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Author Topic: Health Insurance Advice  (Read 4247 times)

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Offline Vincancino

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Health Insurance Advice
« on: August 03, 2023, 10:22:06 PM »
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  • Hello members of Cathinfo, I need some advice please. My wife and are looking for a private health insurance for our family, but are also considering remaining cash paying patients. We are both in our early 40's and have 3 kids under 5 yrs and rarely visit the doctor. We live in California and I am self employed with modest income. If you were in my situation, would you shop for and insurance or continue paying out of pocket when necessary? If having private insurance is better, are there insurance that are Catholic or does it matter? I would like to know your thoughts, I've notice almost all members are very knowledgeable on the forum. Thank you very much.

    Offline Giovanni Berto

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    Re: Health Insurance Advice
    « Reply #1 on: August 03, 2023, 10:31:01 PM »
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  • I don't even live in America, so I don't know how your health insurance works, but I can tell you that you can have some sort of bad surprise with the health of some family member, and the hospital bills will certainly be horrendous.

    I would rather pay for insurance and not use it than take the risk.



    Offline Mark 79

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    Re: Health Insurance Advice
    « Reply #2 on: August 03, 2023, 10:51:15 PM »
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  • Hello members of Cathinfo, I need some advice please. My wife and are looking for a private health insurance for our family, but are also considering remaining cash paying patients. We are both in our early 40's and have 3 kids under 5 yrs and rarely visit the doctor. We live in California and I am self employed with modest income. If you were in my situation, would you shop for and insurance or continue paying out of pocket when necessary? If having private insurance is better, are there insurance that are Catholic or does it matter? I would like to know your thoughts, I've notice almost all members are very knowledgeable on the forum. Thank you very much.
    When you're young (and unvaxxed), the odds are decent that you won't have a catastrophic health problem and resultant catastrophe. You can take the risk of being uninsured. That said, even if you break a bone that requires a surgical intervention, you are easily facing a >$50,000 expense.  Through my recent surgeries I had the unwelcome opportunity of dealing with the bills. One particular 40-minute laser procedure, done only under a propofol drip (as inexpensive as it gets), was billed at $84,000. From registration to discharge was a total of about 3 hours! Thank God that our insurance covered all but about $5,000.

    As you get older the odds of skating by without some such unwelcome and unplanned surgery get slimmer by the day.

    Is there a solution? Not really. Insurance is a jew business and their goal is profit, not your health.

    What are your options? Go  "naked" (= roll the dice without any coverage). See if you qualify for coverage through some .gov/.ZOG program (Medicaid, Medicare)? Bite the bullet and pay through the nose (family of 4 ~$2,000/month) for "catastrophic" coverage that will put you at risk for a big ($10,000-$20,000) deductible? In that case. you pay $24,000± annually for the "privilege" of paying "only" $20,000 deductible if you need a hospitalization. Self insure? Do you really want to bank $50,000 dedicated to medical coverage?

    Another imperfect alternative, you or your wife get a job that includes a decent health policy.

    Offline SimpleMan

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    Re: Health Insurance Advice
    « Reply #3 on: August 03, 2023, 11:56:28 PM »
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  • I am retired and have ACA insurance through Blue Cross.  I pay $243 per month and will age out of ACA in two years when Medicare kicks in.  My son is on his mother's health insurance, so I pay nothing for his.

    My Blue Cross coverage is excellent and my copays are minimal.  

    Only kicker, I cannot smoke or even vape.  I haven't smoked leaf tobacco in about eight years, and the rule now is that you cannot even vape.  I always say, for my 65th birthday I'm getting myself a pack of Camel straights (non-filtered).  Don't intend to develop a habit, but they were the best, more like smoking a Gauloises or something.  An occasional cigarette isn't going to hurt anybody.

    Offline Nadir

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    Re: Health Insurance Advice
    « Reply #4 on: August 04, 2023, 12:07:52 AM »
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  • Like Giovanni, I don’t live in America. Overall, our Australian health system works well. Here we get what services are necessary, without insurance. If you have insurance some treatments are pushed which are quite often unwarranted. 

    Sounds like your were similar ages to us when we had our children. 

    I paid insurance as a single girl, because my father did before me. When we married we decided against insurance. He is opposed to non-compulsory insurance. Everything went smoothly. We were covered by the Oz system of Medibank. We never earned enough money to pay, lived frugally offgrid etc.

    I had a heart attack at 49, and got excellent treatment. My husband does not see a doctor, except to get his driver’s licence renewed.

    In our old age, 77 and 82, we never do vax, eat healthy

    In 2017, while working in Madagascar, I had a stroke. Treatment was appalling, and eventually air ambulanced to Mauritius. Treatment was good. Eventually I was well enough to fly business class to Australia. My husband had trouble accessing funds, but two of our chilren paid, and we paid them back later.

    My daughter who was a nurse in a hospital told us the treatment of public patients is equal to or better than private (insured) patients.

    That’s my 2c. for what it’s worth. Not that it will be terribly relevant to your Californian situation. Spend wisely, live healthy and hope for the best.

    Help of Christians, guard our land from assault or inward stain,
    Let it be what God has planned, His new Eden where You reign.

    +RIP 2024


    Offline Mark 79

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    Re: Health Insurance Advice
    « Reply #5 on: August 04, 2023, 12:23:30 AM »
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  • I am retired and have ACA insurance through Blue Cross.  I pay $243 per month and will age out of ACA in two years when Medicare kicks in.  …

    I infer then that your retirement bargain is directly a benefit of "get a job  that provides insurance."

    I know of no self-employed person who pays such a low rate for even 1 individual.

    A few days ago, I was discussing insurance costs with a lady who told me she is paying $700/month for her Medicare Part B only.



