The best way to save money on medical treatment is, of course, to stay healthy. The Employee Insurance Program’s (EIP) Prevention Partners staff prepared this list of 10 tips to help you do that. To learn more about ways to improve your health, visit the Prevention Partners Web site.
Here are some other ideas about how to save money on health care if you are covered by the health plans offered through EIP:
Every October you can change health plans, and the plan you choose can help you get the most for your money. The State Health Plan, which includes the Savings Plan, the Standard Plan and the Medicare Supplemental Plan, and the health maintenance organizations, BlueChoice HealthPlan HMO and CIGNA HMO, all have advantages and disadvantages. Carefully review each plan to learn which one suits you best.
After you are enrolled, one of the best ways to save money on your health care is to take a few minutes to learn about your plan. Now is the time to do it. Don’t wait to find out how your plan works until you or someone you cover is pregnant, seriously ill or needs emergency care.
You can learn about your plan on the State Health Plan, BlueChoice HealthPlan HMO and CIGNA HMO Web sites and by reading the Health Insurance chapter of the Insurance Benefits Guide (IBG). If you are enrolled in Medicare, be sure to read the Medicare chapter in the IBG as well as Medicare and You, an excellent publication sent yearly to Medicare enrollees by the Centers for Medicare and Medicaid Services.
When you review the rules of your plan, pay particular attention to:
Each plan has contracts with doctors, hospitals and other providers who have agreed to accept the plan’s allowable charge for covered medical services as payment in full. Here are links that will help you find network providers. Generally, health maintenance organizations, such as BlueChoice HealthPlan HMO and CIGNA HMO, only pay benefits if you go to a participating provider, unless it is a medical emergency. The Savings Plan and the Standard Plan pay for out-of-network services. However, the coinsurance, which you pay after you meet your deductible, is 40 percent for out-of-network care compared with 20 percent for care from network providers.
Another way to save money is by using generic drugs. They typically offer the same health benefits as brand-name drugs but cost less.
If someone you cover takes prescription drugs for an ongoing condition, you can save money by using your plan’s mail-order pharmacy. Standard Plan and Medicare Supplemental Plan subscribers can get the same prices from a local pharmacy that is a member of the Retail Maintenance Network.
If the State Health Plan is your primary insurance and you have cardiovascular disease, congestive heart failure or diabetes, you may qualify for the Wellness Incentive Program. It encourages members to take good care of themselves – and saves them money – by offering some free generic drugs.
A MoneyPlu$ Medical Spending Account (MSA) or, if you’re covered by the Saving Plan, a Health Savings Account and a limited use MSA, can save you money by enabling you to pay eligible health expenses with funds deducted from your salary before it is taxed.
Here are some other suggestions that may save anyone money, whether or not he is covered by health insurance:
These are just a few ways you can manage your health care costs. With the money you save, you might think about buying a gym membership or some nice, fresh vegetables.