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My

understanding is that you are able to get a group policy if you have at least

one other person working with you who is going to be covered. Otherwise, you have

to get an individual policy. Health insurance is wickedly expensive even for the

healthy and actually stands as one of the main considerations as to whether

this model will work for you (malpractice premium being another). In other

words, if you have an illness or anyone in your family has an illness, the cost

of health insurance might preclude you from being able to open a low overhead

office.

This is one of those opportunity cost

things that I never hear make the news. How many people stay in their dead end

jobs just so they can have health insurance for their family instead of

following their dream? I bet the economic impact is staggering.

physician healthcare

didn't get much response from this before, but how do you - you,

yourself - pay for your own health care, and your family's? especially

if you have no staff, especially if you're solo.

i see that chambers-of-commerce often have deals for employee

packages, and that various of us have spouses with great insurance,

but... i'm imagining flying solo, & i'd be the breadwinner in my fam.

anyone else in this spot?

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theer was a graph in the american family Physican a few years ago came

from the Graham center.. I can send it perhaps

it shows two things on the graph-- one line is how incomes rise Gradully

over time

Other line was cos tof health insurance rising faster.

the two lines intersect in 2025 translating to if things go as they a

re going, in 2025 it will consume 100% of everyone's income to buy

insurance.

Well if we can't afford food that 'll solve the obesity problem...

physician healthcare

didn't get much response from this before, but how do you - you,

yourself - pay for your own health care, and your family's? especially

if you have no staff, especially if you're solo.

i see that chambers-of-commerce often have deals for employee

packages, and that various of us have spouses with great insurance,

but... i'm imagining flying solo, & i'd be the breadwinner in my fam.

anyone else in this spot?

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Share on other sites

I actually ripped it out and have it near

my desk to show patients who are interested. No, I don’t think we’ll

actually get to $85,000/year premium by 2025, but it is a fascinating

description.

physician healthcare

didn't get much response from this before, but how do you - you,

yourself - pay for your own health care, and your family's? especially

if you have no staff, especially if you're solo.

i see that chambers-of-commerce often have deals for employee

packages, and that various of us have spouses with great insurance,

but... i'm imagining flying solo, & i'd be the breadwinner in my fam.

anyone else in this spot?

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http://www.aafp.org/afp/20051115/graham.html

Graham Center One-Pager

Who Will Have Health Insurance in 2025?

If current trends continue, U.S. health insurance costs will consume the average household's annual income by 2025. As health care becomes unaffordable for most people in the United States, it will be necessary to implement innovative models to move the system in a more equitable and sustainable direction.

In 2004, premiums for employer-sponsored health insurance increased by 11.2 percent--the fourth consecutive year of double-digit increases--outpacing the 2004 national wage increase of 2.2 percent.1 Employers increasingly view health insurance as an unaffordable benefit. Already, only one half of employers with fewer than 10 employees offer health insurance. Larger employers are outsourcing jobs and shifting more of the health care costs onto their employees who, in some cases, cannot afford to purchase coverage for their families.2 If health insurance premiums and national wages continue to grow at current rates, the average cost of a family health insurance premium will surpass the average annual household income by 2025 (see accompanying figure),2,3 approximately the time when the Medicare trust fund is projected to be insolvent.4

Annual Health Insurance Premiums and Household Income, 1996 to 2025

FIGURE. Annual family health insurance premiums compared with household income, 1996 to 2025.

NOTE: Projections for 2003 to 2025 were extrapolations of the 1996 to 2002 average annual increase rates (3.03 percent for incomes and 10.83 percent for insurance premiums) using 2002 data as baseline.

Information from references 2 and 3.

With health insurance packages bought and sold as profitable commodities, adequate health insurance coverage will soon be a product of shrinking benefits, to be bought by the wealthy and sold to the healthy. Most individuals cannot shoulder the burden of rising health care costs, and medical expense now tops the list of reasons for personal bankruptcy.5,6 If the system remains the same, the number of uninsured will continue to grow.

Shifting health care coverage from a commodity to a social good could reduce disparities and produce better population health. Changes in health care coverage will require more equitable and sustainable models of health care delivery and aligned advocacy to support them. The instability of health care financing and delivery provides an opportunity for family physician leaders to develop new models of efficient practice, with care that is accessible to everyone.7

REFERENCES

1. Kaiser Family Foundation and The Health Research and Educational Trust. Employer health benefits 2004: annual survey. Menlo Park, Calif.

