Written on March 4th, 2010 by adminno shouts
Health Savings Accounts Put You in Control of Your Healthcare
As Health Savings Accounts grow in popularity, there is growing fear among those who want to nationalize healthcare that they will not be able to put the cat back in the bag. There are already over 3 million HSA owners, and by 2010, the Treasury Department estimates as many as 45 million Americans will be covered by HSA plans. They will have billions of dollars invested to cover future medical expenses, and by then it will be politically impossible to take that benefit away.
If you currently have a high-deductible health insurance plan, you can invest tax-free money in a Health Savings Account. You get to choose the type of investment anything from savings accounts or money market funds, to a full brokerage house. If you invest wisely, you could have well over $500,000 in the account when you retire. You will be able to use that money to pay for your healthcare in whatever way you please, tax free. You can go to the best surgeons, or the least expensive doc-in-a-box. If you decide to treat a condition with acupuncture, homeopathy, or psychic healers, you can do that too. Whoever offers you the service you want with the best combination of quality and price should get your business. And since you are the one paying, it will be completely your choice. You have healthcare freedom.
If proponents of a single-payer system were to ever have their way, you would be at the mercy of a government bureaucrat when it comes to your healthcare. To see what this may look like, all one has to do is look at the state of health care in Canada, England, New Zealand, and the parts of Europe that have not yet abandoned single-payer systems.
Proponents of a single-payer system tend to point to Canada or England as countries that cover all their citizens with quality healthcare, while spending less money per person than the U.S. But if we look a little more closely, we see that these publicly financed health insurance systems are breaking down, the quality is low, and the costs can be quite high. Here’s what Canadians have to deal with if they need medical care:
Long waits. Hundreds of Canadians go to Detroit and other U.S. cities every year for procedures like CAT scans, which they can obtain treatment in a matter of days. In Canada, the wait is typically six months. Currently 876,000 Canadians are on waiting lists for medical procedures.
Difficulty in getting life-enhancing procedures done. If a Canadian is having a heart attack, they will be treated right then. But if the surgery is considered “elective” (meaning that possible death is not eminent), the wait could be months or years. Average wait for cataract removal is 18 months. Average wait for a knee replacement is one year.
Increased risk of dieing. The average Canadian waits eight weeks to see a specialist, and another nine weeks before getting treated. This is even the case with conditions that are likely to get much worse if there is any delay in treatment. For example, the median time for a mastectomy is 14 weeks, enough time for the cancer to spread to other parts of the body. In fact, 28% of those diagnosed with breast cancer in Canada die from it, while the mortality ratio in the U.S. is only 25%.
Things don’t look any better across the ocean. Each year the British National Health Service cancels 410,000 surgeries because of resource shortages. According to the London Sunday Times, there are currently over 1 million Brits awaiting elective surgery. Thomas Cook, a British travel agency, is even considering offering “sun-and-surgery” packaged trips to Indian hospitals for British citizens fed up with low standards and long waiting times for surgery.
The British and Canadian governments have the power to make healthcare “free”, but they are unable to control its costs. So the costs become longer (and potentially fatal) delays, and fewer innovations.
Its not surprising when you think about what is happening. Universal health insurance systems always encourage over-consumption by patients, and such over-consumption always leads to financial crises. The result is inevitably broken promises about universal access and quality care. Because there are always limited resources, single-payer systems tend to overspend on primary care for the healthy, while denying more expensive specialist care to those with serious medical problems. This is because most people (voters) are healthy most of the time, and the sick and dieing are less likely to be able to organize into a political force.
What makes the United States such a great country is the “freedoms” we enjoy. Though our freedoms seem to be constantly under attack, there is still no nation in the world that has the freedom of the press, freedom of religion, freedom of association, or the free markets that we have in the United States. As anyone who understands even a smidgen of economics knows, free markets encourage competition and innovation, which lead to lower prices and better quality.
Though the U.S. system of health care can not really be considered a “free-market”, it is certainly much more free than any single payer system. Some of the benefits we see as a result of our current healthcare system include:
U.S. medicine produces the best outcomes for virtually every patient, from premature babies to elderly cancer patients.
American companies are the chief source worldwide of new treatments and procedures which each year are used to save millions of lives.
U.S. medical training and research facilities are the best in the world.
Though Canadians might have to wait a year or two for hip replacement surgery, they can get the same operation done on their dog in less than a week. This is because veterinarians are competing for that business, finding innovative ways to deliver service more quickly and less expensively. Another example is laser eye surgery, a procedure that is rarely covered by insurance, so laser eye surgeons must compete on the basis of cost and quality. While costs for most medical procedures have been going up every year, the cost for this procedure has dropped by 80% over the past decade.
Unfortunately, U.S. healthcare policies still tend to limit competition, restrict consumer’s freedom to choose, and discourage consumers from shopping for value. Thus, there are too few choices and there has been little attention paid to price and quality of service. The answer is clearly not more government intervention, but instead letting competition and the power of the marketplace drive down prices and increase quality and access to care.
