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 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.

Bad auto insurance comes in many forms. With bad car insurance, premiums are higher than they should be, or the company offers low premiums but minimal coverage. Some car insurance companies have poor customer service and don’t effectively communicate the status of your auto insurance claim. Others require you to use only repair shops that they approve of, and those shops can be inconvenient to access, forcing you to travel across town for repairs or wait weeks for an appointment. Still other auto insurance companies don’t have a comprehensive network of adjusters, so you have to wait longer for your claim to be processed so you can get the repairs you need. In a worst-case scenario, a car insurance company may not have the financial resources to pay claims, leaving its customers high and dry.
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