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Sshh secret - no medical insurance
#1
So profiling many in the van dwelling community you get a sense for how they survive. Most absolutely have no medical insurance.

As example medical insurance for an early retirement person who worked for the govment for twenty plus years is about $600 a month. So around $7000 a year for a couple (self plus one). That is the subsidized blue cross standard. (Personally am looking at blue cross basic -which is cheaper).

Point is when looking at the various budgets being honestly published to form a realistic understanding, it’s rare to see medical insurance premium being mentioned.

Sure if you are self insured like the paper Millionaire folks (people who have a retirement income of $50k pension per year) , then you might say you are saving $5000 a year in the bank. Ready for the medical events. But just don’t see that being discussed in budget. More likely folks roll the dice and get MEDICAID as a poor person, if they can.

Many just pay the OBAMACARE penalty of $500 and call it a day.

Just that budgets need to start with $10k per year for a couple or family. Then add in all the other expenses of daily living. It’s just the unfortunate true cost of USA living.


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#2
Yeah....no.

It does vary greatly depending on the state you call home, but subsidized medical insurance purchased on some state exchanges (like Washington state) is nearly free.

We are paying $70 a month for a couple, late 40s for a policy that has a $500 a year deductible but covers 100% for regular checkups, flu shots, etc.  They even give us back a $50 visa card for getting a checkup and a $25 card for getting a flu shot.

This is for a MAGI income of $23,000 a year.

Now if you have to report a MAGI that is significantly higher, then the $600 a month figure is realistic if not quite low.  Our insurance unsubsidized would be around $800 a month with a $6500 deductible.
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#3
Here is more of the monetary science and math behind the curtains of the insurance industry. Told in the perspective of pet medical insurance with much of the same issues.

.
http://mymoneywizard.com/is-pet-insurance-worth-it/



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#4
(12-18-2017, 07:33 AM)Goshawk Wrote: So profiling many in the van dwelling community you get a sense for how they survive. Most absolutely have no medical insurance.

The price of medical insurance while vandwelling should be the same as or less than that of a sticks & bricks home. The transaction cost of a vandweller changing domicile to an area with a less expensive exchange is much lower than that of a homeowner.
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#5
(12-18-2017, 09:19 AM)IGBT Wrote: It does vary greatly depending on the state you call home, but subsidized medical insurance purchased on some state exchanges (like Washington state) is nearly free.

this is a subject i'd like to see more about when discussing choosing a domicile state.
i don't have enough income to worry much about state income tax, but auto insurance and health insurance are major expenses and vary so much from one state to another.  
does anyone have a good resource for comparing (current) health insurance options between various states?
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#6
Is the ObamaCare Penalty an issue for those with little or no income. Claim a financial hardship for all 12 month when completing your tax return, chances for a successful waiver are very high. It also appears the individual mandate for purchasing health insurance may fade away with the pending tax bill...
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#7
I totally get it I'm supposed to take medication for my nerve damage but it cost $600 for a month supply Plus the doctor visit and all that I have gotten out of paying the $500 at the end of the year for Obamacare because I make under so much money do my disability and it's not a taxable income so I'm considered poor. It still doesn't help with dealing with medications now and that's the big problem

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#8
I remember when I could afford individual health insurance, way back in the day. I can't afford it anymore. Way too expensive for less coverage.
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#9
For medications guess even the generics are not enough of a solution.


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#10
I currently do nothing about health care coverage and just hope for the best.  That doesn't usually work well with most things but there's no reasonable option at the present ($600 a month isn't reasonable when your income is $1100). 

County hospitals will treat indigent patients, as a FT dweller I likely will be considered "indigent". 

Even though I bristle at the "homeless" label, if it helps me get needed care (though I currently don't go to a dr, and haven't been in almost 7 years) then that's what I will do. Perhaps in a couple years we will have more options, nothing seems to be forthcoming.  I hear that California is trying to get a free medicare/medicaid type coverage but as broke as that state is, how can they pay for it?
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