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Pitfalls: Beware of In-Plan versus Out-of-Plan

Even with a Ph. D. in physics, figuring out health insurance is hard!  Finding out just what your plan covers is sometimes a frustrating and difficult process.  An example of this is when you have a policy that you think covers 80 percent of your doctor’s visits, but when the doctor bill arrives, it comes broken down into different ways.  One consumer in Pennsylvania noted three things: what the visit was, what the nurse did, and what lab tests went out.  “It was a $200 to $300 bill for whole thing and the insurance company would say we'll cover $50. You’d call [them] up and say I thought you'd cover 80 percent and they’d say, yeah, but only up to what we think is fair."

According to Rhonda Orin, who is a Washington, D.C. attorney who represents consumers in disputes with insurance companies, "If you have a procedure and your doctor who you picked in-plan sends, calls in, and does anything with a person or entity out of plan -- you're going to get medical billsbilled out of plan."  She recommends that consumers tell their doctors to use lab companies within their health care plan.  She also recommends getting information in writing.  Calling someone from an insurance company on the phone who does not identify their name, and says ‘sure you are covered’ and then you get a denial, guess what? You have no way of proving that person said it was covered.
If you need to go to the emergency room and it's not life-threatening, get the OK from your primary care doctor first. And don't forget your doctor is your ally.

Source: http://www.wpxi.com/money/15216406/detail.html?rss=burg&psp=news

Tip:  If you are having problems with paying for a medical procedure, find out from the hospital social services department if there is help in the form of hardship programs.  Some hospitals, especially non-profits, have foundations established to help people who are not able to afford to pay for their medical care.  Also, call your local “211” line.  This is a non-profit call center that is available for free and you can guide you to community services, some of which may be able to help you with your medical bills.  You can find your local “211” help center at: www.211.org

Remember: If you are having problems with medical bills, you can call A New Horizon to review these and more solutions to your financial situation.  A New Horizon is your resource to assist people in managing their finances or their "unexpected" out of pocket expenses after medical treatment.

A couple of things not to do:

  1. Don't ignore bills. Though tempting, this is not a good strategy. Hospitals and providers are more likely to negotiate with you if you contact them immediately.
  2. Don't transfer debt to a credit card. Most experts warn that this is a poor choice for paying off medical debt for two reasons:
    • The interest rates on your credit card will add significantly to your total payment. 
    • Transferring medical debt to a credit card may affect your eligibility for Medicaid. Some medical costs can be deducted from gross income to determine your Medicaid eligibility. Medical debt on a credit card may no longer qualify as medical debt.

Medical Bill and Your Taxes:

Medical costs seem to increase every year. There is a way to get Uncle Sam to foot some of the doctor bills, but you need to make sure you know and follow the rules.

The Internal Revenue Service lets you deduct medical costs as long as they are more than 7.5 percent of your adjusted gross income. This percentage may seem unattainable at first glance, but with a little tax triage you might just meet it.

Don't overlook the medical expenses of everyone listed on your tax return. Medical and dental bills for you, your spouse and your dependents count toward reaching the allowable deduction limit. You might be able to count some medical expenses you paid for a parent, even if Mom or Dad isn't considered your dependent for exemption purposes.

And while it's not something we want to think about, don't forget about medical bills you paid for a deceased dependent in the year they were paid, whether before or after the person passed away.

Overlooked medical costs

Once you're confident you know just whose costs are covered, make sure you don't miss one.

Allowable, often overlooked, medical deductions:

  • Travel expenses to and from medical treatments. The IRS evaluates the standard cents-per-mile allowance each year. For 2007, you can deduct eligible medical travel at 20 cents per mile; it's 19 cents per mile for 2008.
  • Insurance payments from already taxed income. This includes the cost of long-term care insurance, up to certain limits based on your age.
  • Uninsured medical treatments, such as an extra pair of eyeglasses or set of contact lenses, false teeth, hearing aids and artificial limbs.
  • Costs of alcohol- or drug-abuse treatments can be counted on your Schedule A.
  • Laser vision corrective surgery is a tax-allowable procedure.
  • Medically necessary costs prescribed by a physician. That means if your doctor told you to add a humidifier to your home's heating and air conditioning system to relieve your chronic breathing problems, the device (and additional electricity costs to operate it) could be at least partially deductible.
  • Some medical conference costs. You can count admission and transportation expenses to the conference if it concerns a chronic illness suffered by you, your spouse or a dependent. Meals and lodging costs while at the seminar, however, are not deductible.