2. Medical Expenditure Panel Survey. Index of insurance component tables (health insurance cost study) 1996-2003.

3. U.S. Census Bureau. Table H-8. Median household income by state: 1984 to 2003.

4. 2005 Annual report of the Boards of Trustees of the Federal HospitalInsurance and Federal Supplementary Medical Insurance Trust Funds. Washington, D.C., March 23, 2005.

5. May JH, Cunningham PJ. Tough trade-offs. Issue brief no. 85. Washington, D.C.: Center for Studying Health System Change, June 2004:1-4.

6. y MB, et al. Rethinking the debates over health care financing. New York University Law Review 2001;76:375-418.

7. JC, et al. The future of family medicine. Ann Fam Med 2004;2(suppl 1):S3-32.

note: The information and opinions contained in research from the Graham Center do not necessarily reflect the views or the policy of the AAFP.

Adapted from the Graham Center One-Pager #40. DeVoe JE, Dodoo MS, RL Jr, Green LA. Who will have health insurance in 2025? November 2005. From the Graham Center: Policy Studies in Family Medicine and Primary Care, 1350 Connecticut Ave., NW, Suite 201, Washington, DC 20036 (telephone: ; fax: ; e-mail: policy@...). Locke, MD

From: [mailto: ] On Behalf Of Brady, MDSent: Wednesday, February 20, 2008 7:37 AMTo: Subject: RE: physician healthcare

I actually ripped it out and have it near my desk to show patients who are interested. No, I don’t think we’ll actually get to $85,000/year premium by 2025, but it is a fascinating description.

RE: physician healthcareMy understanding is that you are able to get a group policy if you haveat least one other person working with you who is going to be covered.Otherwise, you have to get an individual policy. Health insurance iswickedly expensive even for the healthy and actually stands as one ofthe main considerations as to whether this model will work for you(malpractice premium being another). In other words, if you have anillness or anyone in your family has an illness, the cost of healthinsurance might preclude you from being able to open a low overheadoffice.This is one of those opportunity cost things that I never hear make thenews. How many people stay in their dead end jobs just so they can havehealth insurance for their family instead of following their dream? Ibet the economic impact is staggering.-----Original Message-----From: [mailto: ] On Behalf Of lsaintloSent: Wednesday, February 20, 2008 7:53 AMTo: Subject: physician healthcaredidn't get much response from this before, but how do you - you,yourself - pay for your own health care, and your family's? especiallyif you have no staff, especially if you're solo.i see that chambers-of-commerce often have deals for employeepackages, and that various of us have spouses with great insurance,but... i'm imagining flying solo, & i'd be the breadwinner in my fam.anyone else in this spot?

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I'm sole bread-winner in the family... except for daughter's baby-sitting ;-)I've got a PPO, high-deductible policy thru the area's biggest insurance. I

pay $300/month basically to cover catastrophic care, then pay everything myself up

to about $10,000/yr. Only one year in the last 15 would have gotten us to the max

payout, or even near the same as paying the $900/mo usual premium. (One caveat

-- I do not think such an insurance is good for health care in general as I don't

think most patients are " educated " enough to " shop " for medical

services and make consistently good decisions for themselfves ... but it works for

me.)I was able to set it up as a DBA and it covers my 4-person family. I have

no staff. Rules may vary from state to state or company to company.'s points about insurance being a big strain is so true. And it's an

interesting point about folks staying in dead-end jobs due to insurance coverage

rather than setting out on their own.Perhaps Barack and Hillary should start

selling their health financing plans as a way to turn on the entrepreneurial spirit

of America!Tim > On Wed,

February 20, 2008 7:53 am EST, lsaintlo wrote:> > > didn't get much response from this before, but how do

you - you,> yourself - pay for your own health care, and your family's?

especially> if you have no staff, especially if you're solo.> > i see that chambers-of-commerce often have deals for employee>

packages, and that various of us have spouses with great insurance,> but...

i'm imagining flying solo, & i'd be the breadwinner in my fam.> anyone

else in this spot?> > > > > Yahoo!

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unsubscribe from this group, send an email to:> -unsubscribe > > Your use of

Yahoo! Groups is subject to:> http://docs.yahoo.com/info/terms/> > > > ---------------------------------------- Malia, MDMalia Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com-- Confidentiality Notice --This email

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Tim,

What was interesting was that my insurance

premium (my corporation pays the health insurance for my family and my nurse)

went up 8% last year and the insurance broker called and was excited—after

all, it only went up 8% this year. What a bargain!! I informed her that general

inflation was not 8% and my reimbursements from that insurance company haven’t

moved in the past 2 years. Her response was “health care is expensive.”

