Uninsured America

For a family of four, a decent insurance coverage with worthwhile deductible and copay could cost a few thousand dollars a year. If you want a low deductible and low copay, the cost doubles. Many of the Americans living on a budget cannot afford to purchase this kind of coverage. So, without insurance coverage, are we to live in a fear of rising hospital cost and never to visit doctor's office?

Fear no more. due to ever decreasing insurance reimbursement, many doctors are opting to get out of network and offer cash discounts for those who are without coverage. Discounts are hefty enough that sometimes, cash discount fee could be less than that of copayment.

For example, someone with $3000/year covereage with $2500 dedictible may have to spend $2500 at regular fee schedule and start receiving discounts after $2500 out of pocket has been met. So if an individual visits doctor's office with back pain, one may end up paying hundreds of dollars in exam and treatment cost. However, those without coverage may receive cash discount fee that is far lower than what insurance patient has to live with without ever having have to pay monthly premium.

The insurance patient from above needs to spend $5500 ($3000 premium + $2500 deductible) before any benefits kick in. Average Americans without medical conditions requiring regular visit spends fraction of that if at all. Over just a few years, one may be spending 10's of thousands on premium and deductible. So it is pretty obvious that for healthy young individuals, health insurance is just a bad deal.

Now that you may have decided to ditch your self-paid insurance coverage, how can you survive? Just ask for the discount. Many healthcare practitioners offer hefty discount these days. Managed care organizations are increasingly denying claims unnecessarily while decreasing the reimbursement, that doctors end up spending more money to collect less than previously. So if someone walked in without insurance and wants to pay cash, doctors can give administrative discount since they are saving good amount by not having have to fight the insurance adjuster for months.