Health Savings Accounts are the Solution
There is increasing recognition that third-party health insurance payers are actually a major cause of escalating medical costs and the decline in the quality of service. The increasing adoption of HSA plans has already begun to cause greater transparency and competition in the medical marketplace. There are now physicians available by phone, medical kiosks setting up in malls, doctors that accept only cash (and who charge significantly less), and others competing directly for the consumer’s healthcare dollar.
Don’t be fooled by the politicians who advocate a single-payer system, claiming their only concern is the uninsured. If a single body (such as a government bureaucracy) controls healthcare, they control one seventh of the national economy. And everywhere in the world that central control of the economy has been tried, it has been a colossal failure.
As public policy reforms centered on individual choice continue to gain wider footholds, the result will be greater prosperity, greater choice, and a better value for all. The culture of dependence and entitlement will begin to fade, as millions of individuals demand further policy reforms that will reinstate the values of freedom and personal responsibility that helped establish this great nation.
As more consumers turn to health savings accounts, the market will respond. Innovative providers will begin to compete more on price and quality of service, and those that provide the best value will get wealthy doing so. And all consumers will benefit.
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Written on February 3rd, 2010 by adminno shouts
One of the largest issues facing the nation right now is the rising costs of health insurance. Many people can not afford to buy health insurance, because the premiums have been driven up to unimaginable heights over the last decade or so. Many companies are trying to help shoulder the burden of the large premiums by paying a certain percentage of the total cost every month for the employee. Many of these companies have tried to work around this problem in many ways.
Larger companies have tried to dodge the growing health insurance premiums by changing the requirements for employees to receive benefits. Many companies are making it harder for people to receive these benefits. Some companies are requiring the employee to work more hours per week than they used to have to work to receive benefits. Other companies are requiring that an employee work for the company for a longer period of time, before they are eligible for benefits.
Both of these approaches will save the company on health insurance costs, because they will not have to cover as many employees. However this is not the best approach for employees, because it makes it that much harder for them to obtain health insurance. Many other companies are trying to lower health insurance costs a different way.
I used to work for a company that had very inexpensive health insurance, and then supplemented it with a health savings account. The health insurance had very low premiums, but the deductible, and payouts for the health insurance were not very good. However the company would set their own deductibles, and co-pays, and then they would take money out of their health savings account to reimburse the employee the difference. This was a very good system, because they were not paying as much money out each month on premiums. They would only have to spend money from the health savings account when the employee actually needed it. Their goal was to eventually cut out the health insurance plan completely when the health savings account had grown large enough. At this time, the company would then save a considerable amount of money in premiums every month.
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Written on December 2nd, 2009 by adminno shouts
The health savings account is a relatively new tax-savings vehicle, but it’s one that makes a whole lot of sense. Learning to navigate this new option and understanding its benefits really can help people save a ton of money when unexpected medical expenses arrive.
Health savings account plans tend to come in two basic forms – employer sponsored and self-purchased. Since the rules for employer-sponsored plans might differ from business to business, we’ll focus in on ones people who buy their own individual health insurance policies might benefit from.
In a nutshell, these savings plans allow people to save money on a tax-free basis for qualified medial expenses and future retirement medical expenses. To qualify, people must be on High Deductible Health Plans, which means they pay at least $1,000 in deductible for self-only coverage. Most insurance companies will now let customers know when a plan they choose makes this option available to them.
The benefits of the health savings account are many. They include:
* Money in a health savings account is owned by the person who opens it. How to spend that money is entirely up to the person, but if it goes on non-qualified medical expenses, the tax benefit will be lost.
* The money “rolls over.” Whereas some employer-sponsored and supported health savings account set ups don’t allow for roll over from year to year, a self-opened account does. The money put into the account is income tax-free unless it is used for ineligible expenses.
* Helps people save up for expenses faster. Since income tax won’t come into play with these accounts, the money saved can help add up to a better accumulation of cash if and when it’s really needed.
* Easy to open. Most banks, credit unions, insurance companies with high deductible plans and so on will help people set up their own health savings account plans. The only requirement is the right kind of medical insurance policy. It should cost nothing to open one of these plans.
* Easy to use. Most HSAs come with a debit type card that can be used to pay for qualified medical expenses.
These plans are a little tricky to understand as far as all the minute details of what is an allowable expense and what isn’t. The federal government offers highly detailed information on qualified expenses, but there are some generalizations that can be made. The types of things typically included in the qualified list are:
* Insurance premiums. This is allowed for the payment of COBRA insurance and for those who are unemployed.
* Co-payments. Some times co-payment amounts can be charged to the health savings account.
* Prescription medications. These are generally considered eligible expenses as are over-the-counter medications and medical supplies.
* Dental and vision care. In most cases, expenses associated with non-cosmetic dental and vision care are considered fair game.
