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Been experimenting with "health insurance" for a year and a half

Posted on 7/30/15 at 10:31 am
Posted by PeteRose
Hall of Fame
Member since Aug 2014
16837 posts
Posted on 7/30/15 at 10:31 am
I'm 36, not married, no kids, self employed.

After i quit my corporate job, I looked for coverage at BCBS. They were asking around $300 per month. So instead of signing up, I decided to put the $300 into a separate checking account. Flash forward a year and a half later, the only medical related expenses were 2 trips to the dentist, costing around $400. I have $5000 in the account for medical related purposes.

Now, I know this is not for everybody(can't take this risk if you have kids). But I looked at my parents medical history and they are relatively healthy. I exercise 5x a week, eat well, maybe get sick once every 5 years.

I may sign up for health insurance when I'm in my 50s when major organs begin to have issues and sickness becomes more prevalent. But for now, I can't see giving BCBS $300 each month and not using their services. And I don't want Obama Care since I don't need government's "charity".
Posted by ConfusedHawgInMO
Member since Apr 2014
3495 posts
Posted on 7/30/15 at 10:36 am to
That's kind of what I do, but through a high deductable plan and an HSA. I took what I would've paid in premiums and put it in the HSA. After the 1st couple years I had money in the bank. Then tonsils, tubes, adnoids, braces yada yada yada it was probably a wash.

I hit the max out of pocket a couple of years so it is a good thing I did have coverage or I'd be bankrupt or OT poor sub 700 credit score.
Posted by MasCervezas
Ocean Springs
Member since Jul 2013
7958 posts
Posted on 7/30/15 at 10:37 am to
that can work for some, but I have to have peace of mind. If you were to get seriously injured that 5k will be gone quick and you'll have a shite ton more to pay.
Posted by Salmon
On the trails
Member since Feb 2008
83527 posts
Posted on 7/30/15 at 10:38 am to
why not get a high deductible HSA?
Posted by hungryone
river parishes
Member since Sep 2010
11987 posts
Posted on 7/30/15 at 10:40 am to
Besides the fact that you will be hit with a penalty at tax time for being uninsured (aka a "shared responsibility payment"), you're engaged in a form of speculation. No one PLANS to have a catastrophic accident or a cancer diagnosis, and your $5K savings (or $20K or even $50K) will be a fart in the wind should something serious happen.

Okay, so you've got great genes, a good diet, and are reasonably active: a bad fall off your racing bike, a wrong step while trail-running, or slipping off a ladder while putting up the Christmas lights. Sh*t happens, and it's always expensive.

Plus, if you're self employed, the insurance premiums are a deductible business expense.
Posted by PeteRose
Hall of Fame
Member since Aug 2014
16837 posts
Posted on 7/30/15 at 10:40 am to
quote:

why not get a high deductible HSA?


tell me about this HSA?
Posted by PeteRose
Hall of Fame
Member since Aug 2014
16837 posts
Posted on 7/30/15 at 10:46 am to
quote:

a bad fall off your racing bike, a wrong step while trail-running, or slipping off a ladder while putting up the Christmas lights. Sh*t happens, and it's always expensive.


I get what you are saying. I used to think the same way when working a corporate job. But I don't want to live with the "what if" mentality. Sure, if shite happens. But I can cover most operations at my own expense. It would suck, but I never had such operation my whole life and I like to take my chances.

About getting old and dying, I used to be obsessed with the concept of death. But as I got older, I came to realize it as a part of life and have embraced it. We can't live forever and I wouldn't want to.
Posted by Salmon
On the trails
Member since Feb 2008
83527 posts
Posted on 7/30/15 at 10:50 am to
quote:

Sure, if shite happens. But I can cover most operations at my own expense. It would suck, but I never had such operation my whole life and I like to take my chances.


without completely crippling you financially? I doubt it

and like she said, you will get hit with a penalty come tax time for not having insurance

you can google HSA, it will explain it better than I can, but a HSA is what you need/want
Posted by ForeverLSU02
Albany
Member since Jun 2007
52147 posts
Posted on 7/30/15 at 10:57 am to
quote:

I have $5000 in the account for medical related purposes.
This will not go far in the event something does happen. Hell I just had a colonoscopy due to passing blood and it cost me $1300 and I have insurance.

