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$10,000 in medical bills -- and that's with insurance

Posted Sep 10 2008, 03:14 PM by Karen Datko
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Two encounters with illness have cost David of My Two Dollars and his wife nearly $10,000 out-of-pocket so far this year, and that's not including the $320 a month they were paying for health insurance premiums.

Health care is a huge personal-finance topic, but PF bloggers rarely write about it -- unless it hits close to home. Luckily, David and his wife were able to absorb the unanticipated expenses. But, he wonders, what about people who can't?

"So imagine what it would be like for someone without extra income. Or three kids to feed. Or a mortgage to pay for," he says. "... No wonder people lose their homes, their jobs, their marriages, etc., over paying for medical bills."

Here's how some other PF bloggers have dealt with the issue in their personal lives. Maybe you'll find something resembling your own situation.

Blogger MariRDH at MariRDH's Personal Finance Blog learned that her health insurance premium through work for her family of three is going up $300 -- to a total of $1,100 a month. She then found a high-deductible HMO, eligible for a health savings account, for $600 a month. She writes, "The family deductible is $5,000 with a max out-of-pocket of $10,000 a year. Guess what my $5,000 emergency fund is going to be called come Sept. 1?" (Update: She might get a better deal through the student health service at the college her husband attends.)

Pamela Grundy at Personal Finance Analyst details how her coverage at work declined over several years. "The plan I have now has a $5,000 deductible, and pays 80/20 after that, but they are notorious for denying claims outright," she writes.

Madison at My Dollar Plan was able to quit work outside the home at the tender age of 29, but thank goodness she's married to Scott. "He's still working. Not necessarily for the money, but for our awesome health insurance," she writes.

"Vh" at Funny about Money has recently encountered yet more mind-boggling changes in her employer's health insurance offerings. She's also approaching retirement age and has looked into Medicare. She observes that the government's overview of Medicare is "113 pages full of details whose complexity rivals the U.S. tax code!"

At Her Every Cent Counts, SFgal writes about the challenges you face when you have high-deductible insurance. (Warning: She provides TMI.) Her point is that you worry about the money you spend as much as the care you get.

David had what he calls a "brush" with leukemia. More recently, he had melanoma removed from his leg. He doesn't smoke, drink or overeat, and he exercises regularly.

They had private insurance with a $2,500 deductible (and hopefully the option of a health savings account), a $40 co-payment for doctor's visits, and had to pay 50% for out-patient services. It didn't cover vision or dental. His wife was not eligible for insurance through her teaching job at a private school.

They have since moved from Los Angeles to New Mexico, and their insurance situation has greatly improved. As of Sept. 1, they have good coverage, at $257 a month, through her job as a public-school teacher.

That doesn't stop David from thinking of those who are uninsured or underinsured. "If I could not have paid my bills, would I deserve to lose my home? My job? My credit? I don't think so -- this is health we are talking about, not some stupid mistake I made on my own."

Comments

 

Its all so unbelievable!  I agree with everyone cancelling insurance and then see who suffers!  My husband and I are raising two kids and none of us has insurance.  We have dodged major expenses so far, but...who knows.  I also appreciate the Canadian comments.  Do any of our politicians listen?

I am self-employed and I have a private health insurance policy with a $5,000.00 deductible, all I can afford. About 5 years ago I got sick, and ended up with what was apparently meningitis - no money to run the tests to verify it. I was basically unconscious for three days, off work for a week, and only able to work part-time for about a month. When my friend took me to the doctor, I was totally out of it, but still refused to go to the hospital and kept saying $5,000 deductible. She came over for three days straight and woke me up to drink fluids and take antibiotics - that's when you know who your real friends are. I was afraid I would lose my house if I was hospitalized. Other than a slight hearing loss, I did recover. In retrospect I was foolish - I could have died to save myself owing $10,000 to $20,000. Many of my self-employed friends have no insurance. Anyone who says our health care system isn't a mess hasn't looked carefully, or hasn't been ill with a big deductible or no insurance at all.  

four months of recovery now   bu the bills still keep coming  47,000.00 so far   because i was working for a small buisness without health insurance  then the big one hit   a bloodclat blocked and shut off my heart.  it is unfortuniate that most americans are one illness away from disaster  

b j. smith sr.

our premiums went from 687 a month to over 1200 with 5000 in deductables added to that. doesnt pay to be over 60 and not yet eligable for medicare.

I hear you all. My husband has been battling cancer for 1 1/2 year now. He has private bought insurance and we owe close to 300000 they have already paid out about a million. They keep denying a lot of the charges saying the dr did not word the order correct and so on. All we are trying to do is keeping our house We have paid a ton of co-pays to and we have maxed out all our credit cards and have so much money in collection already. It feels like a constant battle. When did it change from trying to get people well to trying to put them all in the street and broke instead of trying to get people healthy. I get so angry and sad. I look at my 7 year old daughter there is already struggling with her dad being sick and now have to feel not getting food on the table some night. The richest country in the world my..............

I had it all until a spinal injury in 03 that has left me homeless and broke. When this all started I had over 1/2 mill in liquid assets. I was a federal employee with great insurance and long term and short term disability. I hurt my back many years ago with no real problem. That was considered a pre-exsisting injury and they stopped my payments and put a lean on my home for the back pay. I hope the system changes! I'm still in horrible pain! This situation will probably cause me to end my life. Best of luck to the rest of you!  

Jw I have had lupus for 24 years sorry to hear of your daughter, hope she is doing well. I too had chemo for lupus and had a bad reaction, Stevens-Johnson. My insur. has gotten worse and worse over the years...I live in fear of another lupus flair up or heart attack which I had in 1999.

over $14,000 last year. i spend $831.60 a month for ins.

i've been warned about Obama'a plan, coverage,but no service. in other words nothing will get done.

it's a crime how they hide behind the "money changers" and stretch things out until you are almost dead!!

 spree wa.

When I had my first child, we had $10,00 out of pocket, because I had complications.  In addition we were paying $600/ month for a family of 5.  My husbands first wife who doesn't work or pay us child support(we have custody of my 2 stepdaughters) had to have thyroid surgery and 100% of it was paid by the wonderful state of California.  Maybe politicians should worry about affordable healthcare for the HARD working, not the HARDLY working.

My husband pays $1250 a month for a family of four through his employer!!!   Plus he has to pay copays and co-insurance anytime someone has to go to the doctor (which is unfortunately quite often).

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