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Health Insurance Costs 2013 Question & Answers

2013 September 7
by Sarah Fields

Lizzie asks…

How will the unemployed and people who barely make ends meet be able to afford mandatory health insurance?

The good policies cost from $500 a month per person and those around $200 a month per person have deductibles at $5000 and out of pocket maximums at $10,000. I am concerned because management at my company may cut all of us working 40 hours a week back to 28 hours a week to avoid having to meet the requirement to provide health insurance and therefore I will have to pick up a private policy and I am not sure I can afford the premiums or deductibles. I pay a little over $100 a month now but that may stop at the end of 2013.

Sarah Fields answers:

You don’t have to buy the insurance, you can just pay the fine. Like Mitt says, just get the money from your parents.

Joseph asks…

Is this considered a pre-exsisting condition and will not be covered by my new health insurance?

I just barely got health insurance as of the 1st of April. Pre-exisiting conditions are not covered under my plan. I am wondering if this is a pre-existing condition: for thepast year I have had stomach pain and nothing has been found nor diagnosed for the cause of the pain. Since there is no diagnosis, if I was to see my new provider with my new health insurance because of my stomach pain, will this be considered a pre-existing condition even though nothing was found or diagnosed?

Sarah Fields answers:

Jon is right–whoever gave him those ‘2 thumbs down’ weren’t very savvy with the reality of health insurance. Insurance companies will indeed take your payments, and they will, in fact, cover you for other medical issues. But if it turns out that your stomach pains are due to (God forbid) stomach cancer, they will not pay any bills related to that illness even though you have been paying premiums. But this is supposed to change under Obamacare, which isn’t far off.

But to be fair to health insurers, they really do have to be careful about pre-existing conditions because many of them, like diabetes, can be extremely costly to insurers and those costs get passed down to their enrollees. So it ends up being all of us who pay for these costs. However, if you want to know the real reason why medical care is so expensive these days (and insurance), read the Very Important Time Magazine article below. Trust me, you will WANT to know the truth:

Here is the link:

If link doesn’t work for you, here is info. On article:

“Bitter Pill: Why Medical Bills Are Killing Us”
by Steven Brill
Time Magazine
Feb. 20, 2013 issue

Steven asks…

My employer is refusing to show a health insurance deduction?

I have health insurance through my employer. My employer is refusing to show a health insurance deduction on my paystub and instead manually does a deduction from my gross wages. My pay stub does not accurately show how many hours I worked and how much I really earned in a pay period as well as it does not show that I have an insurance premium that I am responsible for.

Is my employer allowed to adjust my hours on my paycheck b/c he refuses to show an insurance deduction on my paycheck?

Sarah Fields answers:

Question is, do you actually have health insurance? Do you have an insurance card that was sent to you from an insurance company? You would also have some kind of booklet that explains what type of insurance you have, that your company most likely would have supplied you with.


Did you have health insurance last year? If so, look at your W-2 that you got when you filed taxes and look under box 12 for the costs. With the new healthcare law, they will be required to provide.

How much are you supposed to make per hour? Take the number of hours time your hourly wage to get the gross amount. Is your pay-stub, not showing federal, local and also SS and medicare deductions taken out? If, you see the taxes subtracted, then take the gross, subtract out the taxes and then should be able to calculate how much he is paying for your health insurance.

Good luck

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