vania-janet/multiturn-rag-retrieval-data huggingface dataset:
If you have enough medical expenses to empty your HSA tax free, that is certainly an option. However, you have another option. You could roll your HSA funds over to a different HSA that has better investment options. Doing this has a huge advantage over any other taxable account or retirement account: it will grow tax free, and you will be able to withdraw tax free at anytime, as long as you accumulate enough medical expenses to cover your gains.  If you don't have a lot of money in your HSA now, it might not be worth the effort to maintain an HSA and continue to track your medical expenses. But if you have enough in there to invest, moving it to an investable HSA is probably a better option than simply moving it to a taxable account.
Your title question, Who could afford a higher premium who couldn't afford a higher monthly payment?, contrasts premium with monthly payment, but those are the same thing.  In the body of your question, you list monthly payment and deductible, which is entirely different. The deductible is paid only if you need that much medical care in any one year.  Most years a person in good health pays little because of the deductible.  Thus, the higher deductible options offer catastrophic health insurance without giving much in the way of reimbursement for regular medical expenses. Note - the original question has been edited since.
If you read all that paperwork they made you fill out at the emergency room, there is probably something in there explicitly stating that you owe any bills you rack up regardless of what happens with the insurance company. They generally have a disclaimer that filing for you with your insurance company is a courtesy service they offer, but they are not obliged to do it.  Ultimately, you are responsible for your bills even if the provider slow-billed you.  Sorry.
"You are kind of thinking of this correctly, but you will and should pay for insurance at some point.  What I mean by that is that, although the insurance company is making a profit, that removing the risk for certain incidents from your life, you are still receiving a lot of value.   Things that inflict large losses in your life tend to be good insurance buys.  Health, liability, long term care, long term disability and property insurance typically fall into this category.   In your case, assuming you are young and healthy, it would be a poor choice to drop the major medical health insurance.  There is a small chance you will get very sick in the next 10 years or so and require the use of this insurance.  A much smaller chance than what is represented by the premium.  But if you do get very sick, and don't have insurance, it will probably wipe you out financially.  The devastation could last the rest of your life.   You are paying to mitigate that possibility.  And as you said, it's pretty low cost.   While you seem to be really good at numbers it is hard to quantify the risk avoidance.  But it must be considered in your analysis. Also along those lines is car insurance.  While you may not be willing to pay for ""full coverage"" it's a great idea to max out your personal liability if you have sufficient assets."
"Can you elaborate? What other countries are you talking about?   It's definitely not uncommon for publicly funded ""healthcare"" (unsure why you put this in quotations) to go to corporate revenues / profits. Canada and Switzerland are two examples off the top of my head who use similar systems. Many other countries use a private sector component.   ""The margins are huge"" largely because of government involvement. The bloated Resource-Based Relative Value Scale (RBRVS) standardized payment scheme determines payments for services based on the resource costs estimated by a committee that meets in private (the Relative Value Update Committee).   This impractical archaic value system has been adopted by 80% of private insurers, impairing their ability to drive down and offer more competitive prices."
Slightly off topic... Not merchandise, but I paid for various doctor's appointments with cash (as opposed to paying with health insurance).  I'd call ahead of time and notify them that I'd be paying in cash.  I got ridiculous discounts, sometimes even less than the copay.  I do not know why this discrepancy exists and I didn't want to ask for fear of messing up a good thing.
Hi guys, have a question from my uni finance course but I’m unsure how to treat the initial loan (as a bond, or a bill or other, and what the face value of the loan is).  I’ll post the question below, any help is appreciated.  “Hi guys, I have a difficult university finance question that’s really been stressing me out....  “The amount borrowed is $300 million and the term of the debt credit facility is six years from today  The facility requires minimum loan repayments of $9 million in each financial year except for the first year.  The nominal rate for this form of debt is 5%. This intestest rate is compounded monthly and is fixed from the date the facility was initiated.  Assume that a debt repayment of $10 million is payed on 31 August 2018 and $9million on April 30 2019. Following on monthly repayments of $9 million at the end of each month from May 31 2019 to June 30 2021.  Given this information determine the outstanding value of the debt credit facility on the maturity date.”  Can anyone help me out with the answer? I’ve been wracking my brain trying to decide if I treat it as a bond or a bill.”  Thanks in advance,
In the case you mentioned, where a private company owners will take debt with the purpose of  buying out other owners, is this done through a share repurchases program (I understand private companies issue them, even though it's rare)? Thank you for the insights.