ETA: Not to mention you're looking at a fee of 2% of your income for not carrying insurance
This post was edited on 7/30/15 at 11:00 am
Posted by PeteRose
Hall of Fame
Member since Aug 2014
16837 posts
Posted on 7/30/15 at 11:05 am to
quote:

without completely crippling you financially? I doubt it


what is consider crippling?

If health insurance is a safe haven for most people. But to me, it's has negative value, meaning you get less out of it from what you put in.
Posted by SouthOfSouth
Baton Rouge
Member since Jun 2008
43456 posts
Posted on 7/30/15 at 11:06 am to
That works till you get Cancer or some other disease. I have a friend who got cancer at 27. Very in shape guy who had never had any problems.

I would suggest getting some basic insurance at some point.
Posted by PeteRose
Hall of Fame
Member since Aug 2014
16837 posts
Posted on 7/30/15 at 11:07 am to
quote:

Not to mention you're looking at a fee of 2% of your income for not carrying insurance


2% of your income on paper that is.
Posted by PeteRose
Hall of Fame
Member since Aug 2014
16837 posts
Posted on 7/30/15 at 11:07 am to
quote:

I would suggest getting some basic insurance at some point.


i already said in my 50s.
Posted by Chaplain
8,000,000 posts
Member since Nov 2009
1146 posts
Posted on 7/30/15 at 11:13 am to
quote:

If health insurance is a safe haven for most people. But to me, it's has negative value, meaning you get less out of it from what you put in.



yea until you have a $150,000 medical bill that you're on the hook for.
Posted by Korkstand
Member since Nov 2003
28703 posts
Posted on 7/30/15 at 11:15 am to
quote:

But to me, it's has negative value, meaning you get less out of it from what you put in.
That's the price you pay to manage risk.

But here is what happens with people like you. Some uninsured WILL have shite happen to them that they are unable to pay for, and guess who will end up paying for it. The insured, in the form of ever-rising premiums. You claim that you don't want government's "charity", so instead you choose to join a group that relies on the charity of all of us? Kind of shitty if you ask me.
Posted by hungryone
river parishes
Member since Sep 2010
11987 posts
Posted on 7/30/15 at 11:28 am to
quote:

About getting old and dying, I used to be obsessed with the concept of death. But as I got older, I came to realize it as a part of life and have embraced it. We can't live forever and I wouldn't want to.


As I've said on this board before, being dead is cheap. It's staying alive that's damned expensive. Unpredictible shite like a brain aneurysm can cost hundreds of thousands and leave you permanently impaired or unable to live independently. I also won't go without disability/income interruption insurance for self & spouse. The couple hundred bucks a month for health & disability provide me with peace of mind & a real safety net.
Posted by tigeraddict
Baton Rouge
Member since Mar 2007
11797 posts
Posted on 7/30/15 at 11:28 am to
this is similar to how a HD plan coupled with an HSA works, but you pay for catastrophic care.

I highly recommend you get something with a high deductible.

I never got sick, never went to the doctor for about a 10+ year stretch, then i was diagnosed with testicular cancer. No family history and still was hit. Treatment was around $100k+





Posted by southernelite
Dallas
Member since Sep 2009
53174 posts
Posted on 7/30/15 at 11:39 am to
Doesn't carry insurance
Doesn't know what an HSA is
Possibly evading taxes

Yeah, sounds like you make solid decisions.
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 7/30/15 at 11:42 am to
My Uncle sounds like you. Single, no kids, independent contractor making good money. Had a heart attack at 47...

$122,000 bypass surgery. He's still paying for it.
This post was edited on 7/30/15 at 11:50 am
Posted by foshizzle
Washington DC metro
Member since Mar 2008
40599 posts
Posted on 7/30/15 at 11:49 am to
As others have said, you need an HSA plus HD insurance.

An HSA is an account into which you can put up to a certain amount each year (I think it's $3500 or so but check). It functions very similarly to a traditional IRA in the sense that your contributions are tax-deductible. But you can take money out to pay for qualified medical expenses, and once you hit retirement age you can take it out for any reason at all.

In other words, it is another traditional IRA that you can tap for medical expenses without paying a penalty. This makes your medical costs free of income tax - much better than using a standard checking account.

In order to establish an HSA, you also have to buy high deductible insurance. Basically it means you're on the hook for your healthcare costs up to a certain amount (say, $5000) and then after that the insurance kicks in. You will need this if you have something major come into play. Because the deductible is so high the premiums are lower than for traditional "cafeteria" insurance.

Optum Health is probably the industry leader with this kind of arrangement but there are others.
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