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Health Insurance When Leaving the Corporate World?
An anonymous reader writes "I've been working at a large company since I got out of college, so I didn't have to give much thought to getting my own healthcare plan. Now I'm thinking about leaving the corporate world and starting out on my own. I have a family now, so I need to make sure we're going to be covered should anything happen. Researching online turns up horror stories of people trying to get individual healthcare plans, or getting denied coverage on plans they thought they had. Does anyone else have experience going through this and what you've had to deal with, or am I making too big a deal of it?"
Move to any 1st world country not the USA.
There is no step 2.
Good luck. Depending on what state you live in, you are either well and truly fucked, or deeply, seriously fucked.
The best thing you can do is start a trivial corporation, hire on some fake employees, and then get a group plan.
and enjoy universal health care for about $100 per month for a family of 4, unless you can show economic hardship, and then it's free.
1) Don't get sick
2) Die quickly
I found that the local grocery stores were union and part time workers could get full benefits. After looking at the cost of insurance for my family, I worked as a grocery cashier 15 hours a week (a fun job actually), received full benefits (taking up most of that paycheck) until my wife went back to work where she has the benefits. Otherwise, I would have never left corporate life because of that single issue.
When I was self-employed, I was able to get cheaper insurance through my local Chamber of Commerce. I had to join (and pay the membership fee), and it was still expensive, but nowhere near as bad as if I'd done it all by myself. And don't just limit it to your own town - a lot of them don't care where you live/work as long as you're close enough to be in the same general area :)
Just like when planning for a very large purchase, be thorough and methodical in researching your options. Firstly, dismiss the plans that do not offer sufficient coverage. Secondly, dismiss plans that have yearly or total lifetime limits that are too low. Thirdly, read reviews, opinions, and small print on whatever plans are left. Finally, pick whichever fits your budget, preferably from a company whose last quarterly statement is not deep in the red, since the latter is sure to raise rates or compromise coverage.
Finally, remember that long-term disability is an absolute necessity in addition to life insurance (and possibly even more important). Make sure it's a policy with a completely different company.
If you go about it in a cool, organized manner, you will find the coverage you need... but don't be alarmed when you have to pay at least $15'000/year for it.
if you're rich, you have no problem
if you're poor, you have medicaid, and you have no problem
only if you are a middle class citizen in the united states do you have no healthcare options, and have to do ridiculous gymnastics like the poster above
how the hell did we arrive at this retarded status quo and why the hell do teabaggers and republicans oppose simple common sense reform of a horrible stituation?
i can hear all of their criticism of socialized medicine. republicans, teabaggers: i accept and acknowledge all of your criticism of socialized medicine. BUT ITS BETTER THAN WHAT WE CURRENTLY HAVE. do you not see that?
when you oppose socialized medicine in the usa, because of all the evils of that you see, you merely support a MUCH WORSE STATUS QUO
are you resisting because you have a better solution? (crickets)
intellectual property law is philosophically incoherent. it is your moral duty to ignore it or sabotage it
Supposedly one of the strengths of the U.S. economy is its ability to rapidly adapt to changes. This has been used to justify the lack of job protections for workers. But as the poster has shown, having health insurance tied to your employer obstructs the kind of entrepreneurism that's part of our rapid adaptation.
I don't understand why this argument hasn't come up during the health-care debates. It would have let Democrats position themselves as pro-economy.
I bought an HSA when a few years ago my company raised insurance premiums. They had a plan and were self insured so basically we just paid for what the cost was divided by number of employees. We had some employees that enjoyed the outdoors and got into a lot of accidents that raised the costs for everyone. My family plan was $700/mo.
So I went out on my own and got an high deductible HSA from Humana. It was about $200 a month for a family of 4. It had a $10k deductible so basically you are paying for your own health care unless you have something major happen. Then it paid 100% above the $10k. The good part is you can put up to $10k pre-tax into the HSA savings account. You can then pay your health bills using pre-tax money. They had a PPO which means they have a network of doctors you can use that they have a negotiated prices. But you can use any doctor you want.
What I found is that we shopped around. You would be amazed at the difference in prices if you say you will pay at the time of service. Some doctors wouldn't quote us a price for the visit so we didn't go there. Also we shopped around for drug prices and found that most of the big pharmacies will match prices.
I'll tell you a fact from a Canadian perspective of a middle class person. For all the complaining about the "death panels" we actually don't have here (vs. your for-profit insurance companies you guys do have) and saying that we have to wait forever (which we don't, prioritized: if you need it you get it *now*), when the average Canadian looks at the situation the average US'ian is in: we feel HORROR. God people, how can you choose to do nothing about it?
Shh.
These responses of move to "XYZ" or move out of the US that are modded "insightful" is simple flamebait and does not help the questioner or add anything new to the discussion.
