The Insurance/Wellness Connection – What Your Insurance Company Does Not Tell You Could Be Costing You

The Insurance/Wellness Connection –

Finally, after ten years of suggesting the importance of combining wellness with insurance, it finally happened! Many insurance companies are offering wellness information on their websites, but not too many offering interactive programs, like Wellness Worx.

It makes sense to combine the two industries. Health insurance rates are rising rapidly, but there is a reason for this. It is a tangled mess, but let me try to explain it. One reason is the demographics of this nation. There are 10,000 baby boomers turning 50 every day, and 150,000 turning 65 each month. There are currently 4 people paying for every one person and in 2030, there will be 2 people paying for every one person. This has caused a great deal of concern. Most of these people paid into the social security/medicare system for 45 years of their lives and were promised to get health care and a small pension once they turned 65. That is one issue.

Another reason is the cost of healthcare. It costs more today than it did 40 years ago. Why? Technology costs money. Hospitals cost more to maintain. Prescription drugs are outrageously expensive. Specialists charge more than a primary care doctor. As Americans, we don’t like to wait for our health care, so we have to pay more for immediate access.

Another reason, and the one we can all do something about, is our individual lifestyles. There are fast food restaurants on every corner because we keep them open. Drive thru windows, fatty foods, foods with no nutrition, no time to eat a good meal, stress in our jobs…all contribute to the poor eating habits we have adopted. Our immune systems are compromised because we drink soda and eat empty calories for days on end. It’s like putting sludge in your gas tank and wondering why your car doesn’t run . Our bodies are fine tuned machines and need to be fed good, wholesome food, including fresh fruits and vegetables on a daily basis. An occasional splurge won’t hurt, but splurging every meal will hurt. When we get out of whack, our bodies rebel and then we need to see a doctor and then we need a daily prescription or two.

These are just a few reasons why the cost of health care and health insurance have gone up. There are other reasons like fraud and greed, but that would fill a book, so I’ll leave it at that.

The good news is that we can all do something about it. We can start focusing on prevention so we don’t need to see the doctors so often. That’s what our wellness program is all about. We can help keep insurance premiums in check by gently nudging people with our corporate challenge and educational presentations. We even have fun getting healthier! Wellness really does Work! Call Wellness Worx at 623-877-4626

Socialized Medicine versus Free Market Insurance, Pros and Cons –

The reason the free enterprise system works in America is because it provides competition among the participants. In this case, the participants are the health providers and the insurance companies. Without competition, health providers (doctors, hospitals, pharmacies, pharmaceutical companies) could charge whatever they wanted. With competition, the majority of the people are going to seek out the provider who is most cost effective for them.

Another reason this system has worked in America is because it has become the model in this country. Many other countries, including Canada and the UK, who have socialized medicine, wish they had our model. People from all over the world come to America to access our healthcare system, because it is one of the best in the world. We have the greatest medical technology in the world, and we can access it when it is needed. We don’t have to wait for months for cancer treatment or a heart surgery. However, immediate access comes with a price tag.

Even though we have great facilities and doctors, the system is not perfect. We have a segment of the population who are unable to get health insurance because of the cost. The solution to that problem is for insurance companies to cover pre-existing conditions and to have portability from job to job and from state to state. If they covered pre-existing conditions, they would have more people paying premiums, which would spread out their risk factors so they wouldn’t have to raise premiums to cover them.

Socialized medicine is something our country has never experienced, unless a person’s only access to medical care has been through the Veteran’s Administration, Medicare or Medicaid. My understanding is that many of the state’s Medicaid systems are running in the red, and the Medicare system continues to raise out of pocket expenses for seniors who are already on a tight budget. Most of the people who are on Medicare have paid money out of their paychecks most of their lives, and in return, our government promised to provide them with a health plan when they reached retirement age. Now, they are telling us that system may not last.

I’ve read articles and listened to several video presentations from people who live in a country where they practice socialized medicine. What I hear from those people is that routine care seems to be handled slowly but efficiently, however, specialized care, or medical attention when one really needs it, is rationed. So, while it may sound like a good idea to the people who can’t manage to pay for insurance, it may very well be a disaster for the whole country to be on a single payer system. If congress decides to move in that direction, once that is in place for 2-3 years, there will be no turning it around.

I think it becomes one of those “be careful what you wish for.” We must ask ourselves two things and that is: When has the government ever done anything more efficiently or cheaper than the free market? And, do you want your health care handled like other government offices, such as MVD or IRS?

Sherry Pitsch, Wellness Worx

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5 simple things to lower your employee health insurance costs – NOW

5 simple things to lower your employee health insurance costs –

1. Arrange to have a yearly mandated health insurance meeting so your health insurance agent can go over the benefits and how to use them most effectively.

2. Make sure all employees are aware of the difference between accessing health care at an emergency room and an urgent care center.

3. Prescription drugs can be very expensive. You can cut those costs for yourself and for others in your group by using the mail order option, and also by shopping other pharmacies. There are several pharmacies offering $4 generic drugs, which can cut your cost in half.

4. Go to the doctor, when it is necessary. Also, take advantage of your wellness benefits. Get your preventive exams on a regular basis.

5. Participate in a wellness program. You will be surprised what a difference you can make in your medical bills by following 5 important steps to wellness!

Sponsored by Wellness Worx where we bring wellness awareness to work!

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Consider these facts:

Americans spend $1.9 trillion yearly on health care and costs increase each year.

50% of health care costs are directly
related to lifestyle choices

60% of Americans are overweight

15% of our children are obese

20% of our workers are smokers

50% of Americans do not know their blood pressure, cholesterol or blood sugar readings

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