You can't put a price on good health. You've heard the maxim, but in the era of high deductibles, caveat-riddled coverage, hidden fees and a healthcare system in flux, it's taken on a new meaning. Even if you have coverage, how do you budget for your health needs beyond the standard co-pays and insurance premiums? It's a question anyone who's ever received an unexpected medical bill has grappled with. According to a recent poll by Kaiser Family Foundation, 67% of over 1,100 people surveyed worried more about surprise medical bills than covering the cost of rent, food, electricity or insurance premiums.
In the same poll, 39% of insured adults under 65 claimed to have been hit with higher-than-expected medical bills in the past year—with some facing unexpected charges upwards of $2,000.
The truth is, health insurance doesn't guarantee you protection from medical-related debt. That doesn't mean you should pass on the care you need, but you don't have to be blindsided by the costs either. Arming yourself with information, doing your research and being your own advocate can make all the difference—for your health and your bank account. Here's what you need to know.
Avoid "in-network" loopholes
Just because a hospital or clinic is in your insurer's network, that doesn't guarantee the doctor treating you offers the same coverage. This is particularly common with surgical procedures that require multiple professionals. According to the Wall Street Journal, anesthesiologists, radiologists and pathologists are "the most likely to not accept many health plans." Meanwhile, specialists brought in for consultations and even MRI or blood-work could appear as an out-of-network charge on your medical bill.
To avoid added costs, contact the hospital in advance to request that all specialists and lab tests are in accordance with your network plan, and barring that, try to negotiate a rate beforehand. If you're still overcharged, you can contact a billing negotiator, (Consumer Affairs has a list of the best rated), which takes a cut from your reduced rate, or a nonprofit like Patient Advocate Foundation.
You can also advocate for yourself, as Forbes' Kelly Long did after a surgical procedure with an anesthesiologist that wasn't on her plan.
"In my case, I finally called the billing office of the anesthesiologist and asked if they would be willing to accept the amount my insurance was willing to accept," writes Long. "The billing associate consulted her manager and then offered me a 20% discount."
Ask about Facility Fees
Hospitals can charge for the use of their facility and equipment, which can be unavoidable in emergency situations. But if it's not a dire situation, or if your doctor works out of another location besides the hospital, it's possible to avoid the fee. Call ahead, ask about facility fees and whether there's a way to avoid them with a visit to another office.
Check for Billing Mistakes
Ever spotted a mistaken charge on a restaurant check? Medical facilities make mistakes too.
Calculate each item on the bill, and make sure there aren't erroneous procedures you didn't actually have. Here's the big one: Even if the procedure's name checks out on the bill, the CPT (current procedural terminology) code for a procedure could be wrong. You can find a list of codes at the American Medical Association's website. If your insurance company denied coverage for a procedure that you know is in your plan, make sure the code listed matches the procedure you had. If it doesn't, alert both your plan and the medical facility of the mistake.
If you're setting up an appointment for preventative care, check with your healthcare provider about what's covered, specifically the numeric codes for each procedure. Then, when booking the appointment, give those codes to the administrator to avoid mistakes later.
Other mistakes to look out for: double charges of the same procedure, misspelled names and inaccurate dates. Any one of these blips could lead your insurance to initially veto coverage.
Research your options—all of them
In an emergency, researching cost effectiveness should be the last thing on your mind. But if you've done your homework in advance, you'll save yourself a financial headache later. Check with your local fire department about the ambulance services in your area and confirm with your insurance provider that they're in your network. While you're at it, check in about your options for same-day care.
Providers, like Aetna, hospitals like NCH, and online platforms like Doctors On-Demand offer virtual care services, staffed by physicians on call to answer your immediate concerns and help you decide next steps. Most cost as little as a co-pay or offer a flat rate starting around $40.
If you need an immediate in-person visit and can't get an appointment with your primary care physician, you've still got options. Chain pharmacies like CVS offer walk-in clinics ($99-$129) for quickie problems such as sore throats or other minor issues, while urgent care facilities, which can start at $150 without coverage, offer wider services.
If your issue might be life-threatening (chest pains, shortness of breath, vomiting and other red alerts) it's time for a trip to the ER, which usually means a higher co-pay and resulting bill. But in times of crisis, money should be the last thing on your mind. But when you're feeling better, or better yet, before you get sick, you can arm yourself with even more information on ER fees and what to expect over at Vox, where they've launched a project aimed at exposing the hidden costs of Emergency Room visits. You can even help their cause by sharing your own bill.
Airbnb offers an affordable option for people looking to be more comfortable as they travel.
However, there are downsides to staying in a host's home rather than a hotel. Whereas hotels are designed for constant streams of visitors and often have furniture built to last, at an Airbnb, you may be staying on old or cheap furniture that a host is using in order to maximize their profits.
And while most reputable hotels will have regular room inspections from staff to check for any wear and tear, Airbnb damage disputes are oftentimes he said, she said situations. If you are in an Airbnb and something breaks, there are a few steps you should take in order to ensure that you are not on the hook for damages out of your control.
If you're keeping tabs on the art and tech worlds, you've probably been hearing whispers about "NFTs" for the past month. Just over the past week they've entered the mainstream lexicon.
Twitter founder Jack Dorsey made the news for selling his first ever tweet. The app has been teasing paid subscription models and newsletter-like features, but tweets for sale is "the next frontier."
just setting up my twttr— jack (@jack)1142974214.0
The 2006 tweet went up for auction as an NFT, and the current bid is $2.5 Million. But what does it mean to own that? Why would anyone want to? And what even is an NFT?
Long gone are the days when the majority of Americans dreamed about owning a home with a white picket fence.
The traditional American Dream may be on its deathbed, but that doesn't mean a core component of the vision can't survive. It simply takes a diverse perspective. People can still believe they can attain their own vision of success in society with hard work, knowledge, and risk-taking. Investing in today's American Dream may literally mean investing money in our modern economy, starting with our infrastructure.
Real estate investing in particular is a lucrative method that can boost income and secure a better financial future for many. There's always risk involved, but the payoffs can far outweigh the uncertainty. Selecting solid financial investments is about confidence and competence. If you're looking for some advice on this kind of investment, here are a few savvy tips for new real estate investors.
Stick To a Specific Strategy or Niche
Real estate is a challenging sphere of the business world, one that requires several key skills: groundwork knowledge, networking, perseverance, and organization. True knowledge of the real estate market will come with time and experience, but it's a smart idea to select one area of the market and stick to it. This is the best way to attain in-depth familiarity with your specific niche.
First, choose a geographical area close by and then a niche strategy within it, such as house flips, rental rehabs, or residential or commercial properties. By doing so, you can become aware of current inner working conditions in the market and you'll have a better idea of how these trends may change in the future.
Be Vigilant About Viable Financing Options
While it takes money to make money, you don't have to use all your own money. A common misconception about real estate investing is that you must be wealthy to start off. This isn't straight fact, however. A majority of people can test the waters of real estate investing without a lot of initial cash in their pocket.
Aside from traditional financing options from banks and institutions, private lending options can be worthy solutions. Hard money lenders are popular, reasonable choices, and they tend to have fewer qualification requirements upfront. However, be sure to strategically choose a hard money lender to find the best possible fit.
Master the Art of Finding Good Deals
There may be hundreds of thousands of available properties for sale on the current market, but the bulk of them will never amount to the final money-making result you desire. Another great tip for new real estate investors is to use good math to estimate profit. Taking risks is part of the process, but you have the ability to analyze properties and use networking sources to find the greatest deal. You can't win every deal, but you can steadily work towards a thriving financial future.