
teodor d asked: Can someone have enough money in your opinion to pay for medical problems as they show up if they have an individual insurance? Personally I consider myself a reasonably healthy individual. I just got my first insurance policy(came off of my parents) and got hit with an exclusion for just going to do some preventive healthcare. I was feeling stiff so I went in for a back adjustment. No permanent condition no nothing just preventive so I don’t get something else.
In the near future, when I actually finish college and get a degree, I’m looking at getting a job that pays starting salary 40,000 -45,000 a year in a city where prices are about national average. I would say that what I would make would probably be average nationwide for a location that has average costs of living. For a fact I know that most insurance plans for group coverage I would get would be worse than my current plan(maybe a lot worse).
How could someone like me afford to pay for ALL health insurance problems as they show up? I am just scared thinking that some very simple procedures can cost in the $10,000’s range or more. Couple that with the fact that insurances will exclude anything they legally can is a nightmare to think about.
The big deal is in the fact that most group policies even if they will include preexisting conditions have coverages that are horrible if you have large expenses. Also most group policy’s are PPO’s Or HMO’s both of which are not what you should have. No one nowadays seems to have a full indemnity as a group plan. The bigger deal also is that these plans doctors are known for doing everything to cut costs and are rated by their insurance policies on how well they do that. That’s why I absolutely will go with indemnity every time.
Last but not least even though these group will likely cover preexisting conditions the coverage rates they have are bad to worse. Many have a 2000$ deductible or more as well as large copays on everything 20-30-40%. If you had a 200,000$ health bill and you pay 20% thats how much you make in a whole year.
So, yeah that’s the big deal of How can someone afford to fix their health problems as they come up. To me it looks like you can’t.
The only better PPO was the one I was on from my parents policy. They paid for medical dental(small annual cap of $2000 only) and vision $900+ per person per month. That plan still offered only 70% reimbursement in hospital expenses and no out of pocket cap to you as a insured.
Lydia