Consumer Watch: Healing tips to help hold down medical bills


Medical doctor or physician in white gown uniform with stethoscope in hospital or clinic doctor tile clinic tile health care healthcare medicine / Getty Images
Medical doctor or physician in white gown uniform with stethoscope in hospital or clinic doctor tile clinic tile health care healthcare medicine / Getty Images
photo Ellen Phillips

Q: All our medical costs are rising so quickly. Do you have any suggestions how my family can spend on necessities but still save? – Sylvester Sickly

Dear Mr. Sickly: Your question comes at the right moment, as I've been researching this issue for my own purposes. Hopefully, you'll see substantial savings for the future by following these "healing" tips.

First, we're told to maintain our insurance coverage, if at all possible. If we're insurance-lacking, an illness or hospital stay could end up costing upwards of $50,000 for a relatively simply operation. On the other hand, some people are forced into a COBRA situation (if you've lost medical insurance through "Hit-the-Road-Jack" of either termination of reduction in forces). While COBRA can be maintained usually in the 18 months' range for most folks, it's exorbitantly expensive, often averaging around $1,200 monthly from your own pocket. One "solution," though, is to mix and match health plans. For example, Osteoarthritis and osteoporo sis both hold me in their nasty clutches; if we lacked health insurance, I could use COBRA for my own coverage, but my husband could use a much cheaper plan strictly for himself. Be sure to check out different personal needs at coverageforall.org or affordable-health-insurance-plans.org, among others.

It's important to stay with a trustworthy doctor. I can't stress this enough! Doc-in-the-Boxes are fine for the occasional emergency or for after-hours, but it's far better to stick with one physician for the long run. He or she knows all about you, your ills, your meds, your history, your "everything," and is in a much better position to treat you. However, if your own doc insists on you coming back for a "normal" follow-up, a phone call or email usually suffices. A chronic condition, though, or a more ominous short-term illness deserves a follow-up visit more often than not.

Sometimes it's best to stay with brand-name medications. Blood thinners, meds for seizures, asthma, bipolar disorder, and heart conditions require a "consistent blood level and your body may not react to a generic in the same way," says author and physician Dr. Cynthia Koelker. For savings, these meds and those for additional conditions may be found in your doc's supply closet in the form of samples. A three months' supply, according to Dr. Koelker, could save us as much as 25 percent for the year so don't be afraid to ask for several packages. Furthermore, request coupons from Dr. Nice and/or your pharmacist and do check drug company websites for printable vouchers.

Contact Ellen Phillips at consumerwatch@timesfreepress.com.

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