When we get excited by a mere 8% increase

in premiums, I think there is a problem. My premiums have increased 20% since I

opened 5 years ago and that is for a policy with fewer benefits (If I had

stayed with the original plan, the increase would be closer to 35%). I fear

what would happen to our premiums if someone in my family (or my nurse) gets

sick. Interesting thought, I fear the losing the ability to access the health

care system that I am fearful of entering in the first place. J

Re:

physician healthcare

I'm sole bread-winner in the family... except for

daughter's baby-sitting ;-)

I've got a PPO, high-deductible policy thru the area's biggest insurance.

I pay $300/month basically to cover catastrophic care, then pay everything

myself up to about $10,000/yr. Only one year in the last 15 would have gotten

us to the max payout, or even near the same as paying the $900/mo usual

premium. (One caveat -- I do not think such an insurance is good for

health care in general as I don't think most patients are " educated "

enough to " shop " for medical services and make consistently good

decisions for themselfves ... but it works for me.)

I was able to set it up as a DBA and it covers my 4-person family. I have no

staff. Rules may vary from state to state or company to company.

's points about insurance being a big strain is so true. And it's an

interesting point about folks staying in dead-end jobs due to insurance

coverage rather than setting out on their own.

Perhaps Barack and Hillary should start selling their health financing plans as

a way to turn on the entrepreneurial spirit of America!

Tim

> On Wed, February 20, 2008 7:53 am EST, lsaintlo

wrote:

>

>

> didn't get much response from this before,

but how do you - you,

> yourself - pay for your own health care, and your family's? especially

> if you have no staff, especially if you're solo.

>

> i see that chambers-of-commerce often have deals for employee

> packages, and that various of us have spouses with great insurance,

> but... i'm imagining flying solo, & i'd be the breadwinner in my fam.

> anyone else in this spot?

>

>

>

>

>

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We have an individual policy through a

major insurer for $311/month for our family of 4. $40 copay and $5000

deductible ($10,000 family ded). We have it basically for catastrophic

coverage. The copay doesn’t apply for well-woman exams but does for

well-child. Go figure. We don’t offer health insurance to our

employees (both are part time). To compensate, we pay slightly more per

hour than the average and we tell our employees how much it costs for group

insurance vs individual insurance and encourage them to at least get

catastrophic coverage.

Pratt

Office Manager

Oak Tree Internal Medicine P.C.

From: [mailto: ] On Behalf Of lsaintlo

Sent: Wednesday, February 20, 2008

4:53 AM

To:

Subject:

physician healthcare

didn't get much response from this before, but how do

you - you,

yourself - pay for your own health care, and your family's? especially

if you have no staff, especially if you're solo.

i see that chambers-of-commerce often have deals for employee

packages, and that various of us have spouses with great insurance,

but... i'm imagining flying solo, & i'd be the breadwinner in my fam.

anyone else in this spot?

Link to comment
Share on other sites

AND ANOTHER THING

thanks you guys for the many replies on multiple threads.

i am particularly exercised to learn that many on the list have no

health care & minimal health maintenance themselves... good thing

y'all're athletic young folk in your 20s (to judge from the camp

photos)... but seriously folks, what about the excellent idea of this

group forming a group for health insurance?

or, you know, moving to canada. KIDDING

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I sent

the question to my insurance broker (she is excellent). I will forward her

response.

Re: physician healthcare

AND ANOTHER THING

thanks you guys for the many replies on multiple threads.

i am particularly exercised to learn that many on the list have no

health care & minimal health maintenance themselves... good thing

y'all're athletic young folk in your 20s (to judge from the camp

photos)... but seriously folks, what about the excellent idea of this

group forming a group for health insurance?

or, you know, moving to canada. KIDDING

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New Zealand, Denmark... What do you all know about Costa Rica?lsaintlo wrote: AND ANOTHER THINGthanks you guys for the many replies on multiple threads.i am particularly exercised to learn that many on the list have nohealth care & minimal health maintenance themselves... good thingy'all're athletic young folk in your 20s (to judge from the campphotos)... but seriously folks, what about the excellent idea of thisgroup forming a group for health insurance?or, you know, moving to canada.

