For new parents, after the shock of diaper and formula prices the next big sticker shock is children's healthcare. Babies and children get sick a lot more than adults. Doctors' visits and prescription costs can add up quickly. I can't offer any health advice for keeping kids from getting sick, but I can offer some suggestions for keeping healthcare costs lower.
- Read your health insurance policy backwards and forwards. I know this stuff is boring, but knowing what and how much your insurance covers is key. You don't want any surprises at the doctor's office or in your claim notice.
- Familiarize yourself with state regulations. Each state has different mandates for insurance companies especially relating to infant and children's healthcare. For example, all insurance companies in Georgia must cover well-baby care including vaccinations and this coverage has to kick in before the deductible.
- Investigate state children's health programs. If you don't have health insurance from a private company, look to see if your state offers children's insurance. There are certain income and age qualifications. In Georgia there is the PeachCare program.
Now that we have gotten the insurance matters out of the way, here are tips for cutting your costs.
- Ask for a cash discount. If you have to pay for care that is not covered by insurance, or you have a high deductible, be upfront with the doctor and ask for a cash discount if you pay the balance today.
- Ask for payment options. If you can't afford to pay the entire balance at one time, ask the doctor to work out a payment plan.
- Remind the doctor of your status each time. Doctors spend their time seeing patients and like to leave billing and insurance matters to their staff. Therefore it is not top of mind to them. If you have special financial circumstances or varied health insurance coverages remind them, so they pay special attention to what tests, prescriptions or care they recommend. Some tests done in the office are billed at a higher rate than those sent out, or a generic drug might work just as well as a brand name.
- Last but not least don't forget about county health centers. County health centers offer doctor's visits and services at a great discount. While you might not want to exclusively visit a county health center all the time, you might want to utilize their discounted test and vaccination services.



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8 comments:
When I didn't have health insurance and had to see my Dr. for something I would let him know and if I needed medication he would often just give me a bunch of samples so I wouldn't have to get a prescription filled. This saved me a lot of money.
In Maryland, the State Health Care Program is called "Maryland Children's Health Program" or MCHP. If you qualify for WIC, they you will most likely qualify for this.
Another option is to take advantage of your employer's healthcare flexible spending account. You get money taken out of your paycheck pre-taxes, and then file for reimbursement once you have the expenses. This saves you $$ by having the money saved up pre-tax.
I wish I would have been told about going to the local health department to get shots. Our insurance coverage changed and my sons vaccinations were no longer covered because he had already met the required amount they would cover($500~He met that the first few days he was born) I had to pay $375.00 for his 4 month shots. At his 6 month appointment, the nurse caught the fact that my insurance wasn't paying for shots, and she made a note on my billing form that I was to receive "health clinic prices for the shots" She then told me that my local health dept gave shots a lot cheaper.
Doctors will definitely work with you - I had some fertility treatment that wasn't covered and my ob's office took 30% off.
Wow, I can't imagine my insurance only covering up to $500 for vaccinations. Maybe I'm just naive about other insurance policies out there but I thought that because childhood vaccinations were neccessary all insurance covered them. Anon, maybe you should think about changing your insurance if it is possible.
Hello,
Does anyone know much about the PeachCare program? I'm in between jobs and need insurance for my two kids but i don't know if i qualify. I wonder how long it takes to get approved. Are there any other alternatives to health insurance when you're in betweens jobs?
Thanks, Sheila
new jersey has an NJ FAMILY HEALTHCARE program for those under a certain income level. And if you as a parent dont qualify, i'd say about 80% of the time the kids will! worth giving it a shot!
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