Showing posts with label health insurance. Show all posts
Showing posts with label health insurance. Show all posts

Monday, November 16, 2009

Stuck a between rock and a hard place

GiantInsuranceCompany(tm) says they attempted to charge my credit card for my premium, and the charge was reversed. BankOfVisaCard(tm) says no request was made, much less a reverse or decline on a charge.

So what now happens? I'll tell you what happens: I get stuck with a fee.

Wednesday, October 14, 2009

Health Savings Account (HSA)

Child and I have been looking into health insurance options. With a new baby, our rates are about to go up, and it's hard paying all the money we do when all of us are healthy as far as we can tell.

The option we've decided on is a Health Savings Account (HSA).

The idea is that instead of paying full premiums for regular health insurance, you pay a smaller premium for health insurance with a high deductible (high-deductible health plan, or HDHP). Along with that, you open a special health savings account (HSA) where you can deposit money (such as the money you saved by paying smaller premiums). This money is used to pay for any medical expenses.

There's a few pros and cons.

Pros:
If nothing ever happens to you, you're not out the money as you would have been if you'd spent it on insurance premiums. It just builds in your savings account.

Any money you put into the savings account is untaxed if you eventually use it for qualified medical expenses.

"Qualified medical expenses" are defined very broadly. Things like acupuncture, chiropractors, even lasik eye surgery are acceptable, as well as the more usual things like medications. You're still paying for the chiropractor, but if you'd be paying anyway, it's better to pay with untaxed money.

After age 65, you can take the money out for non-medical expenses without penalty, although it will still be income taxed if used for non-medical expenses. (In other words, it will be tax-deferred.)

Cons:
You have a very high deductible; usually $3,000 to $10,000. This means that if something big happens, you have a very large out-of-pocket expense before insurance kicks in.

This also means that for smaller things like doctor visits and prescription medications, you'll be paying for everything since it's doubtful you'll reach your deductible.

Any money you put in the savings account is supposed to be used for medical expenses only. Before age 65, if you take it out for something other than medical expenses, the government hits you with a 10% penalty plus income tax.