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Medical Costs and Choices

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I’m not a bad father.

Last spring, we noticed my son had a wandering eye. One of his eyes would just drift when he was looking at something. It was happening consistently, so we brought him to the eye doctor. After an exam, we found out that his eyes were 20/100. The doctor said that getting him classes may be enough to fix the wandering eye problem. The theory was that his eye was drifting because his eyes weren’t able to focus. Bringing the world into focus could have let his eyes train themselves to work right.

Nine months with glasses later, the problem hasn’t gone away, so we went back to the eye doctor.

He’s got alternating exotropia. His eyes aren’t working well together. One eye will focus, and the other will drift. So now we’re looking into vision therapists.

A friend went through something similar with his kid, so I asked him for the name of the doctor he used. He gave it to me and told me the clinic was the best in the business, and I would be paying for that. I asked about the cost and was handed the doctor’s spiel about how sad it is that parents focus more on the cost of care than getting the best possible care.

What a load of crap.

First of all, that’s a sales pitch. Of course the doctor is going to defend his prices. If his prices are exorbitant(I don’t have a basis for comparison) and he can’t defend them, people will go elsewhere. $3000 isn’t pocket change. That’s a significant chunk of change. Refusing to look at your options is irresponsible.

Second, price does not equal quality. There are a ton of things that are overpriced garbage. Not only do scam artists abound, but some legitimate things are are horribly overpriced at one location and reasonably priced at others. To stay on the vision theme, my $10 glasses are every bit as high quality as any $400 pair I’ve ever owned. The difference between generic and brand-name drugs? The label and the price. The FDA requires they be chemically identical to be sold. If you insist on the brand name because it’s “better”, you are flushing your money down the toilet. If you live by “you get what you pay for” you are guaranteed to get ripped off.

Third, balancing cost and treatment doesn’t mean I care less. Yes, I am killing my debt as fast as I can right now. Even when I was willing to use a credit card, I wouldn’t drop $3000 without considering my options. I have an entire family to consider, not one problem that my kid doesn’t even notice. Grr. I hate getting told–implicitly or otherwise–that I am a bad parent because I don’t choose to waste my money the way other people do. I’ll check out my options first, thank you.

Now, I will pay for the best when it is warranted. My wife wants Lasik and mentioned some sale some company was having. No. The guy sticking a laser and a scalpel in my eye will not be the lowest bidder. When I left the gene pool, I went to one of the top guys in the state for the procedure. When those things screw up, it’s permanent.

Vision therapy? Not so much. If it comes to surgery, we’ll go with the best. But it’s not there, yet. My kid is going to get a series of eye exercises, no matter where we go. Even if I go to some back alley vision therapist with a degree from a Nigeria U, what’s the worst case scenario? We may have to try someone else. Since I will be doing a bit more research than that, odds are better that my kid will get exactly the same therapy regimen for 1/4 of the cost. That’s the difference between a perfectly competent doctor and a perfectly competent doctor who convinced some trade magazine to write him up as the best in the business.

What do you think? Am I neglecting my kid by wanting to save some money for his braces, too?

Protection for your Loved Ones

Life

This is a guest post.

Life cover insurance acts as a safety net to pay for a family’s expenses should a wage earner become critically ill or die prematurely. Life cover includes life insurance as well as disability, critical illness, mortgage and income protection insurance policies.

Importance of life cover insurance

In most families, at least one adult is a wage earner and uses their income to pay for necessities such as food, clothing and rent or mortgage. If the wage earner becomes disabled, too ill to work, or dies, life cover insurance can pay for these expenses.

Stay-at-home parents provide valuable, though unpaid, services to the family. Without that person, the family would have to pay for childcare, household upkeep, errand running, and every other chore the stay-at-home parent did. If the stay-at-home parent has life insurance, these expenses can be covered.

Life cover insurance can pay off mortgages and education loans.

Live cover insurance policies will pay funeral costs, which can be substantial.

Family owned businesses can be insured and protected if the owner dies.

Objections

Life cover insurance is too expensive.

Insurance companies have plans to suit every budget and life circumstance. While young and healthy adults will generally receive the most affordable policies, older adults have plenty of reasonably priced options as well.

Disability or severe illness is unlikely.

Actually, 32% of men and 25% of women, ages 40 to 70, will experience a critical illness or disability. http://www.healthinsuranceguide.co.uk/statistics_mainbody.asp

Discussing disability or death is awkward and uncomfortable.

Agreed, but avoiding the topic puts loved ones into economic jeopardy. Without the wage earner’s life cover, a family could lose their home and have to lower their standard of living.

