U.S. spends more on healthcare, no easy answer why

How is the U.S. spending so much money on healthcare when people pay for their medical bills with health insurance? Home Economist Dear Home Economist, If your question is about why the U.S. (federal) government spends so much money, then the answer is four-fold: 1) Medicare 2) Medicaid 3) Federal government employees 4) Military members and families Altogether, the federal […]

Obamacare: Entrepreneurs and consultants get coverage, but not in Africa

I’m a young adult and recent graduate from college. Post graduation, I took a consultancy job in Africa until May of next year. I’m curious how consultants and entrepreneurs go about health insurance as it is certainly not offered by your line of work. Should I go the international insurance option? Or should I pay […]

Affrordable Care Act: Medicare Part D donut hole disappearing

Why is there a doughnut hole in Medicare’s drug coverage? Puzzled Dear Puzzled, The doughnut hole design allows the program to manage its outlay for high-cost/ high-need members.  After the member has reached the doughnut hole, he or she is “back on the hook” for some of the drug costs.  Thus, the member has a […]

Affordable Care Act: when to go to the exchange, after divorce

If current medical coverage is provided as part of spouses retirement package until November of 2014 and a divorce is granted in October, when will I need to apply for marketplace insurance for myself?  I’m three years away from getting Medicare. Hoosier Stater Dear Hoosier Stater, You should look at your options now for a […]

Obamacare: no reasonable way to estimate saved or lost lives

Has anyone estimated the lives saved or lost under the Affordable Care Act relative to the healthcare situation before it was passed? Lives could be saved due to the increased number of Americans covered, the increased quality of the plans, or coverage for Americans with pre-existing conditions. Lives could be lost due to negative changes […]

Obamacare: husband turns 65, leaving wife on exchange plan

My husband and I are currently purchasing a plan through the Individual Marketplace. My husband turns 65 next month, and I turn 61 next month. Will I be able to keep our current plan with subsidies while my husband enrolls in Medicare? What are our options? Sofia in California Dear Sofia, When your husband enrolls […]

Health coverage different for employee than for dependent

Is anyone else aware that the benefits of a health plan can be different for the enrolled employee versus the dependent?  How is this even legal in any state?  And disclosure is not required either.  This was a work-related injury. Fuming and Hurt Dear Fuming and Hurt, I  think what you have found is that […]