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Discussion Starter · #1 ·
Just wondering if anyone has done this and whether it has been a positive or negative thing. Any unforseen repercussions (like being unable to obtain coverage in the future?) Right now, the money we are spending per month on health insurance is killing our budget. We are typically a very healthy family. We don't go to our well-baby visits, since our baby is very well without them (thankfully) and hubby and I are pretty healthy, too. Any opinions on this? Thanks in advance!<br><br>
Teeni
 

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Get a major medical plan in case of something really bad (or, really expensive) happening and drop the one you have now.
 

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I'd drop down to a cheap plan that just covers big stuff. IF you had no insurance and IF anything happened (think car wreck, accident, cancer) financially that's it. Also IF some health issue came up then no insurance would cover it for a lengthy time period.<br><br>
good luck!<br><br>
-Angela
 

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I don't know about future repurcussions, but I would recommend still keeping catastrophic insurance. I know for us all it would take is one emergency hospital visit and we'd be BROKE.
 

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wow, 3-way crosspost. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

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<div>Originally Posted by <strong>lrlittle</strong> <a href="/community/forum/post/7312023"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">wow, 3-way crosspost. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"></div>
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Too funny! Great minds and all that, ya know <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/loveeyes.gif" style="border:0px solid;" title="Loveeyes">:
 

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Until last year, my husband was working just for medical insurance. The premiums were fairly high- totally over $6000 a year and the insurance was getting worse and worse. We wanted him to go to school full-time but my job has no medical (I was at the time the sole employee of a non-profit, now we have all of 2 employees.) We are young and healthy so after a lot of planning we opted to have him leave the job and go to school (which will ultimately mean much higher pay and better medical insurance). We bought an HSA eligible worst case scenario plan which caps our out of pocket expenses at $10,000 in the event that one of us suddently needs a heart transplant or is in a serious accident etc. It cost about $100 per month for all three of us (we have a 3 year old) and then we pay out of pocket for dental visits and routine checks. Even paying out of pocket for that stuff is a fraction of the cost of what his insurance is an well worth the opportunity for him to go to professional school in the long run. We figure that in that worse case situation, we will be able to come up with $10,000 a lot easier than $250,000<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> . We never go to the doctor except once a year for our son and each of us to the dentist. So far I have paid about $300 out of pocket for these things plus about $400 for new glasses. We will have good insurance again in a year or two so I know we made the right choice. Also, the HSA means we can save a bit on our taxes. So that you are protected from financial ruin in case of a disaster and so you have contininous coverage, it is a really good idea to get a plan like the pp said.
 

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I agree, don't get rid of it completely! My husband started working at job that didn't offer health insurance and had to get his own. I (foolishly) wasn't sure we really needed to pay that much. Fastforward a year later when he comes down with some sort of flu/strep throat/mono type thing along with swolen painful joints. After three months of testing, turns out he has Lupus!<br><br>
Thank god that he did get himself a policy or we would be so screwed. Some of the tests he's had done cost an astronomical amount! Plus, if he got a Lupus diagnosis without health insurance coverage, he can be denied coverage if went to get a new policy. He's also currently stuck with the policy that he has as he's an automatic refusal for most other insurance groups around here.<br><br>
And, he's also someone that I would describe as very healthy, got maybe one cold a year, no sports injuries, etc.<br><br>
Basically, you never know what can happen!<br><br>
~Julia
 

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Just wanted to chime in here a little bit. For the purposes of the group health plans, which don't count anything as a pre-existing condition if you have "continuous coverage", a private health insurance plan does NOT count as continuous coverage. The group health insurance (and Medicaid) are covered under HIPAA laws. Private health insurance isn't. Anyway, if you develop a condition while on private health insurance, it will count as a pre-existing conditions for other plans. Sucks, but that's how it is. It's not that easy to find group health plans outside of employer plans, but there are a few professional organizations that offer them.
 

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I am looking into something like a Christian insurance co-op later this year. Medi-share is one. I think Samaritan is the other You can have an entire family on for $200ish per month with 1 million dollars in coverage! I have known people who did this kind of program and they did come through. You send your monthly "payment" to the person they assign you who needs their medical needs paid at that time. It is hard to explain so check it out if you are interested, but you do have to be a Christian.<br><br>
Right now dh and ds just have catastrophic. It is great because dh went to the dr once in the past 5 years! we just went to a little med-clinic and it was only $60! Plus we don't vax so that saves $ that people often need insurance to cover. (That is not the reason we do not vax though)<br><br>
Jen
 

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<div>Originally Posted by <strong>SusannahM</strong> <a href="/community/forum/post/7322249"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Just wanted to chime in here a little bit. For the purposes of the group health plans, which don't count anything as a pre-existing condition if you have "continuous coverage", a private health insurance plan does NOT count as continuous coverage. The group health insurance (and Medicaid) are covered under HIPAA laws. Private health insurance isn't. Anyway, if you develop a condition while on private health insurance, it will count as a pre-existing conditions for other plans. Sucks, but that's how it is. It's not that easy to find group health plans outside of employer plans, but there are a few professional organizations that offer them.</div>
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Wow- didn't know that. How would one go about finding a group plan then?<br><br>
-Angela
 

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I would have some sort of plan even if its a high deductable. My dd's nicu stay bill just for the hospital was over $300K. the Drs was another $100K. Our cost- $141.00 for some test that wasnt covered. Also, she had a non eventful stay, if she had some surgeries etc, it could have been close to a million.
 

