The Hidden Costs of Healthcare: How to prepare for unexpected medical expenses

In today’s fast-paced world, good health is key. But the rising costs of healthcare in the United States can be a major financial burden for individuals and businesses. From routine check-ups to emergency room visits, the cost of medical services can be high and often unexpected. This blog post will explore the hidden costs of healthcare and provide tips on how to prepare for and manage these financial challenges. We’ll talk about common unexpected medical expenses, the importance of health insurance, and the role of emergency funds and health savings accounts. We’ll also discuss government programs and resources that can provide financial assistance. And we’ll introduce a modern solution—the Healthcare Spending Card1—designed to help you easily manage your healthcare finances.

The first step to protecting your financial health is understanding the costs of healthcare. Whether you’re dealing with an unexpected illness, an accident, or a chronic condition, being prepared can make all the difference. By the end of this post, you’ll have a better understanding of the tools and strategies available to you to help you manage the costs of healthcare and be better prepared to face any financial challenges that come your way.

The high cost of healthcare in the United States

The financial landscape of healthcare in the United States is a challenging one. The nation’s healthcare spending is the highest among developed countries, yet its citizens have lower life expectancies and higher rates of chronic diseases. This disproportionate spending not only hurts individual and family finances, but it also makes it difficult for businesses to compete globally. The average American family spends over $20,000 per year on healthcare, and that number is only expected to increase, adding even more financial pressure to households.

The high cost of healthcare is not just a financial inconvenience; it is a leading cause of bankruptcy in the United States. Over 60% of bankruptcies are attributed to medical bills, highlighting the devastating impact that unexpected medical expenses can have on individuals and families. This alarming statistic underscores the urgent need for addressing the escalating costs and finding sustainable solutions to alleviate the financial strain on those seeking medical care.

But it’s not just individuals who are feeling the weight of these costs. Businesses are, too. High healthcare expenses can make it difficult for companies to provide the comprehensive insurance coverage that employees need, while also managing rising premiums and other related costs. This can hinder innovation, growth, and productivity, and make it harder for businesses to compete globally.

The high cost of healthcare is a multifaceted issue that requires the attention of policymakers, healthcare providers, and society as a whole. There are many ways to address this problem, from reforming insurance policies to implementing cost-saving measures and creating new models for delivering care. By exploring and implementing these solutions, we can work toward a healthcare system that is more sustainable and equitable for individuals and businesses.

Common unexpected medical expenses

Unexpected medical expenses can throw a wrench in even the most carefully planned budgets. One of the most common and costly of these is a trip to the emergency room. Whether it’s a sudden illness or an accident, emergency room visits can be expensive, especially if you go to a hospital that’s not in your insurance network. Out-of-network fees can lead to sky-high bills, and many people have trouble paying them.

Another area that often hits people hard is the increasing cost of prescription drugs. Even with insurance, the co-pays and deductibles for necessary medications can be high. And the cost of some drugs has skyrocketed in recent years, making it difficult for people to afford the medications they need. This financial burden can lead to difficult decisions and can have a negative impact on your health.

And let’s not forget about dental and vision care. Many health insurance plans don’t cover routine dental and vision check-ups, which means you could be left paying the full cost. And if you need an emergency dental procedure, like a root canal or an extraction, that can really hurt your wallet. The same goes for vision care. The cost of eyeglasses, contact lenses, and eye exams can add up, especially if you need to update your prescription regularly.

But here’s the good news: you can be prepared. By understanding the potential costs associated with emergency room visits, prescription drugs, and dental and vision care, you can take steps to prepare for these expenses. Whether you’re setting aside money in an emergency savings account, using a health savings account, or looking into government programs, being prepared can help you manage these costs.

Ways to prepare for unexpected medical expenses

Preparing for the unexpected is key to avoiding financial strain and ensuring you can access the care you need. One of the most effective strategies is to create a dedicated emergency fund specifically for healthcare costs. This fund should be separate from your regular savings and should cover at least three to six months' worth of medical expenses. By setting aside a portion of your income regularly, you can build a financial safety net that can absorb the shock of unforeseen medical bills without derailing your overall financial health.

If you have a high-deductible health plan, contributing to a health savings account (HSA) can be a smart move. HSAs allow you to put away pre-tax money for qualified medical expenses, which can reduce your taxable income and potentially lower your tax bill. And any money you don’t spend in a given year rolls over to the next, making an HSA a great long-term savings vehicle. Plus, once you reach a certain age, you can withdraw HSA funds for any reason without penalty (though you’ll still owe income tax). Check out our blog on how to maximize your Health Savings Account.

Specialized medical credit cards are another smart financial option. They often come with interest-free periods for medical expenses, which is a great way to manage the cost of care over a few months without extra fees. This can be a lifesaver for those unexpected, large medical bills that might otherwise put a strain on your budget. Just be sure to read the terms and conditions and make a plan to pay off the balance before the interest-free period ends. Read our review on the top medical credit cards to help you manage your healthcare expenses.

Enrolling in medical discount plans is another way to secure reduced rates for a variety of medical services. These plans negotiate discounts with healthcare providers, which can significantly reduce your out-of-pocket costs. While they are not a replacement for health insurance, medical discount plans can be a valuable addition to your coverage, helping you manage expenses more effectively. By combining these strategies—creating an emergency fund, utilizing HSAs, using specialized credit cards wisely, and joining discount plans—you can better navigate the financial challenges of unexpected medical expenses.

