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.
Artificial Intelligence
Looking for a job? In addition to encountering those annoying never-ending job interviews you may find yourself face-to-face with an artificial intelligence bot.
Companies worldwide increasingly use artificial intelligence tools and analytics in employment decision-making – from parsing through resumes and screening candidates to automated assessments and digital interviews. But recent studies claim that AI does more harm than good.
While AI screening tools were developed to save companies time and money, they’ve been criticized for placing women and people of color at a disadvantage. The problem is that many companies lack appreciable diversity in their data set, making it impossible for an algorithm to know how people from underrepresented groups have performed in the past. As a result, the algorithm will be biased toward the data available and compare future candidates to that archetype.
The City’s Automated Employment Decision Tools (AEDT) law is designed to offset the potential misuse of AI and protect job candidates against discrimination. It was enforced on July 5th, 2023 in New York City - with other cities and states expected to gradually follow suit. Employers must now inform applicants when and how they encounter AI. Furthermore, companies have to commission a third-party audit of the AI software used, and publish a summary of the results to prove that their systems aren’t racist or sexist. Job applicants are able to request information regarding what data is collected and analyzed by the AI. Violations of the law can result in fines of up to $1,500.
Replacing Human Hiring Decisions
However, should a job applicant want to opt-out of such impersonal judgement by a bot, the new law's scope is quite limited.
While the law specifies that instructions for requesting an alternative selection process must be included in the AI screening disclosure, companies aren't actually required to use other screening methods. Not to mention that the law only applies to AI in hiring and not any other employment decisions. It also wouldn't apply if the AI, for example, flags candidates with relevant experience, but a human then reviews all applications, making the ultimate hiring decision.
Some civil rights advocates and public interest groups argue that the law isn’t extensive enough and that it’s even unenforceable. On the other hand, businesses say that it’s impractical, costly, and burdensome, and that independent audits aren’t feasible.
Responsible use of AI in hiring
Although this law may be a good first attempt to assign more regulatory guardrails around AI, it remains to be seen if it ensures the responsible use of AI in hiring processes. At the end of the day, perhaps recruiting talent should remain a human-made decision.
The good news is that AI can help companies without harming potential job candidates in many ways – such as connecting new employees with internal organizational information and company benefits during onboarding. Or helping employees to do their jobs more effectively rather than replacing them.
The world of travel is not the same as it was two years ago. From the surge in "revenge travel" to the TikTok-inspired itineraries that make the most random destinations suddenly the most popular, there's so much about traveling that's out of your control.
What you can control — to some extent — is how much you pay for it.
According to CNBC, “Between dining out and taking trips, Americans are now spending an average of $765 more a month compared with last year when much of the country was shut down due to the coronavirus pandemic, according to the MassMutual Consumer Spending & Saving Index … Young adults, in particular, are determined to make up for lost time. Millennials and Gen Z, who reported feeling the financial impact from the rise in reopenings and social gatherings, said they are shelling out $1,016 more a month, on average, than they did during the summer of 2020. MassMutual polled 1,000 U.S. adults from July 21 to 28.”
While some are okay with making up for lost time by gleefully spending all their money, not everyone has the desire to blow up their budgets on trips. Yet, the allure of travel still calls. Thus, the appeal of travel hacking.
Travel hacking has been around as long as credit card rewards have. But during the pandemic, travel hacking gurus found unprecedented fame on TikTok and Instagram. With time to learn about the points and miles community, suddenly people were planning for future travel using tips and tricks gleaned from experts sharing their knowledge on social media.
Though it might sound complex, anyone with a fair credit score can enter the travel hacking game. Here’s how:
What Is Travel Hacking?
Travel hacking is using reward points and miles from airlines, hotels, and credit cards towards free or heavily discounted travel. This ranges from opening a number of credit cards for the reward bonuses, optimizing your normal spending in order to max out your points per shopping category, and leveraging loyalty and status for awesome perks.
To a lot of people, the term “travel hacking” can sound shady. The “hacking” scares people off. Is it illegal? Is it a scam? Can you get punished for opening too many cards? Will you ruin your credit score? The answer to all of these concerns is no.
There’s no hidden trick to travel hacking. It’s not a game of risk or cheating, it’s a game of research and planning.
Travel Hacking 101
Most commonly, travel hacking hinges on the points you can get from certain travel credit cards. Credit cards aren’t merely a way to manage cash flow. Many offer rewards programs that give you points for each purpose. These points can then be repurposed to pay for part or all of a trip.
Different networks have different systems, but most can be transferred to a range of partners. Top credit cards are with Chase, Amex, Citi, and Capital One. Simply accumulate points on your credit card, then you have the option to transfer those points to airlines, hotels, and more — for free.
When learning travel hacking, The best tip is to go backward. Don’t just open popular cards with high bonuses. Identify where you want to go, then find out what actions to take. Which airlines travel there? Which cards’ points can be transferred to that airline? Where do you want to stay? Which hotels can you book with points? Once you’ve planned out your dream vacation, see how many points you need. Then strategize for the best way to nab them.
Choose which cards are right for you, then start stockpiling those points towards free travel.
One way to quickly amass points is to take advantage of sign-up bonuses. Many credit cards use sign-up bonuses to entice users. And if you play smart, just one or two sign-up bonuses can account for one entire flight cost. However, there’s one catch: you must meet a minimum spend requirement to qualify for the bonus.