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<div>Originally Posted by <strong>alegna</strong> <a href="/community/forum/post/7324076"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Wow- didn't know that. How would one go about finding a group plan then?<br><br>
-Angela</div>
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Here's a thread about it at Fatwallet. Some of the people there seemed to have looked into it a lot more than me. We're lucky in that DH has kept his membership to IEEE always current, and they offer group policies (wish I'd kept mine current, too, in case something happens to him!). I imagine if you did the following search (without the quotes) at Google it would turn up more stuff at Fatwallet, too: "site:fatwallet.com group health insurance"<br><br><a href="http://www.fatwallet.com/forums/messageview.php?start=0&catid=52&threadid=650193" target="_blank">http://www.fatwallet.com/forums/mess...hreadid=650193</a>
 

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Do/Would either you or your DH qualify for health insurance through your school or trade orginization? You mentioned professional school and I know that both the ABA and the AMA offer group health insurance plans to students and their families -- my DH and I had insurance through the ABA before we had DS, and it was reasonably priced and covered doctor's visits and prescriptions.<br><br>
Also, if you're buying into a high-deductable/HSA plan, MAKE SURE IT'S CONSIDERED CREDITABLE COVERAGE. If you go without creditable coverage for more than 62 days, anything you've been treated for in the past 5 years is fair game to be considered pre-existing under your next policy. Which means your insurance company can impose waiting periods before they'll pay, or not pay at all.
 

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DD is the only one in our house with insurance. We gave ours up when we decided I should be a SAHM. I pray nothing tragic will happen, and I don't think about it. We simply can't afford it. If we could, we would have it.<br><br>
I know many hospitals will put you on a payment plan - just paid off a hospital bill. I save up for doctor visits, and my doctor reduces the cost for cash payers. That helps.
 

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<div>Originally Posted by <strong>eastkygal</strong> <a href="/community/forum/post/7327421"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">DD is the only one in our house with insurance. We gave ours up when we decided I should be a SAHM. I pray nothing tragic will happen, and I don't think about it. We simply can't afford it. If we could, we would have it.<br><br>
I know many hospitals will put you on a payment plan - just paid off a hospital bill. I save up for doctor visits, and my doctor reduces the cost for cash payers. That helps.</div>
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This sounds like us, but I do work however we are close to $200K in debt and most of it is not debt that can be discharged even with BK (taxes & student loans) so we recently did away with health insurance. We did have a high deductible policy but at $350 a month it covered nothing until we hit 20K so every visit to the doc including dd's birth was out of pocket. So we are now on payment plans. I am also finding out that many doctors will discount cash payers, as for a hospital stay, I ended up being an emergency transfer to the hospital with dd's birth and they have been pretty good about letting us have a payment plan.<br><br>
Ideally I think you should have at least a high deductible policy but sometimes even those are not affordable.<br><br>
Shay
 

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It can be a hard call, we have a high deductible policy, but it still runs us 400 a month for a family of 4. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: We've had this policy for 5 years and never once used it until Dec when DD2 got really sick. Between the hospital stays, all the doc appointments, medications, medical equipment, her O2... the bills have really added up. Now I'm thankful that we had it because it would be hard to get DD2 covered under a policy if we hadn't already had one. I never thought that I'd have a baby on O2, and that my DC who hadn't seen a MD in years would be dragged in and out of doc's offices but here we are. I guess what I'm trying to say is that the unexpected happens sometimes...
 

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I was really glad over the summer that we have our policy. We do have a cheaper policy, but they paid all but $40 of Ds's $1000 bill at the urgent care for stitches in his chin. He is a healthy kid, but you never know what will happen.
 

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Discussion Starter · #19 ·
I just wanted to thank all of you who posted. I really appreciate it!<br><br>
Thankfully, DH was approached by his boss on why he wasn't taking the company-provided insurance. When DH explained we couldn't afford it, his boss gave him a raise to cover the difference between the policy we have now and the one the company offers. Win-win situation.<br><br>
Thanks for your advice!
 

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<div>Originally Posted by <strong>nevernever</strong> <a href="/community/forum/post/7335801"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I just wanted to thank all of you who posted. I really appreciate it!<br><br>
Thankfully, DH was approached by his boss on why he wasn't taking the company-provided insurance. When DH explained we couldn't afford it, his boss gave him a raise to cover the difference between the policy we have now and the one the company offers. Win-win situation.<br><br>
Thanks for your advice!</div>
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Very glad that worked out then!!
 
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