Some sound advice on medical insurance, July 2009:

http://www.survivalblog.com/2009/07/medical_insurance_for_prepared.html

From the post:

“…strategy is to ask for a discount in exchange for immediate payment by cash or by credit card. Providers want to collect payments and close out accounts as fast as possible so many will make a deal for quick payment. If you owe the hospital $7,000 tell them that you’ll settle the bill on the spot for $3,500. They may counter at $4,500 or $5,000, but whatever figure you settle on will be a significant discount. The key here is immediate payment – have your cash or credit card ready because it’s the only enticement you have to get a reduction in your balance. “

“…Be very suspicious of insurance plans that are connected to some sort of official-sounding “association” or “union” for the self-employed. I’ve rarely seen a plan like this that provided good coverage. Some of these plans don’t even have a real insurance company behind them - the association or union is just a front for the sales guys who sell cheap insurance, collect a pile of money from the premium payments, and then close the plan down and skip town, leaving all their customers with no coverage.”

“…Whatever plan you choose and whatever the monthly rate, your premium will go up every year. Yep, every year. By how much? That depends on your location but in our state it’s averaged 10% per year. Some years were higher than that, some lower, but 10% is the long-term average we’ve seen and we thing that will continue.”

“…The one offset to these increases is to raise your deductible from time to time. A $5,000 deductible was unheard of a few years ago and now is common. In a few years we’ll start to see deductibles of $10,000 or more. “