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The Hunt
for "Reasonable" Health Insurance
Donna Doyle
If there's one
thing that divides freelancers from all other employees, its
our obsession with finding affordable health insurance. Prices
have risen astronomically over the past five years, while
co-pays have increased and coverage decreased. And
unfortunately, there doesn't seem to be much relief in
sight.
My friend David told me that
Empire Blue Cross raised his rates from $404 a month in 2003,
to $836 a month at the beginning of 2008. David is single with
no dependents, so paying what seems to be a mortgage payment
for being healthy is ridiculous. When he called Blue Cross to
see how he can get less-expensive coverage, they suggested he
join some sort of business group that offers health
insurance.
David joined the New York State
Business Group; his provider is now HIP and pays only $464 a
month. Quite a difference!
So you may wish to check if your
local Chamber of Commerce, an industry-specific trade
association or local Small Business Group offers health
insurance policies.
Another possibility is the
Freelancer's Union,
which won some good reviews from their customers. But there are
limitations: it operates in only 30 states.
Another valuable tool
is
http://www.healthinsuranceinfo.net
. This site shows a map of the
country and after clicking on a state, a document is downloaded
that covers everything from what kinds of programs are
available to small business owners to whether there is a
high-risk pool available for those with chronic health problems
and have been rejected by insurance providers. It's a great
place to start.
Catastrophic insurance (if your
state offers it) is an option as well. In other words, you pay
out-of-pocket for doctor's visits, but you're covered if you
need brain surgery. If you’re relatively healthy and visit a
doctor once or twice a year, this the least-expensive way to
go.
If you want to check out some of
the options in your
state,
http://www.ehealthinsurance.com
allows you to compare a
variety of policies offered from dozens of health insurance
providers. However, this site doesn't operate in all states and
covers only individuals.
I happen to live
in New
Jersey, which is a mutant
state when it comes to health insurance. We aren't allowed
access to health insurance through our local Chamber of
Commerce, or a business Trade Association. Catastrophic
Insurance isn't offered either. It’s either the Cadillac plan
or nothing.
As
a result, New
Jersey has one of the
highest health insurance rates in the country. But you are
allowed to buy a much-cheaper group policy if you are
self-employed with two or more people. Yes, that includes a
husband and wife. This kept our premiums to a little under
$1,000 a month for myself, my husband and my daughter;
astronomical, yes -- but far less than what individual family
policies cost.
What about
those newfangled Health Savings
Accounts?
Frankly, I’m not impressed.
I did look into it, but my insurance agent talked me out
of it. HSA’s are great for people in their 20s who are
healthy, he said. But if you’re in your 30s or 40s and
supporting a family (like I am), the price of the
insurance premium plus putting money in an HSA will cost
you more per month than having an insurance premium
alone. Sad, but true.
If you live anywhere in the world
except the USA, you
don't have to worry about any of this and, frankly, I envy you.
If you are lucky enough to have a spouse or partner with great
health insurance, congratulations.
But if you're on your own, look
upon health insurance as one of the costs of doing business.
Here's something that makes this pill a tiny bit less bitter to
swallow: You can write the entire cost of your premiums off
your income tax. This could be an extra deduction of $10,000 -
$15,000 a year.
Oh...and find yourself a good
insurance agent!
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