Last time, we talked about the importance of maintenance care and the role it plays in keeping your car from breaking down. We also discussed how this same level of care and respect needs to be extended to our bodies. If you change the oil in your car, or do a tune-up to avoid potential problems… how much more important is it to do the same for your body?
In most states, we are now required to carry automobile insurance. Even with “full coverage,” we understand that this is for unexpected, unearned, and excessive costs. If you’re in an accident, insurance will cover your return to pre-accident status. Car get stolen? Insurance will help you replace it. Tree fall on your car? Auto and homeowners insurance will make good. However,… does your insurance pay for an oil change? Does your insurance cover tire replacement? What if you need a new battery? Need a front end alignment… does insurance cover that?
No? Why not?… Because that’s not what it is for! Insurance, as mentioned above, is for unexpected, unearned, and excessive costs. General maintenance is not unexpected. It is not unearned. And the cost is not excessive. General maintenance is an expected necessity due to the normal affects of normal use. One could argue that many repairs are not covered by insurance because they don’t meet these three requirements. If your alternator quits working, it may be unexpected when it happens but it has been earned by use over the many miles and hours the engine has been running; and the costs are not excessive to have it replaced. If your brake pads wear out, that is expected, earned… and again, the costs are not excessive. Transmission faulty? Both unexpected and can be cost excessive, but you’ve most likely earned (meaning caused) that trouble. Therefore, it’s not covered.
So who pays for these costs that are not covered by your auto insurance? You do, of course, and you pay it willingly because you know it keeps the car doing what you’d like it to do. Insurance will be there if you are in an accident. You will be covered if your car is stolen. Warranties (another form of optional insurance) cover you if something goes wrong within a certain time frame, but again, only if those problems are unexpected, unearned, and have excessive cost… and you pay more for the warranty. In fact, some things may be covered by your insurance, but you still may choose to pay anyway because it doesn’t exceed your deductible. And… if you submit those costs to your insurance plan, you know they’re going to raise your rates.
Health insurance and your responsibility for your own health-related decisions are no different.
If it’s so important to cover these auto expenses out of your own pocket, why is it so difficult to place that level of importance on your health care decisions? Think about it. When you need a general check up, why should you expect your insurance to pay for it? If you do expect them to pay for it, you realize that you are paying more in higher premiums than they will ever cover in general costs, right? If you need treatment for a mild sinus infection, are the costs “unearned or excessive?” If you work in the yard all weekend and throw your back out, do you refuse to visit your chiropractor if the insurance doesn’t cover it?
Furthermore, when you submit general/simple/ordinary expenses for reimbursement, your insurance company uses that information against you to raise your premiums and justify “the rising cost of health care.” While reimbursements go down, premiums go up, and coverage diminishes, you’re getting less and less for your insurance dollar… all because you didn’t want to cover a brief office exam.
What’s you best alternative? Sign up for a low-cost, high deductible catastrophic coverage insurance policy with an attached tax-free health savings account. Your costs stay low, you’re covered if anything serious happens, and you pay for your own general health care with pre-tax money. What’s even better? Your doctor’s office will love you, because they know they’re getting paid now… without all the billing expense… and without the wait. In fact, most health care facilities I know offer a 10-25% discount for paying at the time of service. Need a little more care than you can pay right now? Most offices will let you make payment arrangements, and you pay them out of the health savings account which saves you a bundle on your income tax.
Don’t kid yourself… universal or government-provided health care won’t fix this problem. The real rising cost of health care starts with our individual expectations that someone else is responsible for it.