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Seven Ways to Save on Medical Bill

When it comes to health care, cutting costs without cutting corners is key

The economy doesn't have to be in a recession for health problems to plunge your finances into a world of hurt. Letting the bills pile up or, worse, skipping treatment, is not the answer. You just need to practice a little preventative "medicine." Of course, there's no way to predict a medical emergency, but here are seven proactive ways to help reduce the pain you'll feel in your wallet.

1. Educate yourself about your services

Today, before anything has happened to you, take some time to go over your insurance policy with a fine-tooth comb so that you have the best understanding you can about what's covered and what's not, says Kathleen Harris, senior online editor for the recently re-launched RealSimple.com. Then, before a procedure takes place, ask the medical provider what the fee is, if there any hidden costs and what the fees might be for typical complications. Verify that these services are covered by your insurance and confirm that your doctor is in network. "The overall point is 'Don't be afraid to ask questions,'" says Harris. "You want to be prepared so that you aren't stuck with a surprise bill when you're trying to recuperate."

2. Ask about options

Ask your physician if all the recommended testing and procedures are medically necessary, especially if you have no insurance or a high co-pay. He or she may be able to suggest a cheaper alternative.

3. Ask for a discount

A 2005 Harris Interactive poll found that 70 percent of people who spoke with a hospital were successfully able to negotiate a lower price for their medical bills, and the same went for 64 percent of those who negotiated with a dentist, 61 percent for a doctor and 56 percent for a pharmacist. Even 45 percent were able to negotiate a discount with their insurance company.

At the very least, your care provider may be willing to set up an extended plan that allows you to make smaller, more manageable payments over a longer period of time.

4. Pay in cash

Offering to pay upfront in cash can take 10 to 30 percent off your bill, says Harris. It reduces the medical provider's credit card fees, paperwork and manpower, and demonstrates that you are clearly able to pay.

5. Go generic

According to the FDA, cheaper generic medicine is just as effective and safe as name-brand drugs, says Harris. In fact, it is often produced in the exact same plants. Buying from a doctor-recommended mail-order pharmacy and/or in bulk, will often add to your savings, or try asking your care provider if they have free samples – these can include anything from over-the-counter cold medicines to asthma inhalers or antibiotics.

6. Double-check your bill

According to ConsumerReportsHealth.org, billing errors are common at hospitals and other health-care facilities, so ask for an itemized bill and check it for accuracy. Frequent errors include: inflated room and incidentals charges; duplicate fees for tests and procedures; inflated operating room time; incorrect dates of service; and human errors that result in the wrong billing code.

7. Get an advocate

For more complex situations, consider hiring a medical-claims professional to help ensure that your bills are correct, track your payments and advocate on your behalf. According to Rebecca Stephenson, a registered nurse and CEO of Austin, Texas-based VersaClaim, Inc. and co-president of the Alliance of Claims Assistance Professionals, if you are simply angry about a $200 office visit and you want to fight it on principle, it probably wouldn't behoove you to hire a claims professional; but if your situation is serious, overwhelming or long-term, it will most likely save you meaningful money.

"We're kind of like medical accountants," Stephenson says. "We know all the codes and what a bill should look like, but we can also take the emotions out of the equation so that negotiations go faster and nothing is overlooked."

Outsource Me

By Anna Sachse

Some claims consultants – professionals that make your bills are correct, track your payments and advocate on your behalf – charge a percentage of what you save, but that number can quickly become disproportionate to the amount of work involved if they end up saving you upwards of $40,000 on hospital bills.

Alliance of Claims Assistance Professionals members charge $75 per hour.

Although a negotiation may take months to resolve, you are only charged for the time your consultant is actively making calls or writing letters. "I also keep detailed notes on every step I take, which go along with the monthly invoice," says Rebecca Stephenson, co-president of ACAP. "That way if I get hit by a truck, you decide to handle your case yourself or you need to shift to an attorney, all your information is right there and you're in the best position you can be."

Stephenson typically fields calls from people who have had a serious accident and know they're in for a lot of claims; people at the onset of an acute illness such as a cancer, who know there will be a lot of interactions with both the medical provider and the insurance company; adult children of elderly parents who know they will be dealing with multiple medical issues for an extended period of time; uninsured people who are now facing a monster ER bill; and people who are embarking on elective surgeries that may not be covered and can have a variety of hidden fees.

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