Picking a health insurance plan can be maddeningly complicated. It may seem that no matter what you do, you’re picking the wrong plan. Should you go with the one with high monthly premiums that covers just about everything and even pays for medications? Or maybe it’d be best to go with one with lower premiums but that covers fewer expenses. Picking the one that’s best depends on your medical conditions, the medications you take, and, to some degree, your ability to predict future medical expenses. And it only gets more difficult as costs rise and medical care gets more complex.
Enter the “high deductible health plan” (HDHP). While these health insurance plans have relatively low monthly premiums and cover catastrophic illness, they have high deductibles — the out-of-pocket payments charged before the insurance plan kicks in. For example, a typical HDHP might require you to pay out of pocket for health care expenses up to $1,300/year (or $2,600/year for families), in addition to your monthly premiums, before insurance covers most medical expenses.
HDHPs are often chosen by young, healthy people who don’t anticipate the need for a lot of healthcare or medications. Of course, anyone’s healthcare needs can change; a new illness or injury can make what seemed like a good choice at the time even more expensive than traditional healthcare insurance.
Do high deductible health plans lead to more cost-conscious use of healthcare?
It’s long been assumed that having to shoulder more of the financial burden for doctors’ visits or treatments would encourage people with HDHPs to become more cost-conscious and careful about their use of healthcare services. Not so, according to a new study.
Researchers surveyed more than 1,600 people enrolled in an HDHP about their use of healthcare services (such as seeing doctors or filling prescriptions) over the prior year, including efforts to plan ahead and limit their own out-of-pocket expenses.
Here’s what they found:
- Only 40% saved in advance for healthcare expenses.
- Just 25% talked to a healthcare provider about the cost of services.
- Only 14% compared prices of healthcare providers or services in advance of receiving care; a similar proportion compared quality.
- Only 6% tried to negotiate the price of healthcare services with the provider.
- While a minority of people took these measures to lower their healthcare costs, those who did were often successful — about half of the time, they were able to get help receiving a needed service, or paid less for it.
These results suggest that people with HDHPs are not doing all they can to lower their own healthcare expenses.
Not the last word
The results of this study may not apply to everyone. The researchers “over-sampled” people with chronic conditions who have the most to gain by trying to lower their healthcare expenses; about half of the study sample had at least one chronic condition. In addition, more than 80% of the study sample was employed and had an employer-sponsored healthcare plan. Finally, this study relied on self-reported information from an internet-based survey. For people who are healthier, don’t have healthcare benefits at work, or do not have access to the internet, results could have been different.
If you have an HDHP, you may be able to cut the costs of your healthcare by taking the results of this study to heart. Not so long ago, many considered talking about the cost of healthcare with their healthcare provider taboo. Those days are long gone. And saving in advance only makes sense, since unforeseen healthcare expenses can be hefty.
While the landscape of American healthcare and payment programs continues to evolve, as long as healthcare costs are high and rising, HDHPs are likely to be a common option. And that means more financial risk than with traditional plans. So it’s important to speak up, ask questions, and recognize that when it comes to healthcare, it’s often possible to save money without sacrificing quality.
Bible verses for today’s meditation and inspiration: Matthew E. McLaren
Trust in the Lord with all your heart and lean not on your own understanding; in all your ways submit to him, and he will make your paths straight. Proverbs 3:5-6 | NIV
Create in me a pure heart, O God, and renew a steadfast spirit within me. Psalm 51:10 NIV
But the Lord said to Samuel, “Do not consider his appearance or his height, for I have rejected him. The Lord does not look at the things people look at. People look at the outward appearance, but the Lord looks at the heart.” 1 Samuel 16:7 NIV
Jesus replied: ‘Love the Lord your God with all your heart and with all your soul and with all your mind.’ Matthew 22:37 NIV
Take delight in the Lord, and he will give you the desires of your heart. Psalm 37:4 NIV
Each of you should give what you have decided in your heart to give, not reluctantly or under compulsion, for God loves a cheerful giver. 2 Corinthians 9:7 NIV
A cheerful heart is good medicine, but a crushed spirit dries up the bones. Proverbs 17:22 NIV
My son, do not forget my teaching, but keep my commands in your heart, for they will prolong your life many years and bring you peace and prosperity. Proverbs 3:1-2 NIV
Recommended contacts for prayer request and Bible study