Vox published an analysis of more than 1,100 emergency room bills in December 2018 that found emergency rooms often charge a lot for items you could buy at a drugstore such as bandages and low-grade pain medication. If you’re at the doctor for something relatively minor, consider asking if you’ll be charged for these supplies, and if so, turn them down. You can always stop at the store on the way home and get them for far less money. Whatever private health insurance you have, it’s important to know your benefits well.
If you find yourself unable to remember the last time you were in a doctor’s office and think you don’t need health insurance, think again. You should definitely have health insurance, and there are plans that are cost effective for healthy people. For example, you can opt for a high deductible health insurance plan – you pay more for things like doctor visits, but you pay less overall for your health insurance plan. This is ideal if you only go to the doctor once or twice a year. These plans also work well in partnership with flexible spending accounts (FSA) or health savings accounts (HSA). You can put pre-tax dollars into these accounts and use the money later on medical expenses.
If you decide to opt out instead of acquiring compliant health insurance, you do have a few options. These options probably won't qualify to relieve you of having to pay the shared responsibility payment, but they can still lower your health care costs. Many insurance companies offer short-term insurance plans that might help you between coverage periods or after losing insurance. Catastrophic insurance usually has a high deductible, but can help if you need expensive treatment. Another option is Direct Primary Care (DPC) or "concierge medicine." These are not standard insurance models but involve a direct payment to the provider as an annual fee or retainer for services. This type of arrangement is not common, but it's an option for some. Boutique offices are becoming increasingly popular as well. These medical practices do not bother with insurance and simply make cash-price arrangements with patients. Many offer quite competitive rates for routine services. However, keep in mind that this alternative option does not satisfy the requirement to have minimal compliant health insurance and that you may need to pay the fine unless you are somehow otherwise exempt.
The key difference in collision vs. comprehensive coverage is that, to a certain extent, the element of the car driver's control. As we have stated before, collision insurance will typically cover events within a motorist's control, or when another vehicle collides with your car. Comprehensive coverage generally falls under "acts of God or nature," that are typically out of your control when driving. These can include such events as a spooked deer, a heavy hailstorm, or a carjacking.
Still, the State Farm quotes we received were shockingly expensive when compared to the competition — typically around three times as much. While that’s likely a dealbreaker for most, it’s worth checking personalized quotes yourself, especially if you have a teen driver (for whom they seem to offer more discounts than our other picks). Another point in State Farm’s favor is its website, which is good at helping you understand which coverages best fit your specific needs. We would’ve liked a Live Chat feature, but there are plenty of contact alternatives, including a mobile app.
Allstate: Allstate is the eighth-best insurance company, with many Allstate customers in our survey reporting that they didn’t feel like they were in good hands. Allstate customers were particularly unhappy with the value they felt they got from Allstate, with many of them saying they wouldn’t recommend Allstate and didn’t plan to renew their policies.

USAA: USAA is the best car insurance company we found. Customers report that they love USAA for its customer service, ease of filing a claim, and frequent updates on claim status. USAA customers also report that USAA is a good value, and USAA’s average annual rates are some of the lowest in the business. The only downside we could find to USAA is that its insurance products are only available to veterans, members of the military, and their immediate families, so not everyone will be able to work with the top-ranked insurance company.

Progressive Home Advantage® policies are placed through Progressive Advantage Agency, Inc. with affiliated and third-party insurers who are solely responsible for claims, and pay PAA commission for policies sold. Prices, coverages, privacy policies, and PAA's commission vary among these insurers. How you buy (phone, online, mobile, or independent agent/broker) determines which insurers are available to you. Click here for a list of the insurers or contact us for more information about PAA's commission. Discounts not available in all states and situations.
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