KIDDING

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

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Here is her response:

At current, unless the government changes

the regulations/guidelines, there are no true group affiliation programs for

groups as you described. Sometimes referred to as associations, the

buying power of these arrangements fizzled years ago due to adverse selection.

In some instances you will see info showing benefits available through

associations. This is mostly a few added 'extras' but no real buying

power or price discounts.

Another obstacle due to the

nature of medical insurance is regional coverages. Products/networks

tend to be regionally based and pricing of insurance bounces off regional

medical charges.

It is an interesting situation we are

in as a nation. I won't go into politics - but the future shall be

interesting.

Re: physician healthcare

AND ANOTHER THING

thanks you guys for the many replies on multiple threads.

i am particularly exercised to learn that many on the list have no

health care & minimal health maintenance themselves... good thing

y'all're athletic young folk in your 20s (to judge from the camp

photos)... but seriously folks, what about the excellent idea of this

group forming a group for health insurance?

or, you know, moving to canada. KIDDING

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I suspected that's what the answer would be since we

are so geographically spread out.

Thanks for the effort .

Soma Mandal

--- " Brady, MD "

wrote:

> Here is her response:

>

> At current, unless the government changes the

> regulations/guidelines,

> there are no true group affiliation programs for

> groups as you

> described. Sometimes referred to as associations,

> the buying power of

> these arrangements fizzled years ago due to adverse

> selection. In some

> instances you will see info showing benefits

> available through

> associations. This is mostly a few added 'extras'

> but no real buying

> power or price discounts.

> Another obstacle due to the nature of medical

> insurance is regional

> coverages. Products/networks tend to be regionally

> based and pricing of

> insurance bounces off regional medical charges.

>

> It is an interesting situation we are in as a

> nation. I won't go into

> politics - but the future shall be interesting.

>

>

> Re: physician

> healthcare

>

> AND ANOTHER THING

> thanks you guys for the many replies on multiple

> threads.

>

> i am particularly exercised to learn that many on

> the list have no

> health care & minimal health maintenance

> themselves... good thing

> y'all're athletic young folk in your 20s (to judge

> from the camp

> photos)... but seriously folks, what about the

> excellent idea of this

> group forming a group for health insurance?

>

> or, you know, moving to canada. KIDDING

>

>

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Apparently

no. My guess is that if it

could be done, the AAFP or AMA would have already done it. After all, docs are

generally a healthier group of people than most so I would think insurances

would love us. I admit that just because they don’t offer it does not

mean it can’t be done, but unless we are all Medicare eligible, I think

it may be impossible. With that said, I thought I read that the S.C. governor

signed a law this week which allows small corporations to pool their resources

to reduce health care expenditures. Things may be changing.

Re: physician

> healthcare

>

> AND ANOTHER THING

> thanks you guys for the many replies on multiple

> threads.

>

> i am particularly exercised to learn that many on

> the list have no

> health care & minimal health maintenance

> themselves... good thing

> y'all're athletic young folk in your 20s (to judge

> from the camp

> photos)... but seriously folks, what about the

> excellent idea of this

> group forming a group for health insurance?

>

> or, you know, moving to canada. KIDDING

>

>

Never miss a thing. Make Yahoo

your homepage.

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A long time ago, AAFP did offer group health insurance.

They dropped it in the early 90’s and now just offer the life,

disability, practice overhead and such. I think it must be hard to

administer and time consuming staffing wise.

I belong to an IPA that has a group health insurance plan.

I don’t buy it as I have been fortunate to have health insurance through

my husband’s pension; the only reason he was “allowed” to

retire.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of Brady,

MD

Sent: Friday, February 22, 2008 7:33 PM

To:

Subject: RE: Re: physician healthcare

Apparently no. My guess is that if it could be

done, the AAFP or AMA would have already done it. After all, docs are generally

a healthier group of people than most so I would think insurances would love

us. I admit that just because they don’t offer it does not mean it

can’t be done, but unless we are all Medicare eligible, I think it may be

impossible. With that said, I thought I read that the S.C. governor signed a

law this week which allows small corporations to pool their resources to reduce

health care expenditures. Things may be changing.

-----Original

Message-----

From: [mailto: ]

On Behalf Of lawrence lyon

Sent: Friday, February 22, 2008 6:38 PM

To:

Subject: RE: Re: physician healthcare

if

that's the case, why can't we have state associations, and with national

affiliation to the entire group. could we get group health insurance that

way?

LL

Soma Mandal wrote:

I

suspected that's what the answer would be since we

are so geographically spread out.

