Health Care on Less Than You Think: The New York Times Guide to Getting Affordable Coverage, written by The New York Times contributor Fred Brock, is the third book by Brock focusing on “increasing wealth by decreasing expenses”. The author claims that this book “is a guide for dealing with our increasingly dysfunctional health care system in the coming years.”
The chapters of the book read like individual news articles. Statistics and figures are constantly being thrown at the reader in order to paint the picture of a dysfunctional system. Sometimes the numbers provided really make sense in the context of the author’s examples. However, often times I found the figures and comparisons to be too superficial and shallow – they do nothing other than give the reader more pages to trudge through.
There are several chapters that contain very helpful information and concepts that will assist individuals in saving money on health care costs. Unfortunately, the practical advice is often buried in lots of repetitive text and figures.
Chapter 1: Spending More, Getting Less
If you’re looking for practical savings advice, skip this chapter. This chapter includes endless numbers of facts, figures, and statistics extracted from various reporting and research groups.
Chapter 2: Protect Your Health, Protect Your Budget
The author continues heavy use of statistics and examples of medical problems. Amidst these figures, common medical insurance terms are defined.
This chapter includes five steps for saving money on health insurance – including suggestions like choosing a policy with high lifetime caps and low deductible and maximum out-of-pocket expenses; reading the fine print on your policy and avoiding low caps on specific procedures; and getting dual coverage if possible and practical.
The author also discusses saving money during hospital stays and suggests negotiating lower charges with the hospital or asking for the same discounts that insurance companies pay, keeping a log of all care and services your receive, requesting a detailed bill and comparing it to your log, and hiring a lawyer to contest charges if needed.
Chapter 3: Off The Job
Brock explains COBRA and HIPP coverage. Overall good resource for those with employer-sponsored health insurance.
Chapter 4: Health Savings Accounts
Lots of information about HSA (which is not the same as FSA) and several considerations for choosing an HSA plan. This chapter would benefit from a few more examples but provides lots of good information to get the reader started.
Chapter 5: The State of Your Health and the State Where You Live
Another very repetitive chapter that basically boils down to the fact that insurance and health care costs vary based on where you live. I didn’t need a chapter of filler facts to tell me that.
Chapter 6: Rx for Your Wallet
Basic take away message is that prescription prices vary based on location and you should shop around.
Chapter 7: Mastering Your Insurer’s Fine Print
This chapter tells you to read everything, doublecheck everything, and relentlessly appeal as needed. Suggestions on how to fight some common denials are also included. Also, Brock advises people to pay a bill AFTER the insurance has paid.
Chapter 8: Planning for Medicare
Several Medicare options explained.
Chapter 9: The Threat to Your Savings and Retirement
Brock summarizes the entire book and provides the short list of ways to save. Skip this chapter if you’ve read the chapters relevant to your situation.
Chapter 10: Sorting Our Your Options
This is another throwaway chapter – with only a couple pages, it manages to do nothing more than tell you what you already know.
There is some great information in this book – you can dig it out of chapters two, three, four, six, seven, and eight. Otherwise, the rest of the text looks like it was drawn out just to fill the pages. Honestly, this book could drop the news article feel (redundant facts and reactive wording) and be condensed into a small, useful booklet on saving money on health care costs.