Using your Health Savings Account for Alternative Medicine
Health Savings Accounts allow you to set up a tax-deductible account to pay for medical expenses that are not covered by your health insurance. These include expenses to cover your deductible, and other medical expenses like dental and eyeglasses. But many don’t realize that HSA funds can be used to pay for virtually any type of medical service, as long as it pertains to the treatment or prevention of a specific health condition.
Because money withdrawn from a health savings account to pay medical expenses is tax-free, anyone who has an HSA can funnel all alternative medical expenses through their HSA and get a tax write-off. This could include biofeedback, naturopathy, Ayurvedic medicine, aromatherapy, magnetic healing, reflexology, and the list goes on.
People who use complementary therapies are often very health conscious, and go to traditional physicians less often. So it does not make sense for them to be paying a high premium for a traditional health insurance plan with a co-pay, particularly when their medical treatments are not covered anyway. Instead, many are choosing a low cost high-deductible HSA plan.
Alternative Therapies Becoming Mainstream
Many hospitals are now offering complementary treatments. The website for the Memorial Sloan-Keating Cancer Center states that complementary therapies are used to “help alleviate stress, reduce pain and anxiety, manage symptoms, and promote a feeling of well-being.”
Some group health insurance plans are beginning to cover more complementary expenses, but there is still very little coverage for these expenses in individual or family plans. Those that cover chiropractic limit coverage to 12 – 20 visits per year, and a few will cover a limited amount of acupuncture. But very few if any cover hypnotherapy, Reiki, iridology, or faith healers.
Why Complementary Medicine
The conventional medicine practiced by most MDs is called allopathic medicine. The philosophy of this system is to treat disease and injury using counteractive methods. For instance, if you have a fever you may take aspirin to make it go down, if your cholesterol is elevated you may take a statin to reduce it, if you have heartburn you may take an antacid. The thinking is mostly focused on removing the symptoms of disease, and the primary treatment modalities are surgery and prescription drugs.
But there are other ways to look at things. Naturopathic medicine is based on the belief in the body’s own healing powers, which can be strengthened through the use of certain foods, vitamins, herbs, or other “natural” treatments. Traditional Chinese Medicine (TCM) is based on ancient Chinese theories about the balance of yin and yang. Ayurvedic medicine is based on principles of movement, metabolism, and structure.
Part of the growing use of complementary therapies is a reaction to the costs, side effects, and philosophy of conventional allopathic medicine. Physicians get much of their continuing education from the pharmaceutical industry, and they work in an environment where the insurers and the patients are both looking for a quick fix. The result is that the average 60 year old is now taking 5 regular medications, yet there is little expectation that those drugs will ever cure the health problems for which they’re being used. Many consumers see this, and instead are using other methods to try to get to the root of their illness.
What is Considered a “Qualified HSA Expense”
Qualified medical expenses have been partially defined in IRS Publication 502, and through various federal court rulings. There is no definitive list, but there are really very few restrictions as long as the procedure is for the treatment or prevention of a specific health condition. For instance, you could not use your HSA funds to pay for a relaxing massage for your own personal pleasure. But if your doctor recommends you get a massage for specific medical reasons, this is considered a qualified expense. Yoga would not normally be considered a qualified medical expense, but it would be if it was recommended as a physical therapy following some sort of accident.
Some may question why the government would give a tax deduction for someone to use some crazy energy vibration machine to cure their cancer. But this is as it should be. No one but you should be able to decide what type of treatment you will use for your own illnesses. By empowering individuals to manage their health as they see fit, HSAs encourage personal responsibility and help loosen the monopoly on healthcare that conventional medicine has had for the past few decades.
Health Savings Accounts – Advantages and Disadvantages
Do you understand health savings accounts (HSA)? These plans actually consist of two important parts, and they can benefit many people. But HSA health plans are not for everybody!
One is a higher deductible major medical insurance policy. The other one is the actual savings account.
The idea here is that the health insurance policy will cover the big bills. If the account gets funded, it provides the money to cover many bills that would not be included in a major medical policy, or it can pay bills until the deductible is reached.
There are some key advantages to having an H.S.A., but these will not benefit everybody. First look at some of the benefits. Then it will be easier to decide if you should be an H.S.A., PPO, or HMO!
The contributions the savings account will not be taxed if they are within current IRS limits. This means that a family can put away pre-tax income to use for health expenses. This makes that money go further.
Cash in the account will roll over if it doesn’t get spent. Hopefully, this gives a family or individual the opportunity to set aside enough money to help them with medical expenses. Some accounts even earn interest just like regular savings accounts.
In addition, the account may be used to pay for some health care costs that would not even be covered by major medical insurance. Some examples may be dental care, eyeglasses, or vitamins. Make sure you consult current tax rules and specific plans to see how the money can be spent.
Because the actual H.S.A. major medical comes with a larger yearly deductible, so the rates should be lower. Some insurers relax underwriting rules a bit for higher deducible insurance so there is also a chance that more people would be accepted. For those who are accepted, but may have some minor health conditions, there may be a better chance they will only have to pay standard rates.
