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Unlicensed Health “Insurance”

Gibraltar monkey
Image by Salim Virji via Flickr

Health insurance is–without a doubt–expensive.

As much as I hate the idea of socialized health care, it does have one shiny selling point to counter its absolute immorality: it’s cheap.  Assuming, of course, you ignore the higher taxes and skewed supply/demand balance.

Here in the US, we’re free from that burdensome contrivance.  Instead, we have health care and health insurance industries that are heavily regulated and ultimately run by people who have A) never held a job outside of government or academia, and B) have no idea how to run either a hospital or a business.  That works so much better.    Some days, I think our health system would be better run by giving syringes and band-aids to drunken monkeys.   The high-level decision making wouldn’t be worse.

Thanks to that mess and the high unemployment rate that somehow hasn’t been remedied by the 27 bazillion imaginary jobs that have been save or created in the last 2 years, some people are hurting.    Not the poor.  We have so many “safety net” programs that the poor are covered.  I’m talking about the “too rich to be considered poor, but too poor to be comfortable”, the middle class.

If are much above the poverty line, you will stop qualifying for some of the affordable programs.  The higher above the line you go, the less you qualify for.  That makes sense, but the fact that we have so many safety net programs means there is a lot of demand created by all of the people who are getting their health care “free”.

That drives the prices up for the people who actually have to pay for their own care.  Yes, even if you have an employer-sponsored plan, you are paying for the health insurance.   That insurance is a benefit that is a part of your total compensation.  If employers weren’t paying that, they could afford higher wages.

As the price goes up, employers are moving to a high-deductible plans, which puts a squeeze on the employees’ budgets.   Employees–you and I, the people who actually have to pay these bills–are looking for ways to save money on the care, so they can actually afford to see a doctor.

In response to that squeeze, some unscrupulous people(#$%#@%! scammers) are capitalizing on the financial pain and selling “health discount plans” which promise extensive discounts for a cheap membership fee.   These plans are not insurance.   In a best-case scenario, the discount plans will get you a small discount from a tiny network of doctors and clinics.  Prescription drug plans are no better.  You may get a 60% discount, but only if you use a back-alley pharmacy in Nome, Alaska between the hours of 8 AM and 8:15 AM on January 32nd of odd leap years.

How can you tell it’s a scam?

The scammers will try to sell you on false scarcity. They’ll say the plan is filling up fast and you have to buy now if you want to get in on it.   For all major purchases, if you aren’t going to be allowed time to research your options, assume it’s a scam.  Good deals won’t evaporate.

They aren’t licensed. Call the Department of Commerce for your state and see if the company is a licensed insurance provider.  Pro tip: they aren’t.

They don’t want you to read the plan until after you’ve paid.   That’s a flashing, screaming, electro-shock warning sign for anything.  Once you’ve given them your money, your options are reduced.

The price is amazingly low.  Of course it is.  They aren’t actually providing any services, so their overhead is nonexistent.  They only have to pay for gas to get to the bank to cash your checks.

Really, the best way to judge if something is a scam is to go with your gut. Does it feel like a scam?  Do you feel like you’re getting away with something? Does it sound too good to be true?

To recap: health care/prescription discount plans = bad juju.

 

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Sunday Roundup

Eye of horse.
Image via Wikipedia

My girls have been riding in horse shows lately.  Sometimes, it seems like that’s all we’ve been doing on the weekends, but they love it.  My wife’s favorite hobby now matches my daughters’ favorite pastime.   As a bonus, we’ll never have to paint their room again, with the way they are accumulating ribbons.

Best Posts

It is possible to be entirely too connected.

My life is now complete.  It’s possible to buy 95 pounds of cereal marshmallows for just $399.   Breakfast at my house just got perfect.

