Collaboration is a hot topic in many arenas these days, but healthcare seems to still struggle with it.
If you're a fan or follower of Jon Acuff, you will have heard of 30 Days of Hustle. Started as a set of emails and a facebook group, but has become as way of life for many. It may be too late to join in Jon's #30DOH community, but it's never too late to start hustling! (And I'm not representing Jon or 30DOH, just a fan...because with them, this wouldn't be here!)
Not a lot of information today, but here's the take-home message...
Treat those you encounter in the healthcare arena with respect, and confidently and respectfully demand they do they same.
2 Tips to make using your insurance cards go smoothly
Kaiser Permanente can be a great healthcare solution for some people, but not every company is for every person. They have their own extra set of rules. So, if this is your insurance company, make sure you know their rules, so you don't get stuck without care or with paying a lot of money for care.
Following these two steps can ensure that you do not have interrupted to delayed care, and that you hang on to your power to choose where you get care!
- Premium - it is like paying dues to be in the club, and being in the club means that the insurance company will have to pay for your care if you get sick or hurt.
- Deductible - a portion of costs that you are 100% responsible for before the insurance company chips in. Low premium = high deductible.
- Copay - Co = together, pay = payments; you and your insurance are paying the total bill together. Copays are usually standardized, and are a price predetermined by the insurance. Medication copays are broken down into Tiers.
- Coinsurance - rather than a set price, it's a set percentage. Based on the total cost of the service, the price you pay may change.
- Out Of Pocket - OOP; some insurances keep track of all the money you pay and they have a limit (called Lifetime Maximum or Lifetime Limit). If your costs reach that limit, the insurance will take care of everything after that.
- Formulary - a list of medications that insurance decides they will pay for. Insurance can change this whenever they feel like it.
- Prior Authorization - insurance requires the payment of a particular medication or service to be authorized prior to them paying for it and/or you receiving it. Usually require documentation and justification from your doctor.
- Networks - Providers in the Network usually have a negotiated discount or other beneficial contract with the insurance, which will translate to lower costs for you.
- HSA - Health Savings Account; YOUR money that you put back to use to pay for healthcare costs in the future. Does roll over.
- HRA - Health Reimbursement Account; an incentive from your employer or insurance for you do things to prevent illness, and then THEY will give you money to pay for your healthcare costs. Does roll over.
- FSA - Flex Spending Account; YOUR money that you put into an account to pay for healthcare costs or health related items (some OTC things are approved). They usually require receipt submission to prove you purchased approved items. But if that money is not used by the deadline, it does NOT roll over, you do not get it back.