We get it, lefties. You don't like the US's health care system. Get over it. This guy is not going to move out of the USA simply because of health insurance.
Pfft. So in your view the whole world is 'left', and the US is 'centre' or something?
We get it, lefties. You don't like the US's health care system. Get over it. This guy is not going to move out of the USA simply because of health insurance.
Weird, I was pretty sure that dislike of the US health care system was pretty universal regardless of party affiliation or position on the political spectrum. Granted, how to *fix* the system is a polarizing issue, but whether or not the US system sucks balls doesn't seem to be up for debate these days.
Though, as an aside, some people actually do leave the US because of healthcare. Many more would like to, but can't afford to move any more than they can afford their healthcare premiums (some of my friends fall into the latter category).
Individual health insurance is an absolute joke in the US, especially for family care. If you do 'go it alone' and you don't make a ton of money (well into six figures) then you might as well just skip to the end, flush your cash down the toilet and file for Medicaid. You will end up there eventually.
Considering you have a family to look out for, you need need NEED to find a cooperative or small business owners group to buy into that provides benefits. It will still be very expensive, but you *will* be ruined if you go it alone or go without it.
I had a stint of several years without corporate insurance. The situation is grim and I can only tell you what I ended up doing.
I too had a family (3 kids and a wife). I found a private plan with Blue Cross that cost around $1200/month and considered it a steal. (Although I was not affected, I heard horror stories about individuals who were unable to get private insurance at any cost.) The coverage was similar to my prior corporate plan but with higher deductibles and more gate-keeping by our primary care physician.
After a year of this I looked around for an alternative and moved to a high-deductible plan with Aetna (deductibles were $5k/person; $15K/family) and opened an HSA. I contributed the maximum allowed to the HSA each year (note, this is not a FSA!). For the remaining years this was the approach I took and it worked well but no one got seriously ill, we didn't need any hospitalization, and only used a hospital once for my daughter's broken foot. For the duration I was with Aetna's high-deductible plan, they paid nothing, but my cost was only $612/month and I got the tax benefits of the HSA.
Absent a health plan you are paying retail for all medical services vs. the negotiated cost your insurer has obtained. You still end up paying a lot (all?) out-of-pocket but at a reduced rate. The same applies to prescription drugs. This negotiated cost business is the secret sauce of the industry. You go to your doctor and he charges you $100 for the office visit and $300 for an x-ray. But Aetna has negotiated these fees to be $65 and $125 respectively which is what you end up paying unless you've reached your $5K deductible. If you've got the money in your HSA you pay it from there using pre-tax dollars. If you don't have any insurance (or the doctor doesn't take your plan) then you pay the whole retail price ($400 in this example).
We had no dental nor eye care coverage for the duration but both can be paid using the HSA account.
In both policies a pregnancy was specifically excluded but we had finished our family by then so it was not an issue for us.
I hope this helps.
The insurance companies hold all the cards.
Look at how the rates are climbing even as their profits are.
They are squeezing the last drop from your wallet because they know a single payer system is inevitable.
If you're going to be sick, you'd better not do it in the 'States. Its no place for you if you flinch at the thought of suing somebody who's only sin was being weak once (as we ALL are at least 15% of our lives.)
Other countries' health care systems may not be perfect but at least they exist.
The 'States have nothing even resembling a humane health care system.
What they have is health-don't-care systems.
Health care for profit is an oxymoron.
MSBPodcast.com The opinions expressed here are my own. If you don't like 'em... Think up your own stuff.
The doctors could even make house calls if you had a sick child. A wonderful system, and about half the cost of our monstrosity.
Think global, act loco
Personal experience here.
The NHS tends to be good when you have routine or easy to diagnose problems and personally I am happy with how routine procedures have been handled.
When you have more difficult to diagnose problems which have not yet become debilitating it's pot luck if you encounter a doctor interested to getting to the bottom of things or if you encounter a doctor more worried about meeting their government imposed targets.
While I think the NHS overall is more fairer than the US system (even with the major problems I currently have with it) just remember the grass always seems greener on the other side.
I have a unusual vision problem which the NHS has failed to diagnose. Can you help? More at failedbythenhs.blogspot.com
The grass on the other side of the Atlantic doesn't seem green at all. Looks more like rotten.
The grass was denied individual insurance due to pre-existing conditions, and the employer had to drop coverage because the costs of premiums increased from $5000 in year 2000 to over $16000 this year.
Meanwhile, Congress sat on it's hands and did almost nothing to help deal with the costs which were spiraling out of control.
"Can of worms? The can is open... the worms are everywhere."
If you can't afford to help your countrymen get health care, how can you afford to fight multiple major wars and lower taxes at the same time?
The only problem with the Republican viewpoint on government spending is that it doesn't make any fucking sense.
I have experienced both the US health care system and the UK health care system. While I am sure the US system is given to excess and abuse, there is a huge difference in the quality of health care.
