A top government official in one of the country's most conservative states is blaming the Trump administration for rising health care costs.
The head of Idaho's Department of Insurance, Dean Cameron, took the Trump administration to task for rising health care premiums in his state, according to a report in the conservative Washington Examiner.
Insurers on Idaho's individual market exchange recently announced average premium increases for 2018 to be about 38 percent. Under the Affordable Care Act, individuals who do not get insurance through their employer or through the federal government must purchase insurance on market exchanges or pay a tax penalty.
The government subsidizes the cost of that insurance in order to make it affordable for low income people. But President Donald Trump has repeatedly threatened to let the ACA fail by declining to make those payments.
RELATED: 15 easy ways to cut your health care costs without cutting quality
15 Easy Ways to Cut Your Health Care Costs Without Cutting Quality
15 Easy Ways to Cut Your Health Care Costs Without Cutting Quality
From general practitioners to dentists to acupuncturists, many health care providers offer discounts when you send them a word-of-mouth referral. It may only be $50 or so, but money is money.
It doesn't hurt to ask for a discount: The worst your doctor can say is "no." Many practitioners offer lower rates when you pay with cash or check instead of a card. (They also offer payment plan options if you can't afford to pay all at once.)
Bring up as many concerns with your primary-care physician during an office visit as possible, advises Adam Beck, assistant professor of health insurance at The American College, which trains people in the finance industry. "Your doctor will be able to test and treat you for a variety of potential ailments or conditions while paying one co-pay, as opposed to returning each time you think something is awry."
Always review your medical bills the same way you would a restaurant bill. If you feel like a billing mistake was made -- or that you've been overcharged -- speak up. "The Medical Billing Advocates of America estimates that roughly eight out of 10 medical bills contain errors," says Allen Erenbaum of the Consumer Health Alliance, a national association for non-insurance discount health care programs. "All prescription drugs and medical procedures have codes, and sometimes there could be a costly mistake." If you need help, you can find patient and billing advocates through MedicalBillMediation.com and Medical Billing Advocates of America.
"Establish a relationship with a primary-care physician and have all the routine screening done that is recommended for someone of your age and gender," advises John Garner, author of the "Health Insurance Answer Book." "Catching problems early is not only less expensive, but it could save your life." (Of course, you are exercising daily and eating nutritiously.)
Make a habit of requesting the generic alternatives for prescriptions. Your doctors may write their prescriptions this way automatically, but it never hurts to remind them. Additionally, ask if there's a different form of the same medication. "For example, if you are prescribed tablets, ask if you may take capsules or lozenges. Sometimes the difference in cost with your insurance can mean a difference in half the tablet price. I've saved lots of customers this way just by calling their doctor for them personally," says pharmacist Steve Levin, owner of Woodland Hills Pharmacy in California. The wisdom of buying cheaper generics also applies to over-the-counter medications. For example, Target sells a 100-tablet bottle of Tylenol for $6.99, while its store brand of acetaminophen costs $5.29 for 250 tablets.
The emergency room may seem like your best bet when you don't have time to wait for an appointment, but it should only be used in life-threatening situations. The ER is much more expensive than a visit to your family doctor, sometimes by hundreds of dollars -- and that's before you even get to your actual treatment. If you can't wait to see a physician, or you're out of town, your best option is an urgent care center. They are often a little more expensive than visiting a general practitioner, but definitely less costly than the ER.
Medical bills can add up quickly, especially when a doctor starts doing test after test. Garner says to always ask questions such as, "Is this test or procedure necessary?" and don't settle for vague answers.
Get the insurance coverage that works best for your family's needs. If you're a relatively healthy person who goes to the doctor once a year and the dentist every six months, but usually nothing more, skip the ultra-expensive premium with a low deductible. Contrarily, if you find yourself visiting the doctor more often, an insurance plan with a low deductible could save you much more even though your premium is higher. To better understand your choices, consult a licensed health insurance agent.
"Non-insurance discount health plans can save you money on ancillary services your insurance typically does not cover, like dental care, vision, prescriptions, alternative medicine and more," explains Erenbaum. According to the Consumer Health Alliance, you can save 20 percent to 60 percent on services with a non-insurance discount plan. Check out America's Premier Benefits, New Benefits, Careington and DentalPlans.
"If you require a medication that isn't available as a generic yet, joining a discount club could reduce what you pay for prescription drugs dramatically," notes Beck. These discount cards are often free. Also ask if your pharmacy has any prescription reward programs. These provide the incentive for pharmacy loyalty, saving you money and ensuring repeat business for the pharmacy.
Your annual vision exam may require an updated prescription, but buying glasses or contacts from your doctor may mean paying up to 50 percent more. Instead, go online to find less expensive -- and sometimes more fashionable -- options.
Receiving medical care from a provider out-of-network can cost you much more than using someone who's in-network. Before booking an appointment, call to confirm the office's network status with your insurance company. Ensuring you only see in-network providers can become difficult in a hospital, but make sure the hospital staff knows you have a strong preference for in-network physicians.
"Be aware and take advantage of treatment at free clinics when available," advises Beck. "Particularly in urban areas, there are opportunities to treat some conditions for free, namely those that pose a risk to public health. For example, if you are concerned about a sexually transmitted infection, a visit to the city health center may involve a depressing waiting room, but the screening and treatments will be free."
Cameron says the uncertainty surrounding Trump's threats are the reason that insurers are hiking premiums.
"I call on Congress to either repeal the [subsidy] requirement or fund the program," he told the Examiner. "That action alone would reduce the proposed increase by at least 20 percent on the silver plans."