Thanks for the effort .

Soma Mandal

--- " Brady, MD "

wrote:

> Here is her response:

>

> At current, unless the government changes the

> regulations/guidelines,

> there are no true group affiliation programs for

> groups as you

> described. Sometimes referred to as associations,

> the buying power of

> these arrangements fizzled years ago due to adverse

> selection. In some

> instances you will see info showing benefits

> available through

> associations. This is mostly a few added 'extras'

> but no real buying

> power or price discounts.

> Another obstacle due to the nature of medical

> insurance is regional

> coverages. Products/networks tend to be regionally

> based and pricing of

> insurance bounces off regional medical charges.

>

> It is an interesting situation we are in as a

> nation. I won't go into

> politics - but the future shall be interesting.

>

>

> Re: physician

> healthcare

>

> AND ANOTHER THING

> thanks you guys for the many replies on multiple

> threads.

>

> i am particularly exercised to learn that many on

> the list have no

> health care & minimal health maintenance

> themselves... good thing

> y'all're athletic young folk in your 20s (to judge

> from the camp

> photos)... but seriously folks, what about the

> excellent idea of this

> group forming a group for health insurance?

>

> or, you know, moving to canada. KIDDING

>

>

Never

miss a thing. Make Yahoo

your homepage.

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Share on other sites

AMA offers medical insurance both HSA and idemnity but you need to be a member to start the insurance. You need not stay a member to keep the insurance. " Brady, MD" wrote: Apparently no. My guess is that if it could be done, the AAFP or AMA would have already done it. After all, docs are generally a healthier group of people than most so I would think insurances would love us. I admit that just because they don’t offer it does not mean it can’t be done, but unless we are all Medicare eligible, I think it may be impossible. With that said, I thought I read that the S.C. governor signed a law this week which allows small corporations to pool their resources to reduce health care expenditures. Things may be changing. -----Original

Message-----From: [mailto: ] On Behalf Of lawrence lyonSent: Friday, February 22, 2008 6:38 PMTo: Subject: RE: Re: physician healthcare if that's the case, why can't we have state associations, and with national affiliation to the entire group. could we get group health

insurance that way? LLSoma Mandal <somamandal2000> wrote: I suspected that's what the answer would be since weare so geographically spread out.Thanks for the effort .Soma Mandal--- " Brady, MD"<drbradythevillagedoctor (DOT) hrcoxmail.com> wrote:> Here is her response:> > At current, unless the government changes the> regulations/guidelines,> there are no true group affiliation programs for>

groups as you> described. Sometimes referred to as associations,> the buying power of> these arrangements fizzled years ago due to adverse> selection. In some> instances you will see info showing benefits> available through> associations. This is mostly a few added 'extras'> but no real buying> power or price discounts.> Another obstacle due to the nature of medical> insurance is regional> coverages. Products/networks tend to be regionally> based and pricing of> insurance bounces off regional medical charges.> > It is an interesting situation we are in as a> nation. I won't go into> politics - but the future shall be interesting.> > > Re: physician> healthcare> > AND ANOTHER THING> thanks you guys for the many replies on multiple> threads.> > i am particularly exercised to learn that many on> the list have no> health care & minimal health maintenance> themselves... good thing> y'all're athletic young folk in your 20s (to judge> from the camp> photos)... but seriously folks, what about the> excellent idea of this> group forming a group for health insurance?> > or, you know, moving to canada. KIDDING> > Never miss a thing. Make Yahoo your homepage.

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

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1. how much is ama membership? 2 is the i nsurance a good enough deal to make it worthwhile- and is the insruance contracted out by various states or can Maine and Iowa get the same deal?I called HArvard Pilgrim yesterday to inquire about switching to them

They run Dirigo the state's well intended but not very useful insurance program for individuals and small businesses .after 7 i am not kidding phone calls i was told call an insurance broker. Well silly me.

When we make everything so hard for people we get Lynn Ho wondering why building confidence is so hard.Maybe we should measure learned helplessness and anger.

AMA offers medical insurance both HSA and idemnity but you need to be a member to start the insurance. You need not stay a member to keep the insurance.

" Brady, MD " wrote:

Apparently no. My guess is that if it could be done, the AAFP or AMA would have already done it. After all, docs are generally a healthier group of people than most so I would think insurances would love us. I admit that just because they don't offer it does not mean it can't be done, but unless we are all Medicare eligible, I think it may be impossible. With that said, I thought I read that the S.C. governor signed a law this week which allows small corporations to pool their resources to reduce health care expenditures. Things may be changing.