When they diagnosed an eye infection in my kid's eye, they opted to "wait and see" if the infection cleared up on it's own. I don't know about you, but when it comes to my kid's eyesight, "wait and see" is not good enough.
When I seriously cut my hand, I waited in the emergency room for three hours bleeding all over their floor. It was not that busy, but several doctors were out on holiday. They let several obviously non emergencies go in front of me, so I guess it's first-come-first-served. Then when I finally saw the doctor, they were so short handed that I actually had to assist in the operation by sponging the blood away from my cut while the doctor sewed me up. Good thing I'm not squeamish.
The other kid had a broken arm set in one of those fiberglass casts before we left the US. After we arrived in the UK and it was time to remove the cast, they didn't know how to deal with it. They started to get out a rotary saw and I told them that it could be removed safely with scissors. They sent us to several different hospitals and then made us come back after they consulted with some doctors in the US. Of course, they removed the cast with scissors...
I had a friend who had his wisdom teeth removed in the UK. It was done with only local anesthetic and there was quite a bit of collateral damage. He was in excruciating pain and couldn't come to work for about a week and had a liquid-only diet. He complained of soreness in his jaw for several weeks. When I had the same procedure done in the US, I never even had to take pain pills, I was eating solid food the next day and returned to work right after the operation.
It's not apples-to-apples.
Interesting experiences. I too have had experience with both the U.S. and U.K. and I came away with a much higher opinion of the U.K. I lived in the U.K. for about a year and towards the end of my stay my parents came for a visit. My mother hurt her back getting out of the bath on the weekend. By Monday (a bank holiday Monday) she was bedridden and my landlord suggested we call the hospital. I was very skeptical, having grown up with the U.S. system. I called the local hospital (South London - Herne Hill) and the first thing they asked was whether she was well enough to travel to the hospital. If not, they offered to come to the house. I couldn't believe it. I told them we would get her in a cab and bring her over. Once there, there was no paperwork to fill out, and they saw her right away. After just a few minutes she was given a prescription for a muscle relaxer and a pain-killer. Got another cab to take my folks back to my place, and then I asked the cab driver to take me to the nearest chemist to fill the prescription. Got both prescriptions filled for about $16. I tipped the cabbie handsomely when he dropped me at my place. He asked me, "Do you know how much you are giving me here?" I told him I did, and that it was because I was having a great day. In the U.S. I would have had to have taken her to an emergency room. That would have taken 4 to 12 hours of my day and cost her about $500 copayment. Then the drugs would have cost another $65 copayment. In the U.K the whole thing took less than an hour portal to portal, and the cost was $20. As others have commented, maybe the U.K. is better for the little things than the big things, but I've got plenty of U.S. horror stories for big things too. I just find it interesting that the U.K. spends significantly less in terms of GDP and they don't have reduced life expectancy than the U.S.
And earlier this month Rep. John Murtha of Pa., while in the care of the most expensive health care system in the world, died after a simple gallbladder operation was botched.
Fixed that for you.
IMHO Americans really need to get past the solialist bogeyman that is preventing the implementation of a sane health system.
UHC here in Australia costs 1.5% tax on income, I can see whatever doctor I like, often without an appointment. The doctor prescribes whatever tests/pills I need without input from an accountant. I never have to pay more than $1200/yr for medicine, nobody cares if I have a pre-existing illness, if I travel to Europe I get reciprocal care from their governments at no cost to me other than said 1.5% tax. I have statistically better medical outcomes than a US citizen and never have to worry about medically induced bankruptcy. Currently government sponsered doctors are visiting every workplace in the country to offer free health checks as part of the preventative care provided by UHC.
I'm single with grandkids, I earn well above average wage and a back of the envolope calculation says my 1.5% covers 5-6 other Aussies I have never met. However I'm more than happy and proud to pay above my fair share since when I was a young dad the same system looked after my chronicly asthmatic son during the times he needed a hospital bed and specialist care, it also paid for his medicine and saved me from certain bankruptcy.
US citizens already pay more in tax per head for Medicare/Medicaid than Aussies pay for a full blown UHC. I think this is mainly due to the army of paper pushers the US employs to console ignorant people who think of socialised medicine as a government handout.
I'm not saying our system is perfect but it's run by health proffesionals and is demonstratably light years ahead of the US. It is supported by 80% of Aussie voters. It recieves true bipartisan support from politicians, any politician who dared to suggest going back to the previous US style system we had in the 70's would find himself unemployed at the next election.
In the end I really don't care what the US does with health system but having experienced both fully privatised and socialised health care my impartial advise would be to upgrade to a 21st century UHC system and ignore the corporate propoganda that is telling you socilaist death panels will kill your grandma to save a buck.
And did you exchange a walk on part in the war for a lead role in a cage? - Pink Floyd.