Government programs and resources for financial assistance

The financial side of healthcare can be complicated, but there are government programs that can help. Medicare and Medicaid are two of the most important programs that can help you access the care you need. Medicare is a federal health insurance program for people who are 65 or older, and certain younger people with disabilities. Medicare helps with the cost of health care, but it doesn’t cover all medical expenses or the cost of most long-term care. Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources.

The Patient Protection and Affordable Care Act (ACA) has made it possible for more people to get the health coverage they need. The law provides financial help for people who buy insurance through the Health Insurance Marketplace. This help comes in the form of premium tax credits and cost-sharing reductions. It makes health insurance more affordable for millions of people. The Children's Health Insurance Program (CHIP) provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid. In some states, CHIP covers pregnant women. Each state offers CHIP coverage, and works closely with its state Medicaid program.

For veterans, the Veterans Health Administration (VHA) offers a wide range of healthcare services. The VHA, which is part of the Department of Veterans Affairs, provides medical care, mental health services, and other specialized treatments to meet the unique needs of veterans. This program is a reflection of the government’s commitment to those who have served our country, ensuring that their healthcare needs are met without causing financial hardship.

These government initiatives collectively play a pivotal role in alleviating the financial burden of healthcare costs. By understanding and utilizing these resources, individuals and families can better manage their healthcare expenses and ensure access to necessary medical care. It is essential to explore these programs and determine which ones you may qualify for, as they can provide significant relief in times of need.

The importance of health insurance

Health insurance is a way to protect your finances from the unexpected costs of medical care. It helps you pay for care from doctors, hospitals and other providers and for surgeries, medications and other medical supplies. And having health insurance can give you peace of mind that you can get the care you need when you need it. You won't have to worry about the cost of care preventing you from getting the care you need to get or stay healthy.

Health insurance is also important because it helps you get timely access to medical care. With health insurance, you can get the care you need when you need it. You won’t have to wait until a health problem gets worse to go to the doctor. And when you have health insurance, you’re more likely to get preventive care that can help you stay well. Preventive care includes health screenings and tests, like mammograms and colonoscopies, that can find diseases or problems early. This can help you get the right treatment and avoid serious health problems.

Additionally, health insurance is a safeguard for your personal finances. Without it, you could be faced with the daunting prospect of draining your savings or losing your assets to cover medical bills. Health insurance acts as a financial safety net, preserving your hard-earned assets and ensuring that you can maintain your financial footing, even in the face of unexpected medical expenses. By providing this peace of mind, health insurance becomes more than just a policy—it’s a cornerstone of your financial security and well-being.

Healthcare Spending Card: the safety net built for healthcare expenses

The Healthcare Spending Card is a groundbreaking solution that simplifies how you manage healthcare expenses. It’s a powerful tool that helps you navigate the complex world of medical costs. Unlike traditional methods, the card is available to you as an individual, making it convenient and easy to use. It’s also extremely versatile, covering a wide range of medical expenses, including doctor visits, hospital stays, prescriptions, and even medical equipment. With the Healthcare Spending Card, you can feel confident that you’re ready to face any healthcare-related financial challenges that come your way.

The Healthcare Spending Card is more than just a convenient way to pay for medical expenses. It also provides a safety net, with up to a $10,000 limit*, with flexible repayment options to fit your financial situation. You can also take advantage of interest-free financing options2 with the ability to break healthcare bills into 1, 4 or 12 monthly payments, which can help you manage your healthcare expenses without adding to your financial burden. Plus, there are no annual fees2, so you can save even more. Together, these benefits make the Healthcare Spending Card a cost-effective and reliable way to manage your medical expenses.

If you’re looking for a proactive way to manage your healthcare finances, the Healthcare Spending Card is a smart choice. It gives you the tools and flexibility to help you manage unexpected medical expenses more effectively. By providing a strong and adaptable safety net, the Healthcare Spending Card can help you prepare for potential financial challenges and help you stay financially stable. Applying for the card now could be a big step toward gaining peace of mind and control over your finances in the face of rising healthcare costs.

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Erik Eaton
Senior Director, Marketing

* Subject to credit line approval.

1 Lane Health is a financial technology company, not a bank. The Healthcare Spending Card is issued by Lead Bank pursuant to a license from Visa USA Inc.

‍2 Lane Health does not charge interest on, or an annual fee for, the Healthcare Spending Card. “0% financing” pertains to repayment options that do not charge interest (0% interest) nor fees ($0 fees). Each Advance can be repaid in full, 4-month term or 12-month term (with a minimum $3 due each payment period). Transactions other than qualified hospital expenses (based on merchant category code) will be charged an origination fee of 5% and periodic finance fees. The location of the service provider is not determinative of whether a transaction is a qualified hospital expense. Rather, transactions made within or at a hospital (including but not limited to specialists, doctors, pharmacies, etcetera) are determined to be eligible by the associated MCC and not the location of the service provider in the hospital. New Advances, if eligible, can be repaid in full or over 4 installments with no origination or periodic finance fees. Late fees apply. You can review the fee table at https://lanehealth.com/hsc-lb-fees

3 Assuming 12% Federal tax rate, 5% state tax rate, and 7.65% FICA tax rate savings on pre-tax funds used from an HSA to pay for qualified healthcare expenses.