New Medical Care?
I had my annual check up at the doctor a couple weeks ago now. I was down about 10 pounds from last year and my blood pressure was back down to the normal range as well.
With all of my thoughts and posts recently on health care, I was tempted to ask my doctor if he had ever considered doing a “cash only” business and leaving the insurance processing up to the patients. However, considering he ended up running an hour late coming from his hospital rounds I was in the mood to just get out of there.
Then, last Friday, I got some mail from my doctor. A very nice color brochure talking about upcoming changes to his medical practice. He says he will be seeing fewer patients and spending more time with them and on preventive care. He will also be offering direct phone contact within an hour of call and his personal cell phone available on evenings and weekends. Now, there is no information on exactly how is planning to do that, buy my thought is that he very well might be going cash only.
The brochure says details will be coming in the next couple of months and that patients will need to apply for the new practice to start in September. I’m looking forward to getting the information to see what’s coming down the pipe. Personally, I would be very excited for him to be cash only.
I recently looked at moving to a private insurance rather than through my employer. For the same plan I currently have, I can buy one with a $10,000 deductible rather than my current $2,000 and save $400 a month on insurance cost. Yes, that leaves a lot of expense there should something major occur. However, by putting that $400 a month into the HSA account (which is done tax free) that adds $4,800 a year to money available to pay the deductible. Add that to the $125 a paycheck I’m putting in there now ($3,250) and that covers $9,000 a year with only a minor change in my tax liability. Because payments to the HSA come out as adjustments to gross income, I’m only paying additional taxes on the $180 monthly premium.
The real catch to the whole situation is this, if I don’t spend my entire deductible in a year, I can drastically reduce my contributions for the following year and have upwards of $9,000 extra income (before taxes). If I have to dip into it during the year, I can always put more in to replace it and save on taxes while still keeping our buffer.
Am I nuts or does this make sense to more people besides me?