By now, you may have figured out that some people can realize a big benefit from this type of plan. If you need an additional tax deduction, this is a great way to get it while saving for future health expenses. An H.S.A. also allows you to control your costs by paying less for major medical while saving for future expenses in a way that gives you tax advantages.
A health savings account can combine with a higher deductible major medical plan to benefit a disciplined saver who can benefit from tax deductions. The cash account will keep growing, so it can continue to grow from year to year. At retirement age, the money can be withdrawn with no penalty.
As mentioned before, these plans do not work out that well for everybody. The actual cash account can only help if there is actually cash there. If a plan member never makes deposits, there will not be any cash in the account when bills need to get paid, and there will not be any tax deductions!
What’s the Difference Between Individual, Family, Group and Health Insurance?
In general, group health insurance plans offer many advantages over individual health insurance. These include smaller premiums, better tax concessions, and extended coverage. Virtually all business owners can qualify for group health insurance.
Furthermore, because you represent a bigger chunk of business to the insurance carrier, you can usually negotiate terms and conditions quite a bit as a business owner. Hence it’s advisable to do your homework before you start negotiations. Some of the online insurance websites are quite good; they provide plenty of information for free. There are also a variety of free online calculators you can use that let you play around with various scenarios and see how it impacts your bottom line. You can also request free insurance quotes by filling out a simple form on a number of websites.
Insurance providers calculate group health insurance premiums based on many factors. Some important considerations are: * Average age of employees * Nature of work and occupational hazards * History of illness amongst employees * Coverage amount
Group health insurance plans cover normal as well as emergency medical treatment. The insuring company pays medical expenses, in part or in full. The actual amount paid to a healthcare provider depends on the type of policy you buy, but in general, more coverage will be more expensive.
Employees can often opt for additional coverage in an employer-provided group health insurance plan. Typically if an employee wants to extend the coverage to spouse, he can do so by agreeing to pay the additional payment.
In today’s group health insurance plans, the employer usually pays from 25% to 50% of the premium and the employee pays the rest, but there are some companies that pay 100% of the premium. Plans like fee for service, HMO, PPO, POS are all available to groups, though each employer will most likely pick a subset of these to offer to their employees.
AFFORDABLE HEALTH INSURANCE: INDIVIDUAL AND FAMILY
The popular adage – ‘Health is wealth’ is proving to be increasingly true as medical and hospitalization costs continue their seemingly relentless rise. If you can manage to stay healthy, you can save tens of thousands of dollars in lower insurance premiums and medical cost-avoidance. But that’s not always under our control. Thus, making the health insurance purchase decision is a critical one. With so many options, and so many stakeholders involved, choosing the right health insurance can be an extremely frustrating task.
While the fee-for-service type of managed care plan has been around for a while now, managed care plans are also very popular. Fee-for-service insurance requires you to pay a certain part of your medical expenses in advance and then submit the remainder of your medical bill to the insurer for reimbursement. While fee-for-service insurance gives you the freedom to visit health service provider or hospitals of your choice, the downside is that you may have to file claims, track payments and end up paying higher out-of-pocket costs.
Managed care plans necessitate an agreement between the insurer and a network of selected healthcare providers who must meet certain quality standards. Managed care plan policyholders are offered financial incentives to use the services of (only) the healthcare providers in the network. Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO) are the two types of managed care plans. A HMO is a prepaid health plan wherein you pay a monthly premium. While costs may be low, the HMO decides which healthcare provider you’re allowed to visit at each stage in your treatment. By contrast, a PPO allows you to choose your healthcare provider… but if you choose one outside of the PPO network, your out-of-pocket costs will be higher.
It’s important to remember that you always have full control of the insurance policy you buy. While it’s difficult to negotiate (as an individual) on specific plan points with carriers, there are an incredible diversity of plans available out there, and you should never be afraid to “vote with your feet” if you find a better deal.
SMALL GROUP HEALTH INSURANCE
Employers attract employees by offering them attractive incentives and benefits, and one of the most valued benefits is a comprehensive health insurance plan that fulfils most medical expenses of the employee (and his or her immediate family) at a low cost.
Most plans stipulate that any employer with between 2 and 50 employees is eligible for Small Group Health Insurance. When you contact a broker or insurance provider, you’ll be asked to provide birth, age, and medical details of each employee, including any pre-existing medical conditions amongst them. While it’s illegal in most states for insurers to deny to insure groups because of pre-existing conditions, such medical problems might make your rate-quote higher than it otherwise would be. Depending on the size of your company and your financial constraints, you might choose to pay between 75 to 80 % (also called co-payment) of the premium… or the entire amount. It’s really up to you, as an employer, to decide what’s fair for your existing staff and attractive to prospective employees. If the employee chooses to include a dependent under the group coverage it is not compulsory for you to pay premium for the dependant. When you avail yourself of a Small Group Health Insurance, you are automatically entitled for yearly renewals. Employees pay a standard deductible before receiving insurance benefits paid by the employer. The deductibles usually range between $200 and $2,000. As a rule, the higher the deductible, the lower the monthly premium.