    …got excellent treatment.…

    About 15 years ago I was trying to have a heart attack :laugh1: and all the private hospitals within reach were "on bypass" (full, so not accepting new patients).  The ambulance took me to our county hospital (horrible reputation). I thought I was a goner, but instead received excellent care, a stent, and was fixed within a few hours and went home the next day.


    …Spend wisely, live healthy and hope for the best.


    Yes… Be good and be well!

    Offline Mark 79

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    Re: Health Insurance Advice
    « Reply #6 on: August 04, 2023, 12:28:46 AM »
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  • Weird software bug

    Offline SimpleMan

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    Re: Health Insurance Advice
    « Reply #7 on: August 04, 2023, 02:23:23 AM »
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  • I infer then that your retirement bargain is directly a benefit of "get a job  that provides insurance."

    I know of no self-employed person who pays such a low rate for even 1 individual.

    A few days ago, I was discussing insurance costs with a lady who told me she is paying $700/month for her Medicare Part B only.

    I have a fairly low income, just pension, Social Security, and whatever I have to take out of my 401(k) to make ends meet.  (Thankfully, my stocks have been doing very well this year.)  I am able each year to report a projected income that is very accurate, as I know what my pension and SS are going to be, and I figure out what I am going to need to take out of 401(k), add it all together, and that's what they base my subsidy upon.  I have my home paid for, and I live very frugally out of necessity.  In fact, lately, I've been using my food storage to keep my grocery bill down.  No use letting perfectly good food go to waste.

    My mother has Medicare Part B and she doesn't pay nearly as much as the lady whom you mention.

    Not clear what you mean by "I infer then that your retirement bargain is directly a benefit of 'get a job that provides insurance' " No offense taken, I just don't understand the sentence.  I am partially disabled, and on top of that, have elder caregiving and full-time parenting and homeschooling responsibilities, so getting a job wouldn't work right now.  After my son finishes high school, I may try to get some kind of work-at-home hustle.


    Offline HeavyHanded

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    Re: Health Insurance Advice
    « Reply #8 on: August 04, 2023, 05:48:03 AM »
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  • Another option is a Christian healthcare sharing network. They are mostly Protestant, and technically not insurance. They can be a bit of a pain to use, as you have to do a lot of the footwork when it comes to negotiating with doctors and hospitals. You are technically self pay but you need all the same paper work the insurance companies need. We used Samaritan for a few years, but stopped when they started increasing the costs during Covid. For your family size it would be about $600 a month, $400 “co-pay” and limit of 250k per “need”. They also do not cover pre existing conditions. Overall it’s a good program, but costs are always going up, and I didn’t want to pay for the health issues of thousands of people that were stupid enough to get the jab. 

    Offline 2Vermont

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    Re: Health Insurance Advice
    « Reply #9 on: August 04, 2023, 06:20:21 AM »
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  • Personally, I wouldn't go without insurance, but I have no idea where you can find reasonable, private insurance.  We have been lucky in that my husband works in healthcare and, although the insurance costs have gone up over the years, it's still a great plan compared to much of what is out there these days.

    Offline Ladislaus

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    Re: Health Insurance Advice
    « Reply #10 on: August 04, 2023, 07:11:48 AM »
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  • Yeah, it's a huge risk to go without insurance, since, as others have pointed out, even a relatively minor procedure costs thousands, or 10s of thousands these days.  You can think you're in great health, but accidents happen and people are surprised every day with unexpected health conditions.

    I think you also get some penalties from the IRS if you don't have health insurance.


    Offline B from A

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    Re: Health Insurance Advice
    « Reply #11 on: August 04, 2023, 07:18:58 AM »
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  • Another option is a Christian healthcare sharing network. They are mostly Protestant, and technically not insurance. They can be a bit of a pain to use, as you have to do a lot of the footwork when it comes to negotiating with doctors and hospitals. You are technically self pay but you need all the same paper work the insurance companies need. We used Samaritan for a few years, but stopped when they started increasing the costs during Covid. For your family size it would be about $600 a month, $400 “co-pay” and limit of 250k per “need”. They also do not cover pre existing conditions. Overall it’s a good program, but costs are always going up, and I didn’t want to pay for the health issues of thousands of people that were stupid enough to get the jab.

    I know several people who use this type of option, and are very happy with it. 

    Offline Ladislaus

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    Re: Health Insurance Advice
    « Reply #12 on: August 04, 2023, 07:22:06 AM »
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  • You can also check here ...
    https://www.healthcare.gov/see-plans/#/

    I found some plans here for a family of 6 for $25 per month (after tax credits) that have a high deductible ($18,000), but that would at least protect you from catastrophic situations where you're on the hook for hundreds of thousands.  There were some in the $400 per month range with $1500-$1800 deductibles.  I'd at least consider the $25 plan to prevent becoming an indentured servant for the next 50 years in case you incur a huge expense.

    Offline josefamenendez

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    Re: Health Insurance Advice
    « Reply #13 on: August 04, 2023, 08:53:00 AM »
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  • Not something to count on, but hospitals can and do reduce payments SIGNIFICANTLY, and many times just write them off since they get an enormous amount of government money to do just that, especially after COVID. I was  uninsured for 2 years and every procedure that I had at the hospital was reduced by at least forty% upon request and some were even completely forgiven without me even asking. The upcharge on insured patients is well over 100-200% mostly to cover for all the losses. Now with COViD money the losses are much less and frequently forgiven. I'm not saying don't get insured but if for some reason you are uninsured and in an emergent situation they usually will negotiate. With elective procedures they will negotiate up front for a substantial reduced cost.

    Offline Vincancino

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    Re: Health Insurance Advice
    « Reply #14 on: August 04, 2023, 09:26:07 AM »
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  • Thank you all for sharing your thoughts and advice. I'm so grateful for this website. God bless you.