Health-conscious taxpayers also have a friend in the IRS. Weight-loss medical billsprograms in some instances now might count as a deductible medical expense, joining the stop-smoking programs the agency approved earlier.

But don't try to cheat on your calorie intake or the IRS. The diet program must be medically necessary. Acceptable situations include, for example, when a doctor recommends the regimen to reduce the health risks of obesity or hypertension. And don't be confused by the IRS ruling that over-the-counter drugs are now reimbursable expenses for folks with flexible spending accounts. That decision is for the accountants only. It doesn't apply to medical costs tallied on Schedule A, meaning you can throw away all those aspirin receipts you've been hoarding.

It is important to review the list of what the IRS will and won't allow you to count toward your medical deductions, check out Publication 502.  You can find the publication at www.irs.gov.

Source: Bankrate.com

 

 

Where the jobs will be!

Unless you're retired, blessed with generous parents or extremely gifted in the lottery-ticket-buying department, a whole lot of your financial well-being is based on having a job.

Your chances of saving, avoiding debt and investing are all greatly enhanced when you have a good income.

Unfortunately, these are tough times, and not many people believe 2008 is going to see much of an improvement in the economy. So if you think your job could be better, or could be gone, you might want to get a handle on the job market.

What kind of jobs are growing the most and what will they pay? And what kind of degree do you need to get one?

The chart below, based on the Bureau of Labor Statistics' "Fastest-Growing Occupations 2004" projections, shows the top 20 fastest-growing jobs between 2004 and 2014. There is a short description of the job as well as the median salary for that position, based on information from the Bureau of Labor Statistics' Occupational Outlook Handbook, 2006-07 Edition. (Use this link to search for your own career in the A-Z Index.)

Home health aides
Description: Provide housekeeping and routine personal care
Education: On the job or community college or trade school
Median salary: $8.12 per hour

Network systems and data communications analysts
Description: Design, test and evaluate network systems
Education: Bachelor's degree
Median salary: $60,600 per year

Medical assistants
Description: Perform administrative and clerical work in medical office; may also perform clinical duties
Education: Associate's degree
Median salary: $24,610 per year

Physician assistants
Description: Provide diagnostic, therapeutic and preventive health care
Education: Associate's degree plus national accreditation
Median salary: $69,410 per year

Computer applications software engineers
Description: Analyze users' needs, and design, construct and maintain applications
Education: Bachelor's degree
Median salary: $74,980 per yearmedical bills

Physical therapist assistants
Description: Assist with therapies, record results
Education: Associate's degree
Median salary: $37,890 per year

Dental hygienists
Description: Clean teeth and gums, take X-rays
Education: Dental hygiene program plus state license
Median salary: $28.05 per hour

Computer systems software engineers
Description: Coordinate construction and maintenance of company's computer system
Education: Bachelor's degree
Median salary: $79,740 per year

Dental assistants
Description: Perform patient care, office and laboratory duties
Education: On the job or dental-assisting program at community college, trade school
Median salary: $13.62 per hour

Personal and home care aides
Description: Help elderly, disabled or ill live in their own homes
Education: On the job or community college or trade school
Median salary: $8.12 per hour

Network and computer systems administrators
Description: Design, install and support computers, Internet, etc.
Education: Bachelor's degree
Median salary: $58,190 per year

Database administrators
Description: Use database management software to organize and store data
Education: Bachelor's degree
Median salary: $60,650 per year

Physical therapists
Description: Provide services to help patients with mobility
Education: Minimum bachelor's degree plus state license
Median salary: $60,180 per year

Forensic science technicians
Description: Investigate crime scenes and analyze physical evidence
Education: Associate's degree
Median salary: $21.16 per hour

Veterinary technicians
Description: Perform laboratory and clinical procedures
Education: Associate's or bachelor's degree plus state license
Median salary: $11.99 per hour

Diagnostic medical sonographers
Description: Take X-rays, MRIs, sonograms
Education: Associate's degree
Median salary: $52,490 per year

Physical therapist aides
Description: Accompany patients, some clerical work, keep therapy area clean and prepared for next patient
Education: On the job
Median salary: $21, 380 per year

Occupational therapist aides
Description: Prepare and assemble equipment used in treatment
Education: Associate's degree
Median salary: $23,150 per year

Medical scientists
Description: Research and development on human diseases
Education: Ph.D.
Median salary: $61,320 per year

Occupational therapists
Description: Help patients perform daily living and working tasks
Education: Master's degree plus national certification
Median salary: $54,660 per year

Source: Bankrate.com