The best way to approach this is to funnel all of your regular expenses through those credit cards to chip away at the minimum spending. Pro tip: open your card right before you need to make a lot of purchases. The holidays are a good time to open a card so the cost of festivities ends up working for you.
And remember: it’s key to always pay off your monthly credit card balance before the due date! The benefits of those points are useless if you go into debt to accrue them.
And here’s a hack for you newbie travel hackers out there — be sure to manage your money and keep track of how much you’re spending for that bonus with the MeetCleo app.
MeetCleo is the personal finance tool that’s actually fun to use. Taking control of your money while “earning” free travel using your credit cards? Finances have never been more fun.
It's Southwest Companion Pass Season. Here's Why It's The Best Flight Deal on the Market
Southwest Companion Pass
There’s all this talk about solo travel. And for good reason — no wasting precious time waiting for others to get their act together, take the plans out of the group chat and actually buy the tickets. Going solo, you can be spontaneous. You can plan your trips according to your precise tastes. You can hop on any flight and fly awayyyyyy.
But what if each time you flew you’d get a free ticket? That’s what you get with the Southwest Companion Pass.
Award status, upgrades, lounge access — there are many perks in the frequent flier game. But one of the coveted holy grails is the Southwest Companion Pass.
What is the Southwest Companion Pass?
The Companion Pass is part of Southwest’s Rapid Rewards program. You get to choose one person to be your “companion,” and they fly with you for free (plus some taxes and fees) on every flight. That’s right. Two for the price of one. That’s half off each ticket if you split it! Whether you’re flying with a partner, family member, friend, or anyone else, they can tag along for free.
And it gets better: once you earn the pass, you can reap the rewards for that full calendar year … AND the next. That’s why people go mad trying to earn a companion pass during the early months of the year. The sooner you qualify, the longer you can use it.
There are also no blackout dates. There are no limits. And if you didn’t purchase the ticket (think: work travel, your companion, or a generous benefactor), there are no restrictions! As long as you’re the one on the plane, your companion can also … be on the plane.
You can also switch out your designated companion 3x a year. So, no need to stay in a relationship simply to get the most out of your companion pass! Ghost and fly away — with a whole new companion!
If this sounds too good to be true — it’s not. But there is one small catch. It’s kinda tough to earn this mega reward.
How to qualify for the Southwest Companion Pass?
You can qualify for the pass in one of two ways:
- Fly 100 qualifying one-way flights
- Earn 135,000 qualifying points in a calendar year.
Clearly, this is no small feat — especially if you’re trying to qualify ASAP.
So how do you actually earn the Southwest Companion Pass?
Don’t worry, there’s a path to earning this amazing reward without climbing on 100 flights or spending an exorbitant amount of money.
Earning 135K reward points may seem completely impossible, but it’s easier than it sounds. Simply sign up for a Southwest Credit Card and turn those spending habits into a rapid rewards account. Through the Rewards Priority Credit Card, earn points when using local transit and commuting, plus score major points and miles whenever you spend.
Stay with me here. This is not some scheme to get you into credit card debt. Many airline cards come with potential savings, giantic rewards, awarding you points, and cashback with every purchase you make that can be redeemed for travel. And often they can come with passive sign-up bonuses. If you spend a specific amount of money within a certain timeframe of opening the card, you can be in for a windfall of points.
Now that’s where the companion pass comes in:
- Southwest Rapid Rewards Premier
- Southwest Rapid Rewards Plus Credit Card
- Southwest Priority Credit Card
- Southwest Rapid Rewards Premier Business Credit Card
- Southwest Performance Business Credit Card
Southwest has three personal cards and a business card. Each of these cards offers rewards between 30K-80K points. In the past, people could open two cards and get a bonus that granted enough points to almost meet the minimum. However, with new restrictions on personal cards, you can only get one bonus every 24 months. Boo!
However, this doesn’t apply to business cards. If you’re eligible, have good credit, and not likely to spiral into insane credit card debt, you can open a business card and a personal card, and accrue 100K+ points. The Rapid Rewards Priority Credit Card will get you points after you spend money in no time.
Now to earn the rest of them.
The secret to gaining these credit card points is to plan your card sign-ups around big purchases. Just before a recent move, I opened a card . . . and the rewards came rolling in — a small balm to ease the pain of how exorbitant moving can be.
Put everyday spend — especially big purchases or bulk items — on your Southwest credit card and watch your award points quickly add up. Typically, you earn 1 point per $1 spent on your Southwest card and 2 points per $1 on actual Southwest purchases.
But there are other ways to earn points, including:
- Flying Southwest: Booking travel on Southwest earns more points. The cost of this travel will be worth it with your companion pass
- Shopping from Rapid Rewards Partners: Purchases with Southwest’s “Home & Lifestyle” and “Shop and Dine” Partners also earn Companion Pass qualifying points. While you shouldn’t make gratuitous purchases, browse Southwest’s partners to see if you could earn extra points for items you'd be purchasing anyway. All this, simply from enrolling in their Dining Program and shopping with their partners.
So there you have it! And since it’s almost Spring, get to earning and soon you’ll be flying two for the price of one!