It can be tempting to go without health insurance because it is so expensive, especially if you never get sick. You may be questioning how much coverage you truly need given the hefty monthly fees and out-of-pocket expenses.
Many people in their twenties may believe that they are healthy enough to forego health insurance. When you don't see a doctor very often, and especially when money is tight, it may seem like a smart idea to eliminate health insurance from your budget entirely.
Instead of worrying about insurance premiums and copayments along the way, you may always pay for medical bills as you go. However, if you have a serious illness, an accident, or a long-term health problem, this may be difficult because the costs can quickly mount up. This is why it is critical for everyone to have some type of health insurance at all times.
Important Points to Remember
- Health insurance is necessary not only for maintaining one's medical health but also to limit one's medical expenses.
- A medical emergency or unexpected expense could have far-reaching consequences, including loss of income and possibly bankruptcy.
- Despite the fact that the Affordable Care Act (ACA) made health insurance mandatory, there are no penalties for not having it.
- Because there are so many different health insurance plans to choose from, you need to examine your unique situation to determine which one is best for you.
Medical Emergencies Can Put You Out of Business
Medical emergencies are quite costly. If you have the misfortune of experiencing a medical emergency without insurance, you may find yourself in a staggering amount of medical debt with no apparent way out.
It's difficult to see why you'd need insurance if you take good preventive care of your health. However, being hit by a car and suffering major injuries, or even simply missing the last step at home and dislocating an ankle, can result in medical expenses totaling thousands of dollars, and this figure can quickly rise if you require surgery or continued therapy. Appendectomies, for example, can be quite costly in an emergency.
You might not be able to work while you're recovering, which means you might miss out on wages. Even if you have health insurance, you may find it difficult to pay for medical care.medical Expenses in these situations. It is quite difficult to pay for medical expenses without health insurance, especially if you are admitted to a hospital for even a short period of time.
The Affordable Care Act and Health Insurance (ACA)
If you don't have health insurance, you won't have to pay a penalty on your federal tax return until 2022, as the penalty was repealed for the 2019 tax year and beyond, while certain states may still have mandates.
Even if there is no longer a penalty, purchasing health insurance protects both your health and your financial situation.
You can enroll in health insurance through the Health Insurance Marketplace or a state-based health insurance exchange, or you can check into other possibilities like your employer's health plan.
Early Intervention and Preventive Care
You may procrastinate getting treated for minor concerns if you don't have insurance, which can swiftly turn into severe problems. Preventive medicine and prompt treatment are the most effective approaches to minimize costly hospitalizations.
If you have insurance, you won't have to worry as much about this. Furthermore, if you put off seeking treatment and end up acquiring a significant medical problem, you may find it difficult to obtain health insurance after such a lengthy period of time without it.
Which Plan Is Right for You
Health insurance is a necessity, not a luxury. There are a slew of other things you should forego before opting out of health insurance.
If you want insurance but aren't sure what type of coverage is best for you, here are some questions to ask.
What's the state of your health these days? Are you in good health? Do you consult a doctor on a regular basis? Do you participate in any dangerous sports or occupations? Your insurance needs, like other types of insurance, are determined by your level of risk.
How frequently do you visit the doctor? Did you pay copays for office visits, lab work, urgent care, and prescription medicines multiple times last year? Add it all together to get an approximation of your annual health-care expenses.
What are your present options? Look into whether you can acquire affordable, high-quality health insurance through your employer, the Health Insurance Marketplace, or your state's health-care exchange, or group insurance through Costco membership.
What are your main concerns? You'll probably choose a plan with smaller copays and deductibles if you visit the doctor frequently. If your monthly expenses are already putting a strain on your budget, you could be better off opting for a plan with lower monthly premiums. High-deductible plans can cut your costs, and paying high premiums for a low-deductible plan makes no sense if you don't visit the doctor very often.
What kind of protection do you require? Reduce all of the insurance plan options to the ones that best suit your needs, then look deeper into the details. While the cheapest plan may catch your eye, it may not offer as much value for your money as other options.
Have you sought advice from a professional? Some people find the process of looking for health insurance to be overwhelming, but there are numerous insurance brokers that can assist you in navigating the possibilities. These agents spend their days engrossed in insurance and can identify the best plan for you quickly. Find an independent agent that can provide you with rates from a number of different health insurance providers.
Types of Health Insurance Plans That Could Be Considered
While there are a lot of alternatives when it comes to health insurance, there are a few main types of plans to choose from.
Fee-for-Service or Indemnity Plans
The first type of health insurance was traditional (indemnity) or fee-for-service plans. You can see any doctor, hospital, or specialist you want, but you'll have to pay more out of cash, have a deductible, and may only be covered for 80% of your remaining medical bills.
Managed Care Organizations
Preferred Provider Organizations (PPOs), Point-of-Service (POS), and Health Maintenance Organizations (HMOs) are examples of managed care insurance plans (HMOs). All of these plans can only be used with providers who are part of a closed network. Patients pay cheaper premiums and have lower or no copays in exchange. Patients with PPO and POS insurance can visit physicians outside their network and self-refer to a specialist. HMOs are the most affordable plans, but they don't cover out-of-network visits, and patients must be referred to specialists by their primary care physician.
Health Plans with a High Deductible (HDHPs)
High-deductible health insurance plans (HDHPs), sometimes known as catastrophic plans, are significantly less expensive than other types of insurance. They're dubbed "high-deductible" plans because you'll have to pay a significant amount of money out of pocket before coverage begins. So it's still a good idea to put money aside each month, even if it's into your personal savings account rather than being paid as an insurance premium.
Health savings accounts (HSAs) may be accessible with HDHP plans in some situations. HSAs allow you to put money into an account that is tax-deferred and then utilize it to meet your deductible or other medical expenses.
With HDHPs, you are typically responsible for the cost of your medical care until you meet the (usually high) deductible, after which the insurance plan will cover the remaining costs. This is still a better alternative for most individuals than going without insurance. It's a lot easier to come up with $5,000 in medical bills than it is to come up with $50,000. It's common to be able to work out a payment plan for the amount you owe. This means you won't have to worry about becoming bankrupt because of medical expenses.
Frequently Asked Questions (FAQs)
When is it acceptable to go without health insurance
You don't need health insurance to avoid penalty taxes as of the start of the 2019 tax year.
It is, nevertheless, never a wise idea to go without health insurance. Those without health insurance face financial ruin as a result of medical emergencies, not to mention the advantages of preventative care.
Where can I get reasonably priced health insurance
The human resources department at your place of business will have the most information about your health insurance options. You can use the Health Insurance Marketplace to look for low-cost insurance options if you don't have an employer or if your employer's options aren't sufficient.