-----Original

Message-----From: [mailto: ] On Behalf Of lawrence lyon

Sent: Friday, February 22, 2008 6:38 PMTo:

Subject: RE: Re: physician healthcare

if that's the case, why can't we have state associations, and with national affiliation to the entire group. could we get group health

insurance that way? LLSoma Mandal wrote:

I suspected that's what the answer would be since we

are so geographically spread out.Thanks for the effort .Soma Mandal--- " Brady, MD " wrote:

> Here is her response:> > At current, unless the government changes the> regulations/guidelines,> there are no true group affiliation programs for>

groups as you> described. Sometimes referred to as associations,> the buying power of> these arrangements fizzled years ago due to adverse> selection. In some> instances you will see info showing benefits

> available through> associations. This is mostly a few added 'extras'> but no real buying> power or price discounts.> Another obstacle due to the nature of medical> insurance is regional

> coverages. Products/networks tend to be regionally> based and pricing of> insurance bounces off regional medical charges.> > It is an interesting situation we are in as a> nation. I won't go into

> politics - but the future shall be interesting.> > > Re: physician> healthcare> > AND ANOTHER THING> thanks you guys for the many replies on multiple> threads.> > i am particularly exercised to learn that many on

> the list have no> health care & minimal health maintenance> themselves... good thing> y'all're athletic young folk in your 20s (to judge> from the camp> photos)... but seriously folks, what about the

> excellent idea of this> group forming a group for health insurance?> > or, you know, moving to canada. KIDDING> >

Never miss a thing. Make Yahoo your homepage.

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

-- If you are a patient please allow up to 4-8 hours for a reply by email/please note the new email address/e mail may not be entirely secure/ MD

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I bought my disability insurance through the AMA 10 years ago, and I have not been a member of the AMA ever. I pay for it through my home account so if I ever need to rely on it, it will be tax-free income. TheAMA does not publish the fact that you can access their insurance services without being a member, and I guess this might have changed in the last decade, but I do not think so.

My life insurance is through the AAFP. I am currently looking into business interruption insurance through the AAFP.

I agree with you about the learned helplessness bit also.

Durango, CO

1. how much is ama membership? 2 is the i nsurance a good enough deal to make it worthwhile- and is the insruance contracted out by various states or can Maine and Iowa get the same deal?I called HArvard Pilgrim yesterday to inquire about switching to them

They run Dirigo the state's well intended but not very useful insurance program for individuals and small businesses .after 7 i am not kidding phone calls i was told call an insurance broker. Well silly me.

When we make everything so hard for people we get Lynn Ho wondering why building confidence is so hard.Maybe we should measure learned helplessness and anger.

AMA offers medical insurance both HSA and idemnity but you need to be a member to start the insurance. You need not stay a member to keep the insurance.

" Brady, MD " wrote:

Apparently no. My guess is that if it could be done, the AAFP or AMA would have already done it. After all, docs are generally a healthier group of people than most so I would think insurances would love us. I admit that just because they don't offer it does not mean it can't be done, but unless we are all Medicare eligible, I think it may be impossible. With that said, I thought I read that the S.C. governor signed a law this week which allows small corporations to pool their resources to reduce health care expenditures. Things may be changing.

Re: physician> healthcare> > AND ANOTHER THING> thanks you guys for the many replies on multiple> threads.> > i am particularly exercised to learn that many on

> the list have no> health care & minimal health maintenance> themselves... good thing> y'all're athletic young folk in your 20s (to judge> from the camp> photos)... but seriously folks, what about the

> excellent idea of this> group forming a group for health insurance?> > or, you know, moving to canada. KIDDING> >

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I have not been a member of the AMA since 2004. They could not and did not support me when malpractice insurance would not be written for new start up, but I did buy catastrophic health plan from the which would not be a good fit for you unless you routinely spend $10,000/year over two year period. Besides they have modified this plan so you can only obtain it if you already have a primary plan. Give them a call. The policy was the best I could obtain in 2004, so it has worked well for us. Average insurance and healthcare expense over 4 years has been $6,500 per year. We have paid between $1000 $3000 in premiums per year. Our business has paid the premium and all our out of pocket expenses have been reimbursed pretax by our corporation. NO a good plan if using after-tax dollars. My wife gave birth to our third son

