Month: August 2016

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“Kingsnakes are resistant to the venom of pit-vipers and they readily eat copperheads, cottonmouths, and rattlesnakes”

Yeah I’ll let this guy stay.

What Went Wrong with Our Health Insurance

Last year, we learned that we were going to be financially responsible for virtually every dollar of my son’s delivery and open heart surgery. This is a quick post-mortem of how we fell through the cracks in the system.

My son’s condition was diagnosed in-utero, when we were still living in Virginia. I immediately began thinking ahead, trying to figure out what insurance to buy before we arrived in South Carolina. We checked with the hospital, and asked if â–©â–©â–©â–©â–©â–© would be good insurance to carry. They said yes. I immediately bought the best and most expensive plan available.

Fast forward several weeks. We had arrived in South Carolina, and the time had come to make our first prenatal appointment with the hospital. Shortly after making that appointment, we got a call informing us that our insurance would not be accepted. It wouldn’t even be processed at out-of-network rates. I was shocked.

How could this be? Since I am a self-employed software developer, I bought health insurance out-of-pocket, not through an employer sponsored plan. What I did not realize was that, for this particular insurance company, the hospital accepts only employer sponsored insurance plans. Apparently the individual plans that are sold to self-employed individuals are a completely different product.

So, months earlier when we contacted the hospital to ask if â–©â–©â–©â–©â–©â–© would be accepted, whoever answered ‘yes’ was apparently unaware of this caveat. Likewise, I was unaware that I should have probed further.

Takeaway

If something catastrophic happens, your local hospital may not be equipped to handle it. You may be forced to go to the nearest major medical center for care.

So if you’re self-employed and are preparing to buy health insurance, ask if the nearest major medical center is covered by the plan. Are they sure? Call back and ask again. Get it in writing. Okay now call the medical center and see if they agree.