In addition to the advice already given (particularly getting rid of high-interest debt), I would add the following:
I believe the insurance you are talking about is the type of insurance that makes your payment in the event you can't pay due to some specific reasons. These types of insurance are profit centers for the credit card companies and are generally not worth it for the consumer.    You are better off picking the best credit card that meets your needs and then finding your insurance needs separately.    Typically, the best credit card payment insurance plan is to not carry a balance and have a reasonable emergency fund.   Putting the money that would have gone to insurance towards those two goals will likely help you more than paying for the credit card insurance policy.
"Michael McGowan's answer is correct. The HDHP is like conventional insurance -- it is not like a ""health care plan"" that we're all used to. I.e. you don't want to have it pay out -- if it pays out, something bad has happened to you. (Just like you hope to never make a claim on your homeowner's, disability, or AD&D insurance -- that means something bad happened to you.) There are minor exceptions -- some HDHPs may cover preventive care, immunizations, etc to some extent. The bonus in the case of the HDHP is that you get to put money to cover the deductible into a tax deferred account. The HSA is effectively a self insurance fund with the HDHP as backup. Here's a concrete example. Say you have an HDHP with a $2500 deductible. The monthly premium is $500. You put $3000 into your HSA. Scenario 1: You remain mostly healthy throughout the year. You have a single doctor's visit, the doctor's office submits a claim to your insurance. The insurance doesn't pay because you haven't met your deductible, and you get a bill for $150. You write the doctor a check for $150 out of your HSA. Here, you've spent $6000 on your HDHP premiums, contributed $3000 to your HSA, and spent $150 of that on health care. At the end of the year, your HSA balance is $2850. In the following year, assume you plan to contribute another $3000 to your HSA. You can increase your deductible on the HDHP to $5000 (since you'll have $6000 in your HSA to cover out of pocket costs) and your monthly premium might go down to $400. Scenario 2: You are hospitalized for a week. The hospital submits a $15000 claim to your insurance. The insurance pays $12500 since your deductible is met after $2500. The hospital sends you a bill for $2500 for the balance.
Or they can say ""user133466 is a bad person to provide services before collecting money, because user133466 don't pay bills"". Other people considering lending you money are going to read these opinions and decide accordingly if they want to deal with you or not. And they can say that for 7 years. The idea of credit reporting is that you settle up as soon as possible and get your credit report to reflect the truth. One popular way to collect a debt to is to sue you for it. There, each state has a different time period on how long a creditor has to sue you for a debt. http://www.bankrate.com/finance/credit-cards/state-statutes-of-limitations-for-old-debts-1.aspx If you pay part of the debt, that will often reset the clock on the statute of limitations, so be sure any partial or negotiated settlements state very clearly, in writing, that payment is considered payment in full on the debt. Then you keep that record forever. There are other interesting points in the Fair Debt Collection Practices Act. See Debt collectors calling? Know your rights. They can only contact you in certain ways, they must respond to you in certain ways, and they have limits on what they can say, who they can say it to, and when they can say it. There are protections from mean or vicious bill collectors, but that doesn't sound like who you are dealing with. I don't know that the FDCPA is a tool you need to use in this case. You should negotiate your debt and try your best to settle up. From your post, both parties dropped the ball, and both parties should give a little. You should pay no or minor late fees, and the doctor should report your credit positively when you do so. If you both made honest mistakes, they both parties should acknowledge that and be fair, and not defensive. This is not legal advice. But you owe the debt, so you should settle up. I don't think it is fair for you to not pay because they didn't mail you a paper. However I also do not think it is fair for the doctor to run up fees and not remind you of the bill.
"Here's my thought - call the insurance company back. Ask them to just tell you what the ""reasonable and customary"" approved payment would be. Offer that exact amount to the hospital, it's what they would have gotten anyway, and you learned a cheap lesson."
I'm a business law student, so medical stuff isn't really my specialty. I'll share with you what I know though. First, as to the legality, I'm not aware of anything making it illegal for them to consider their business with you concluded. Absent any contract between you and the doctor, it seems to me that you agreed to pay them in cash. If I was the business, I'd assume our business had been concluded as well. As for any contracts between the insurance company and the doctor's office, as far as I know, that's between them. That wouldn't give you standing to sue the doctor. I'm unfamiliar with a patient submitting insurance claims, but if that's something you are allowed to do with your insurance company and all you need is more information, submit a request for your medical records to the doctor. Under United States law, your medical records are yours. You have a right to receive a copy of them. Keep in mind though that the doctor's office may charge you a small copying fee to cover expenses they incur while making a copy for you. As far as complaining, I would suggest your local Better Business Bureau. Each state generally has a medical board which oversees doctors. You might lodge a complaint with them as well. I hope this helps. Keep in mind that I'm not an attorney. This is not legal advice. This is only what I personally would do if I were in your situation. You can and should consult an attorney who is licensed to practice law in your particular jurisdiction.