Variety of life cover insurances

Life Insurance

Term insurance is a protection policy, paid for during a specific time period (term), and is active during that time only. Permanent, whole, variable, universal and universal variable life insurance policies all are investment policies. They combine a death benefit (the amount paid out when the insured person dies) with an investment account. Licensed and experienced life insurance agents can help individuals make the best choice for their life situation.

Critical Illness/Disability Insurance

This type of insurance pays for living expenses if a person is diagnosed with a serious illness or disabled and can no longer work.

Mortgage Insurance

This is paid when the mortgage owner dies. This could help prevent the surviving family from having to sell the home.

The time to buy life cover insurance is now!

A 2010 survey (http://www.prnewswire.com/news-releases/ownership-of-individual-life-insurance-falls-to-50-year-low-limra-reports-101789323.html) stated that individual life insurance ownership was at a 50 year low in the United States. An estimated 35 million (30% of households) Americans do not have life insurance, and 11 million of these households have children under 18. Already living paycheck to paycheck, any debilitating injury or death of a wage earning adult could spell financial disaster to the family. Buying life cover insurance is a vital part of caring for loved ones. Just as a wage earner provides a home, food and daily necessities for their family, life cover insurance can take over and provide for the family if the wage earner unable to do so.

Cutting Healthcare Costs

Finance

It’s not a secret that health care can be expensive. Many people pay two and three digit bills for their prescriptions. A visit to the doctor’s office can hurt the budget. Glasses cost hundreds of dollars? How can you cut this cost?

Drugs

If possible, go generic*. There is no difference between Trazorel and trazadone, aside from the cost. Wal-mart, Target, and many other stores offer common generic prescriptions for $4-5. When you are talking to your doctor, ask if there is an drug option that has an available generic. When you are talking to your pharmacist, ask if there is a generic alternative available.

Get the price match. The Cub Foods pharmacy near me matches the Target generic drug price, giving us $4 generics for the asking. This is often an unpublicized deal, so make sure you ask. If your pharmacy will not match nearby prices, consider going elsewhere.

See if there is a 90 day plan. Many insurance companies sponsor a 90 day prescription plan that gives you a 90 supply of drugs for the 60 costs as long as you are willing to accept the drugs by mail. For expensive prescriptions, this 33% discount can be a substantial savings.

Physician

Does your clinic offer online consultations with your doctor or nurses? Some clinics offer a chat or email option to talk to your doctor without requiring a visit that will add fees and copays to your expense sheet. Most clinics and hospitals have a free nurse line for basic questions, like “When is my baby‘s fever dangerous?” It’s a great chance to save some money. I know, from personal experience, that they won’t be shy if they feel you need to come in, but they generally won’t try to convince you to come in if aspirin will fix the problem.

Stay in-network. Check with your insurance company to make sure the doctor you want to see if in your network and therefore, available at the cheapest out-of-pocket price. If not, and you really want that doctor, ask your insurance company if they accept nominations for the network and ask your doctor if he’d be interested in being nominated.

Stay home for your cold. Don’t go to the doctor for every minor problem. The best remedy a doctor can give your for your cold will reduce it to a seven day malady. On the other hand, if you do nothing, it will go away in about a week. Why waste the money? This counts double for the emergency room and urgent care. Strep throat is not an emergency. Wait until morning and go to the clinic, paying the lower fees instead of the large ER costs. Make an appointment for a doctor visit, if possible. Urgent care is billed the same as a regular visit, but most insurance plans double or triple the copay for urgent care visits.

Cash Flow

A Health Savings Account(HSA) is a pre-tax account to save for qualifying medical expenses similar to a Flexible Savings Account(FSA). The main differences are that HSAs are only available for people with high-deductible insurance plans and do not have to be spent on medical expenses. Non-qualifying expenses move from pre-tax to post-tax, meaning you will be charged federal income tax for non-qualifying withdrawals. FSAs are “use it or lose it” plans. If you don’t use it, it will go away, usually at the end of the year. That makes December a great time to stock up on over-the-counter medicines and possibly replace your eyeglasses, as both of those are qualifying expenses. Find out if you have either option available. If you use either one, set aside a place to store every imaginable medical receipt, so you can be reimbursed. Make sure you understand the FSA-eligible expenses.

An Ounce of Prevention

Get routine checkups. The earlier you find a problem, the more options you have. This goes for everything from cancer screenings to blood tests. Get a physical every year and know what is happening with your body. We may be living in the future, but replacement parts are still hard to come by.

Maintain Your Health

It’s cheaper to be healthy. Eat right, exercise, quit smoking.

I enjoy a good meal. It’s one of my favorite things. I won’t cut rich foods out of my diet, so we reduced portions. Beyond the first few bites, the flavor isn’t nearly as enjoyable or even noticeable. There’s no more enjoyment for huge servings than small ones.