in 2005, while my second son was worked up for migraine headaches. This put us over the $20,000 over a two year period. Since then all healthacare has been covered 100%. Routine office visit for one child $150/each. Labs at hospital $180 for CMP. Tonsilectomy $7000. will need a hernia repair this spring which will also be covered 100%. Two years after we hit the $20,000 mark. Our deductible will start over unless chronic ongoing issue for the same incident, ie brain tumor, cancer, etc. I believe we are covered 2 million per family member. We will be shopping for health insurance again later this year. However, this plan has been good for us, since familiy premiums in 2004 were $1400/month with a $5000 deductible. We would have paid $19000 out of pocket each of the 4 years or by my estimate $76,000 over the 4 years for that plan. wrote: 1. how much is ama membership? 2 is the i nsurance a good enough deal to make it worthwhile- and is the insruance contracted out by various states or can Maine and Iowa get the same deal?I called HArvard Pilgrim yesterday to inquire about switching to themThey run Dirigo the state's well intended but not very useful insurance program for individuals and small businesses .after 7 i am

not kidding phone calls i was told call an insurance broker. Well silly me.When we make everything so hard for people we get Lynn Ho wondering why building confidence is so hard.Maybe we should measure learned helplessness and anger. On Sat, Feb 23, 2008 at 12:08 PM, Egly <kevin_egly> wrote: AMA offers medical insurance both HSA and idemnity but you need to be a member to start the insurance. You need not stay a member to keep the insurance. " Brady, MD" <drbradythevillagedoctor (DOT) hrcoxmail.com> wrote: Apparently no. My guess is that if it could be done, the AAFP or AMA would have already done it. After all, docs are generally a healthier group of people than most so I would think insurances would love us. I admit that just because they don't offer it does not mean it can't be done, but unless we are all Medicare eligible, I think it may be impossible. With that said, I thought I read that the S.C. governor signed a law this week which allows small corporations to pool their resources to reduce health care expenditures.

Things may be changing. Re: physician> healthcare> > AND ANOTHER THING> thanks you guys for the many replies on multiple> threads.> > i am particularly exercised to learn that many on> the list have no> health care & minimal health

maintenance> themselves... good thing> y'all're athletic young folk in your 20s (to judge> from the camp> photos)... but seriously folks, what about the> excellent idea of this> group forming a group for health insurance?> > or, you know, moving to canada. KIDDING> > Never miss a thing. Make Yahoo your homepage.

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. -- If you are a patient please allow up to 4-8 hours for a reply by email/please note the new email address/e mail may not be entirely secure/ MD ph fax

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

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I must be missing something here…. You paid $1400

per month, plus the $5K deductible = $21,800 per year X 4 = $87,200 that you

spent in 4 years WITH insurance, but would’ve paid $19,000 X 4 = $76,000

if you’d just paid out of pocket….

So spending $11,200 more with insurance, and 35% of all

the dollars going into administrative costs is good??

What am I overlooking?

Annie

From:

[mailto: ] On Behalf Of Egly

Sent: Sunday, February 24, 2008 9:33 AM

To:

Subject: Re: Re: physician healthcare

We will be shopping for health insurance again later this

year. However, this plan has been good for us, since familiy premiums in 2004

were $1400/month with a $5000 deductible. We would have paid $19000 out

of pocket each of the 4 years or by my estimate $76,000 over the 4 years for

that plan.

wrote:

1. how much is ama membership?

2 is the i nsurance a good enough deal to make it worthwhile-

and is the insruance contracted out by various states or can

Maine and Iowa get the same deal?

I called HArvard Pilgrim yesterday to inquire about switching to them

They run Dirigo the state's well intended but not very useful insurance

program for individuals and small businesses .after 7 i am not kidding phone

calls i was told call an insurance broker.

Well silly me.

When we make everything so hard for people

we get Lynn Ho wondering why building confidence is so hard.

Maybe we should measure learned helplessness

and anger.

AMA offers medical insurance both

HSA and idemnity but you need to be a member to start the insurance. You need

not stay a member to keep the insurance.

" Brady, MD "

wrote:

Apparently no. My guess is that if

it could be done, the AAFP or AMA would have already done it. After all, docs

are generally a healthier group of people than most so I would think insurances

would love us. I admit that just because they don't offer it does not mean it can't

be done, but unless we are all Medicare eligible, I think it may be impossible.

With that said, I thought I read that the S.C. governor signed a law this week

which allows small corporations to pool their resources to reduce health care

expenditures. Things may be changing.