A health savings account can be a great way to bank up money to pay for medical expenses without having to feel the bite of income tax. As long as the money used in these accounts is spent on qualified medical expenses, the savings extends after use, as well.
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Written on November 7th, 2009 by adminno shouts
7 Things You Should Know About Health Savings Account Plans
Health savings accounts (HSAs) are wildly popular. Since their introduction in 2004, approximately 2.5 million Americans have enrolled in these so-called consumer-driven health plans. But, alas, HSA plans are not for everyone.
Here are some pointers to help you consider whether an HSA will benefit you and your family.
1. An HSA plan can cut healthcare costs by an average of 40% for many people.
Nevertheless, some people will not realize any net savings. Those most likely to realize significant savings are people who pay all of their own health insurance premiums, such as the self-employed, who are relatively healthy with few medical expenses.
2. health savings plan restores freedom of choice.
An HSA plan puts individual consumers back in control of their own health care. This also means that each individual must be more responsible for his or her own health care decisions. This approach of self-reliance is not always popular with or appropriate for everyone, especially those who have become comfortable with HMO-type “co-pay” plans.
3. Health savings accounts reduce income taxes.
Every dollar contributed into your HSA account is deducted from your taxable income in the same manner as contributions into a traditional IRA account–regardless of whether you spend it or just save it. Interest and investment earnings in a HSA accumulate tax-deferred, just like a traditional IRA. Unlike an IRA, withdrawals are tax-FREE when used to pay qualifying medical expenses. In many situations, new account holders are able to almost fully fund their HSA with money saved on premiums from a prior, higher priced plan. By stashing all or most of those savings into an HSA, the account holder realizes instant, additional savings in the form of reduced taxes.
4. You must have a properly qualified high health insurance policy in place first before
you can open a health savings account. One of the biggest misconceptions about HSA plans is that any insurance policy with a high deductible will qualify the policyholder to establish an HSA account. IRS regulations, however, are quite specific. Not just any policy with a so-called “high deductible” will suffice. It is important to be certain that you are insured under a properly qualified policy. Your best bet is to work with a qualified and duly licensed health insurance broker who is experienced in marketing properly qualified HSA plans.
5. You must be insurable in order to qualify for the HSA-qualified health insurance policy.
Because most people do not have a properly qualified high deductible insurance policy, they will need to switch insurance plans in order to become HSA-eligible. Unless coverage is being offered under small group reform laws (generally groups with 2-49 employees), the new high deductible policy will be individually underwritten by an insurance company. This means that some “pre-existing” conditions may not be fully covered. Alternatively, some companies may opt to cover certain “pre-existing” conditions in exchange for slightly higher premiums. Unfortunately, some health conditions simply render an individual uninsurable (examples: diabetes, chron’s disease, heart attack, etc.). Underwriting requirements vary by state, which is another reason to rely on an experienced health plan broker.
You should not switch to a HSA plan when the management of existing medical expenses is more important than saving up-front medical insurance premiums. Do not change health plans: in the middle of ongoing medical treatments; after a major health issue has been diagnosed; or if any family member is pregnant.
Generally, it is relatively hassle-free to qualify, i.e. no medical exams, etc. Most insurance companies offering HSA coverage will issue based on your application answers, perhaps accompanied by a follow-up telephone interview. In some cases, medical records may be requested, and companies always reserve the right to order a paramed exam.
6. Although HSA insurance premiums are low, they are not always as low as you might expect.
This happens for one main reason. Simply stated, the underlying insurance policy is just thata health insurance policy. Although it has a “high” deductible, as required by law, the insurance company still must compensate for the risk it is assuming over the deductible amount, which it does by charging premiums. Many companies offer policies with one deductible that all family members contribute toward. With those plans, it is not uncommon for premiums for a 5000 family deductible with 100% coverage after the deductible to be comparable to a 2500 “per person” deductible plan with 80/20 coverage after the deductible.
Lower premiums represent just one element of the lower net cost achieved with an HSA plan. The low net cost of an HSA plan is achieved after factoring in the benefits of lower taxes, made possible by the tax-deductible contribution to the HSA account. Thus, if obtaining the lowest possible gross premium is your main concern, you may wish to consider a high deductible, non-HSA policy, especially if you do not see the benefit to contributing to a tax-deductible savings account.
7. An HSA offers your best chance to keep a lid on health insurance rate increases.
Make no mistake-you will have rate increases with your HSA insurance policy. Because an HSA qualified policy is still a health insurance policy at heart, there is no logical reason to presuppose that an HSA policy would be immune to rate increases required by an insurer to keep paying claims and stay in business. But what you can expect is that the actual dollar amount of any future rate increases will be substantially lower compared to traditional health insurance plans (regular PPO and HMO plans). This is true because insurers base increases on percentages, and the same percentage of a lower base premium results in a lower dollar increase. It’s not a perfect solution-but it is the most cost-efficient solution for many qualified people.
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