Get more exercise, even if it’s just a 2o minute walks twice a week parking on the far side of the parking lot, or taking the stairs instead of the elevator.

Vision

Go online. This one is worth a write-up all by itself. I have 6 pairs of prescription glasses–all varieties of frames and coatings–that have cost a grand total of about $150. There is no noticeable difference between my cheapies and the designer alternatives. While I work on the write-up, the best site to introduce you to the concept of online glasses is GlassyEyes. Reviews, coupons, and discount likes. They have step-by-step instructions on turning an intimidating idea into a simple and cheap solution to an expensive problem.

How do you save money on health care?

* There are no generics available on new drugs until the initial patent expires. This gives the pharmaceutical companies a change to recoup their research and development costs. Without this patent period, new private drug research would evaporate. Don’t hate the brand names, but don’t show undue loyalty.

John Kerry’s Wife Hospitalized: Can You Afford Health Insurance?

Politicians

Secret message from Theresa Heinz Kerry (Photo credit: Mike Monteiro)

Even as a growing number of analysts are questioning the details of Obamacare, the sudden hospitalization of Teresa Heinz Kerry, the wife of former senator and current U.S. Secretary of State John Kerry, provides additional fodder to the ongoing healthcare debate.

Heinz, who is 74 years old, is the heir to the Heinz ketchup fortune. She is the widow of former Senator John Heinz, who was killed in 1991 in an aviation accident. Her marriage to Kerry in 1995 occurred when he was the senator from Massachusetts. Heinz was hospitalized on Sunday and is reported to be in critical condition after being flown to Massachusetts General Hospital in Boston.

Heinz was treated for breast cancer in December 2009 and went through two operations for lumpectomies. It is not known what specific health issues resulted in the current hospitalization. However, sources indicated that there was concern over the return of the cancer.

Regardless of the source of the current illness, it is taken for granted that Heinz will receive the very best of medical care, with cost being of no concern to treatments pursued. In the earlier process of treating her cancer, numerous doctors at the nation’s finest medical facilities were consulted. The issue of Heinz not having to worry about the costs of her care is the central theme of many who criticize our nation’s health care system.

For the millions of Americans who live daily without health insurance or any form of coverage, there is a constant concern over how they would deal with a medical emergency. These individuals know that they are one accident or serious illness away from devastating financial hardship. In fact, the single biggest reason for bankruptcy in the U.S. today is medical bills. According to the latest studies, the average hospital stay billed out at $15, 700, with an average daily cost of nearly $4,000.

These costs are onerous because so many people today find health insurance increasingly unaffordable. While the political debate over the current healthcare reform continues, there is one simple fact. That reality is that the annual cost of private health insurance, already out of the reach of many, has risen by as much as 50 percent in the last two years. Many plans for a family of four are now over $15,000 and it is predicted that a bronze plan under the implemented Obamacare will exceed $20,000 for that same family.

All of this brings us back to the hospitalization of Heinz. The reality we live in today means that many people diagnosed with cancer or other similar diseases have little hope of receiving the treatment or care that the wealthy can afford. Even with quality health care insurance, the co-pays and other costs create burdens that many cannot carry.

There are no simple or ready solutions to this situation. The morality of one patient dying because chemotherapy is too expensive while one with a large bank account survives is an issue that will see intensified debate in the coming months and years. Regardless of what caused the current hospitalization, Heinz is one of the lucky ones who will have superb medical care without financial considerations.

BUYING LIFE INSURANCE ONLINE: THE PROS & CONS

Finance, Life

This is a guest post.

In today’s day and age, nearly everything that we do in our day-to-day lives can be done online and we’ve come to not only expect that, but somewhat rely on that convenience. Insurance, however, is kind of a grey area when it comes to online purchases – no matter what kind of insurance you’re purchasing. After all, an insurance policy is no small purchase; it’s major and can have a profound financial effect on your life, and the lives of your loved ones.

Think about it like this – how wary are you of even just making a small eBay purchase? Most of us look at the seller’s rating, read their feedback, and try to accurately gauge what the risk is compared to the reward. This same mentality should apply to making a life insurance policy online and is far more deserving of it. You can follow this link to learn more from Suncorp today.

This isn’t to say that making an online life insurance purchase can’t be beneficial; depending on your situation, it can be very beneficial, indeed. However, it is going to take substantially more research on your part to get to where an insurance agent might be able to get you, sometimes in half the time.

Pros of Buying Online

One of the most alluring reason for life insurance seekers to buy online are the prices, the comparing conveniences, and sometimes the lack of medical exam. There’s plenty of aggregator sites out there that can take a sampling from across the internet and return you a quote within a matter of seconds – how’s that for convenience?