It is important to understand that when or before you received services from your medical provider(s), you almost certainly signed a document stating that you understand that you are fully responsible for the entire bill, even though the provider may be willing to bill the insurer on your behalf as a service. In almost all cases, this is the arrangement, so it is very unlikely that you will be able to dispute the validity of the bill, since you did receive the service and almost certainly agreed to be fully responsible for the payments. With regard to the discounts, your medical provides have likely contracted with your insurer to provide services at a certain price or discount level, so I would base all of your negotiations with the providers and/or the collectors on those amounts. They can't legitimately bill you for the full amount since you are insured by a company they have a contract with, and you are not self-pay/uninsured, and the fact that they haven't been paid by your insurer doesn't change that, because the discount likely depends on the contact they have with your insurer and not whether or not they are billed/paid by your insurer. Please note - this is a common arrangement, but I'd recommend that you verify this with your insurer. Unfortunately, payment in 90+ days is often typical by insurance standards, so it's not yet clear to me whether or not your insurer has broken any laws such as a Prompt Pay law, or violated the terms of your policy with them (read it!). However, you need to find out which claims rep/adjuster is handling your claims and follow up with them until the payments are made. It's not personal, so make this person's life miserable until it is done and call them so often that they know it's you by the caller ID. I would also recommend contacting the collector(s), and letting them know that you don't have the money and so will not be able to pay, provide them with copies of the EOBs that state that the insurance company plans to pay the providers, and then ignore their calls/letters until the payments are made. When they call, simply reiterate that you don't have the money and that your insurance company is in the process of paying the bills.
I'm pessimistic about most things, so: They can't REPO the degree and the knowledge, but they can sure REPO the CAR, so pay off the car. My suggestion would be to pay off the vehicle, because no matter what the future holds (good or bad) you will need a vehicle to get around. Although, I recently found out from the comment below that student loans are a recourse debt that won't be forgiven. Not even with bankruptcy. Most collection agencies will take pennies in the dollar for debt, but not with student loans.
Your preferred answer: It's not debt, it's magic. It never has to be paid back.  Ok, go ahead tell us all you know about QE and how it isn't debt. Your half baked version of the socratic method isn't working too well.
I can safely assume that a credit union or a bank, probably a bank based on the size of the short term loan would allow use of the annuity as collateral for the loan. Since the future payouts from the annuity will more than cover the total costs coming due for your education I'm sure the bank will have no problem loaning the money and you can see if doing a direct payment monthly to them will reduce the rate. You can try a credit union since they will most likely give you a more favorable rate. If you can get a credit union to do it, you will most likely be paying a lot less, but typically they want interest paid monthly and not at the end of the 6 months term.  There is also a service called TMS or Tuition Management Services which you can find at Tuition Management Services They typically also expect monthly payments but might do an alternative for you, they charge I believe a $60USD fee to use their service. Also just flat out bank shop and demand the lowest rate, its guaranteed money so you should be paying LIBOR plus 1 at most, see if you can direct your next payout to them with the balance coming to you.
I wish this was the case in Canada.  I lost about 60k on my home in one year and have to sell now to move for work.    In the US I could simply default and the bank takes the loss.  In Canada if I default, CMHC pays the bank, then I'm sued by CMHC and stuck with the bad debt.    Simply put - here the onus of repayment is on the lender, not the lending institution.  It sounds good until you are the one looking at losing your shirt.
Co-Pays. I know, with good medical, that's just $10-$20. Acupuncture, Chiropractic Care (if not paid by your plan) Eye Exam, often not covered so well.  Eye Glasses. Often far higher than the plan pays. Over the counter drugs (update - starting 2011 these can only be reimbursed if they are prescribed, probably more trouble than it's worth), cold medicine, band-aids, ace bandages, heating pad. Birth control (condoms, foam, sponges, if you are worthy)  Any of those work for you? Note, regulations permit the FSA administrator to allow up to $500 to rollover to the next year, check if your plan permits this.
I would also recommend contacting the collector(s), and letting them know that you don't have the money and so will not be able to pay, provide them with copies of the EOBs that state that the insurance company plans to pay the providers, and then ignore their calls/letters until the payments are made. When they call, simply reiterate that you don't have the money and that your insurance company is in the process of paying the bills. You have to expect that you will be dealing with a low-paid employee that is following a script. You are just the next person on their robo-call list, and they are not going to understand that you don't have a pile of money laying around with which to pay them, even if you tell them repeatedly. Make sure that you at no point give them access to any of your financial accounts, such as a checking or savings account, or a debit card - they will access it and clean you out. It is likely that your insurance provider will pay the providers directly since they were likely billed by the providers originally. If the providers have sold the debt to the collectors (and are not just employing a collector for debt they still own), you may have to follow up with the providers as well and make sure that the collection activity stops, since the providers may also need to forward the payments to the collectors once they are paid by the insurance company. Of course, if the insurer refuses to pay the claims, at that point I would recommend meeting with a lawyer to seek to force them to pay.