Re: physician

> healthcare

>

> AND ANOTHER THING

> thanks you guys for the many replies on multiple

> threads.

>

> i am particularly exercised to learn that many on

> the list have no

> health care & minimal health maintenance

> themselves... good thing

> y'all're athletic young folk in your 20s (to judge

> from the camp

> photos)... but seriously folks, what about the

> excellent idea of this

> group forming a group for health insurance?

>

> or, you know, moving to canada. KIDDING

>

>

Never miss a thing. Make Yahoo your homepage.

Be a better friend, newshound, and

know-it-all with Yahoo! Mobile. Try it now.

--

If you are a patient please allow up to 4-8 hours for a reply by

email/

please note the new email address/

e mail may not be entirely secure/

MD

ph fax

Be a better friend, newshound, and know-it-all with Yahoo!

Mobile. Try

it now.

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Share on other sites

thanks I only spend that much occasionallyBut ken has not has a rare dx or a hit and run in a few yrs so we might be due.he usually gets admitted to hospitals at Thanksgiving Portland ME Las Vagas Augsuta Maine I am not kidding how many holidays i have been in hospitals...hmm that give me a few months!

Thanks and i will do the math

I have not been a member of the AMA since 2004. They could not and did not support me when malpractice insurance would not be written for new start up, but I did buy catastrophic health plan from the which would not be a good fit for you unless you routinely spend $10,000/year over two year period.

Besides they have modified this plan so you can only obtain it if you already have a primary plan. Give them a call. The policy was the best I could obtain in 2004, so it has worked well for us. Average insurance and healthcare expense over 4 years has been $6,500 per year. We have paid between $1000 $3000 in premiums per year. Our business has paid the premium and all our out of pocket expenses have been reimbursed pretax by our corporation. NO a good plan if using after-tax dollars. My wife gave birth to our third son

in 2005, while my second son was worked up for migraine headaches. This put us over the $20,000 over a two year period. Since then all healthacare has been covered 100%. Routine office visit for one child $150/each. Labs at hospital $180 for CMP. Tonsilectomy $7000. will need a hernia repair this spring which will also be covered 100%. Two years after we hit the $20,000 mark. Our deductible will start over unless chronic ongoing issue for the same incident, ie brain tumor, cancer, etc. I believe we are covered 2 million per family member.

We will be shopping for health insurance again later this year. However, this plan has been good for us, since familiy premiums in 2004 were $1400/month with a $5000 deductible. We would have paid $19000 out of pocket each of the 4 years or by my estimate $76,000 over the 4 years for that plan.

wrote:

1. how much is ama membership? 2 is the i nsurance a good enough deal to make it worthwhile- and is the insruance contracted out by various states or can Maine and Iowa get the same deal?I called HArvard Pilgrim yesterday to inquire about switching to them

They run Dirigo the state's well intended but not very useful insurance program for individuals and small businesses .after 7 i am

not kidding phone calls i was told call an insurance broker. Well silly me.When we make everything so hard for people we get Lynn Ho wondering why building confidence is so hard.Maybe we should measure learned helplessness

and anger.

AMA offers medical insurance both HSA and idemnity but you need to be a member to start the insurance. You need not stay a member to keep the insurance.

" Brady, MD " wrote:

Apparently no. My guess is that if it could be done, the AAFP or AMA would have already done it. After all, docs are generally a healthier group of people than most so I would think insurances would love us. I admit that just because they don't offer it does not mean it can't be done, but unless we are all Medicare eligible, I think it may be impossible. With that said, I thought I read that the S.C. governor signed a law this week which allows small corporations to pool their resources to reduce health care expenditures.

Things may be changing.

Re: physician> healthcare> > AND ANOTHER THING> thanks you guys for the many replies on multiple> threads.> > i am particularly exercised to learn that many on

> the list have no> health care & minimal health

maintenance> themselves... good thing> y'all're athletic young folk in your 20s (to judge> from the camp> photos)... but seriously folks, what about the> excellent idea of this

> group forming a group for health insurance?> > or, you know, moving to canada. KIDDING> >

Never miss a thing. Make Yahoo your homepage.

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

-- If you are a patient please allow up to 4-8 hours for a reply by email/please note the new email address/

e mail may not be entirely secure/ MD ph fax Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

-- If you are a patient please allow up to 4-8 hours for a reply by email/please note the new email address/e mail may not be entirely secure/ MD

ph fax

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