Probably the most favored feature, though, is the comparison shopping. Once an aggregator provides you with a slew of options, with a wide variety of price points, you’re able to compare all of the details among them, quickly and easily. Something that would easily take your hours if you were having to do all of that research yourself, one by one.

At the minimalist level, though, you’ll often find that some individuals just truly feel more comfortable making insurance purchases from the comfort of their own home, without any agents or appointments. Either because these situations make them nervous, or because they simply don’t have the time to sit down with an agent.

Cons of Buying Online

One of the big ones revolves around the last “pro” that I mentioned – if you don’t have the time to sit down with an agent for a limited amount of time, and let them do all of the work from there, you certainly don’t have the time to handle all of the research that comes along with going through this process on your own.

Also, you shouldn’t always assume that shopping around yourself is going to save you money with it comes to life insurance – after all, life insurance agents have personal connections, favors to call in, and think-on-their-feet knowledge that might drum up an innovative solution; something that online aggregators can’t do.

Furthermore, building that one-on-one relationship with your life insurance agent can be incredibly beneficial. For one thing, you can have every last little thing that you don’t understand about the fine print thoroughly explained to you – this is a big one. Another thing is having such a relationship with you agent, that you can call them at any time, when anything comes up, or when you need sound financial advice. Try calling an aggregator and see if you get much beyond the auto-answering system – I assure you, it’ll be a challenge.

If You Do Decide to Buy Online…

Don’t Give Out all of your Personal Information – No matter what the insurer tells you, you don’t need to provide any crucial personal data just to obtain a quote.
Enlist the Service of an Aggregator that Can Give You a Wide Variety of Options – Comparing an insurer there and an insurer there, means very little actually. You need a plethora of results in order to make a decision that will best be tailored to your situation.
Don’t Get Swindled – Make sure that you’re getting the right information, from a reputable company, that doesn’t deal in the ole’ “Bait-and-Switch”; which refers to when crooked life insurance agents inflate your worth and buy you either a higher policy than requested, or even a different policy entirely – all for their commission!
Thoroughly Research all Potential Candidates – Obtain the financial rating of any establishment, online or otherwise, to find out more about the reputability of both.

5 Personal Safety Apps that Could Save Your Life

Life

Image representing iPhone as depicted in Crunc... — Image via CrunchBase

No one likes to think about the possibility of dying too young. But knowing that potential exists, you take the smart step of protecting those you love by carrying term life insurance. But what about preventing the worst? Did you know your iPhone or Android device can call for help or record vital information if you ever find yourself in a life-threatening situation? Here are five personal safety apps that could save your life.

1) myGuardianAngel

Once this app allows you to reach all of your emergency contacts with the push of one button. You enter the contact information for anyone you would want to get in touch with if you were in any sort of emergency as soon as you download it. If you are in an emergency, the app will call your contacts, send them an e-mail with your GPS location and immediately begin recording audio and video from your phone.

2) StaySafe

This app is good for anyone who works or travels alone. You can schedule the app to automatically notify friends or family after a certain period of time when your phone is inactive. For example, you can estimate how long you expect to drive from one location to another on your own and then the phone will contact someone automatically if you are out of contact longer than expected. That way your friends will know to send help because something is wrong, even if you aren’t in a position to contact them yourself. StaySafe sends your contacts a detailed GPS location for you so that they can easily find you and bring help.

3) RESCUE

This full-service app can help you on the scene as well as notify your emergency contacts for you. If you are in trouble, you can trigger the app to sound a loud alarm that might frighten off anyone who might be planning to do you harm. The alarm can also help someone find you if you are lost or unable to move from your current location. When the alarm is triggered, the app will also send immediate notifications to your emergency contact list so that they can begin to send help right away. Emergency services such as the police and fire department can also be set for notification through the RESCUE app.

4) Night Recorder

This is a good app to have when you need to make a quick recording of your surroundings for any reason. The app can be set to begin recording at a touch. If you are stranded, you could create a recording by speaking about the landmarks you can see and explaining how you got to your current location. The recorder can then send an email of your recording to anyone on your contact list.

5) iWitness

With this app, you can instantly make video or audio recordings of your situation so that there is a permanent first-hand record of everything that happens. It is a handy tool for anyone who has been in a car accident or involved in a medical emergency because you can go back and look at the video to see exactly what happened if there is any question about it later. The app will also contact emergency services or your personal emergency contacts if you are in trouble. The built-in GPS locator will transmit your exact location so that people can find you quickly and easily.

Post by Term Life Insurance News

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Importance of life cover insurance

Objections

Variety of life cover insurances

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