This sounds to me like a very nice little job for a computer. This assumes that you have some experience of programming a computer, which I believe you do. A program like this does not require a lot of programming experience; a beginner in any simple scripting language could implement it, which is why I think it is a fairly general answer. You can set up a small simulation with either your real loans, or the examples you have given. Then have the computer work through the situation at a monthly time step until the debt is paid, and have it output all the interesting information per month. Then you set it up with your different payment scenarios: each paying proportionally, each paying their own debt separately, paying them in different orders etc. When you have these graphs, it should be possible to answer your main questions: The more information you add to this simulation, the more effective it gets. For example, I'm sure there are various tax deductions that you can make, depending on how much each of you pay, that depends on all sorts of things (location, income, age?).
In the Canadian system there is still health insurance plans. They cover things like optometrists and dentists which are not covered by the government.   The real problem with drug prices in the US is that the government gives the drug companies a monopoly ( through patents ) and prohibits negotiating prices. The financial incentives make doctors and insurance companies favour more expensive drugs (for bigger kickbacks)
I'm amazed at how much debt my mom was able to accumulate before they finally cut her off. And it was all unsecured debt so there was jack shit they can do about her defaulting.  If you're poor, and old (no assets, no house, no nothing), it makes sense to go as far into unsecured debt as possible.
The main points shine a very bright light on the need for healthcare policy reform, FIR EVERYONE, not just the poor.   - Using a conservative deﬁnition, 62.1% of all US bankruptcies in 2007 were medical.  - Most medical debtors were well educated, owned homes, and had middle-class occupations.  - Three-quarters **had health insurance**.  - Illness and medical bills contribute to a large and increasing share of US bankruptcies.
Thats a good question. You don't have any argument from me on that. However, I have friends who have done that and after a few years living like that, its extremely hard on them if they get sick, because the system THAT I AM TELLING YOU ABOUT, will ruin them *in a flash*. Its increasingly designed to take ALL of people's money when they are at their most vulnerable, when they are sick. And IT doesn't care. Single payer systems will just fix you up, you dont get a bill. They have to be free, which you can tell [by reading this](http://www.iatp.org/files/GATS_and_Public_Service_Systems.htm) - which explains why.
I'm 40 and been carrying student debt for nearly 20 years. Because of life events and various circumstances I've had to defer several times. This means my balance history looks like a rollercoaster. At this point I just consider the Department of Education to be akin to heroin addiction. I feed it as regularly as I can. It starts to get painful when I can't. It requires an ever increasing amount to get that fix. I'm financially fucked and it's my fault. And one day it'll probably kill me. But I just keep trying. What choice do I have?
Gaining traction is your first priority. WARNING: as @JosephZambrano explains in his answer the tax penalty for withdrawing from a 401(k) can easily exceed the APR of the credit card making it a very bad strategy. Consult in-depth with a financial advisor to see before taking that path.  As @JoeTaxpayer has noted a loan is another alternative. The 401k is no good to you if you can't have shelter or comfort in the mean time.  The idea is to look at all the money as a single thing and balance it together.  There is no credit and retirement, just a single target that you can hit by moving the good money to clear the bad. Consolidating the credit card debt somehow would be very wise if you can.  Assuming it is 30% APR shrinking that quickly is the first priority. You may be able to justify a hardship withdrawal to finance the reduction/consolidation of the credit card.  It may be worth considering negotiating a closure arrangement with a reduced principal.  Credit card companies can be quite open to this as it gets their money back. You may also be able to negotiate a lower interest rate. You may be able to negotiate a non-credit-affecting debt consolidation with a debt consolidator.  They want to make money and a 25K loan to a person with sound credit is a pretty good bet. Moving, buying a house, or any of that may just relocate the problem.   You may be able to withdraw $25K from your 401k under hardship, pay the credit card, and come up with a payment plan for the medical debt. It's a retirement setback for sure, but retirement is an illusion with that credit card shark eating all of your hard-earned money.  You gotta slay that beast quick. Again, be sure to fully analyze whether the penalty on the 401(k) withdrawal exceeds the APR of the credit card.
"Article mentioned many treated are uninsured.  A sizeable quantity would be victims of crime.  There would need to be some kind of law that invokes tragedy or ""innocent bystander"" classifications for medical relief.  I don't know that such a law exists."