In October of 2009, I decided that I would no longer run the 9-5 gauntlet. And with that decision came a few immediate changes in my life.  Working from home and for myself meant that I could set my own schedule, make my own decisions and only have myself to blame when something I’ve implemented did not work out.  For me, the upside to this decision was infinite because I was slowly getting beaten down by “the man” and couldn’t take it anymore.  Unfortunately though, there were downsides to my decision, two of which I’m dealing with right now.

The first of these downers is the amount of taxes I now pay as an independent contractor.  Unknown to me at the time was that I would owe a self-employment tax that my previous employer use to pick up.  Half of my social security and Medicare taxes were paid for when I had that office job, but now I foot 100% of the bill.  The second and more important change was that I no longer had health or dental insurance from my employer.  Truth be told, five months since my decision you still won’t find me visiting any hospitals or dentists because I still don’t carry any medical or dental insurance.  I’m relatively healthy and now that I never leave the house, I have only my apartment to fear for an accident. But I’ve tempted fate long enough and now it’s time to find my own health insurance plan.

Like any important decision, this one is going to take a little time and a lot of research before I decide on the plan that’s right for me.  Before spending thousands of dollars a year, I’m going to educate myself as best I can on the coverage that suits my needs, and that means going through the following step-by-step process.

1. Why I NEED Health Insurance

Something I learned at the age of five when biting through an electrical cord is that I’m not invincible.  Even though I keep myself in relatively good health with exercise and home cooked meals, routine check-ups and emergency care are necessary to keep myself that way.  Should the time come when I am unfortunate enough to need expensive medication or a medical procedure, I want to make sure that I “can afford” to stay alive.

My finances are certainly not where I want them to be, but without health insurance, I am taking a huge risk in saving a few bucks now for a potential catastrophe later.  All of my current payments and bills will now take a backseat to making sure I’m alive long enough to pay them. The cost of surgery without insurance would derail all of the progress I have made over the last few years.

2. Understanding the Medical Mumbo Jumbo

When you carry health insurance through your employer, you are usually limited to the types of coverages available to you.  Because you only have to pay a fraction of what you would had you worked on your own, the downside to having limited options is outweighed by the money you save over time.  For me, I have the entire health care system available (99% of the health care system would be more accurate), and I want to review the most common plans taken out by consumers today.

• PPO: PPO stands for “Preferred Provider Organization” which means that my coverage will only extend to a list of doctors and hospitals that the insurance company provides.  Should I want to visit a doctor that is not on my PPO list, I will probably be responsible for 100% of the costs.  PPO’s are the most common of health care plans for individuals like myself, and as long as I can find a doctor and hospital that I like, I would imagine this is the plan for me.
• HMO: HMO stands for “Health Maintenance Organization” and those three letters continue to make consumers cringe.   HMO’s are usually the plan you will find provided by your employer because it caters to group rates.  While generally the cheapest of all health insurance policies,  the rules and regulations that need to be followed in order to be covered are very strict.  Getting medical treatment from anyone outside your HMO group must be first cleared by the HMO.   It’s important to know exactly what is and is not covered because going in blind to a visit can result in a hefty bill later.
• HSA-Eligible Plans: HSA plans are extremely similar to PPO’s in the sense that you can choose which doctor and hospital you want to visit.  The added benefit to this plan is that pre-taxed income can be put aside in an interest bearing account, known as a Health Savings Account (Hence the HSA) so when you file your taxes at the end of the year, less of your income is taxed.  If you’re wondering why you wouldn’t always choose this plan vs. a PPO, the HSA-Eligible plans have a much higher deductible than that of a PPO. Continue reading What’s the Best Way To Find Health Insurance? →