When you get health care without insurance, you will be charged retail prices by the providers of health care. People in the U.S. tend to forget that health care is private business and providers set their own retail charges. However, if you buy health insurance, you benefit from the steep discounts off retail that health insurance carriers negotiate with providers of health care.
Even worse, if you are not insured and you have an emergency, your medical bill will be far higher than if you are insured. A recent national study examining hospital Emergency Room charges (JAMA Internal Medicine, May 2017) showed that hospitals typically charge uninsured patients four times what they’re willing to accept from Medicare and double what they charge for the same services performed in other parts of the hospital. Uninsured patients can get stuck with enormous medical bills they are personally responsible for paying.
Emergency room care is extremely expensive and if you are in a serious car or motorcycle accident or injured while hiking, running or snowboarding, you are going to want immediate medical attention. Medical bills are the leading cause of personal bankruptcy in the U.S. Don’t let an unexpected injury from your favorite activities cost you your financial security because of large, uncovered hospital and medical bills.
With health insurance, you get the carrier’s re-priced discounts on the care you receive. Providers agree in advance contractually to accept lower carrier-negotiated prices, rather than their retail charges for uninsured patients. The difference, especially among hospitals, is huge.
So, even if you buy a plan with a higher deductible – meaning you choose to self-insure your health care expenses up to the dollar amount of the deductible you select and in return you get a lower monthly health insurance premium – you still get the benefit of re-priced discounts on both your co-payments and the charges allowed and paid by the carrier.
It’s smart financial management to get an affordable health insurance plan that protects you and your business from the major personal health and financial risks of going without coverage.