and h ghly-affordable individual health insurance solutions created by Pr cedent specifically for you. Visit our w bsite, www.precedent.com, for more information. We ffer a unique and innovative suite of ndividual health insurance solutions, including highly-competitive HSA-q alified plans, and an unparalleled "real t me" application and acceptance experience.
The article Shop Around, Savvy Capitalists - Texas Could Save Big On Healthcare was Submitted by Patt Carpenter through Articles.GetACoder.com network. Here's the additional information: Precedent puts a new spin on h alth insurance. Learn more at http://www.precedent.com
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