I wholeheartedly agree with Tam, “You don’t need to make any excuses for crashing things into each other at the speed of light in an underground tunnel longer than Manhattan that’s had the air pumped out and been chilled to a couple degrees above absolute zero. That doesn’t need a reason. “

Carnivals I’ve Rocked 

Credit Cards: My Failed Experiment was included in the Best of Money Carnival, the  Carnival of Wealth, and the Totally Money Blog Carnival.

My niche site article on how to Make Extra Money with Keyword Research was included in the Totally Money Blog Carnival.

Thank you! If I missed anyone, please let me know.

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Financial Blogger Conference

Three days, 800 miles, and 18 sessions later, I am back from the Financial Blogger Conference.

Here’s the breakdown of my spending:

The conference itself: $67

Breakfast on Friday: $8

Lunch on Friday: $19

Lunch on Sunday: $10

Gas: About $160

Hotel: $182

Tips to the bartender: About $10

That brings the total to $456.    The hotel cost is really an opportunity cost, because my rewards card will be reimbursing from my accrued miles.  Actual out-of-pocket cost: $274.

What did that money get me?

First, I got to meet a lot of the bloggers I read every day, including a lot of my fellow Yakezie members.   That’s invaluable.   

I got to spend three days meeting other bloggers, and learning how they operate.  I got to hear how they manage Twitter, how often they post, what they do, and how they do it.  Phenomenally valuable.

I got to spend 2 days learning better ways to do this whole blogging thing, by listening to some of the biggest names in the personal finance blogging world.   That’s a value that you’ll have to judge for yourselves over the next few months as Live Real, Now evolves.

From a purely financial perspective, was this a good spend?  Probably not.  I spent $274 to get intangibles that won’t pay my bills or put food on the table.  There is certainly an argument to be made that this was a waste of money.   However, I strongly believe that those intangibles will prove far more valuable than any other way I could have spent that money.   Using simple math, I may have wasted that money.   Looking at the long-term value, it was definitely worth the time and money.

I will be going back next year.

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Priorities

I once saw a sign on the wall in a junkyard that said, “Failure to plan on your part does not constitute an emergency on my part.”

Another good one: “If everything is top priority, nothing is top priority.”

Once a week, I meet with my boss to discuss my progress for the previous week and my priorities for the coming week.   This is supposed to make sure that my productivity stays in line with the company’s goals.

Great.

Once a day, my boss comes into my office to change my top priority based on whichever account manager has most recently asked for a status update for their customer.

Not so great.

At least twice a week, he asks for a status update on my highest priority items.   Each time, he could mean the items we prioritized in the weekly meeting, or the items he chose to escalate later.   Somehow, getting a new task escalated doesn’t deescalate an existing task.

Everything is a top priority.

To compensate, I’ve been working a few 12 hour days each week, and occasionally coming in on the weekends.

I’m dedicated and still behind.

Prioritizing is treated as an art, or in the case I just mentioned, a juggling act.  It should be considered a science.  It’s usually pretty simple.

  • Is the problem costing you money? +1
  • Is the problem costing your customer money? +2
  • Is the problem going to hurt your reputation? +1
  • Is there a deadline? +1
  • Is it soon? +2
  • Is it urgent? +1
  • Is it important? +2
  • Are there absolutely no real consequences for anyone if it doesn’t get completed? -500

That’s it.    Too many times, we get hung up on urgent-but-not-important items and neglect the important things.

The hard part comes when it’s someone else setting your priorities, particularly when that person doesn’t rate things on urgency, importance, and cost but rather “Who has bitched the loudest recently?”

Can I tell my boss that I’m not going to do things the way he told me too?  No.  A former coworker very recently found out what happens when you do this.

Can I remind him that I’m busting my butt as hard as I can?  Yes, but it will just earn me a request to come in on the weekend, too.

Can I ignore the official priorities part of the time, and work on what I feel is most important to keeping our customers happy?  Yes, but it’s easy to go too far.  “Boss, I ignored what you said, but this customer is happy, now!” won’t score me any points if it happens every week.

Priorities are simple, but not always easy.  How do you balance your priorities?

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