Lessons From Another Health Encounter
At the tail end (an apt choice of words) of my annual exam the other day, my doc asked me if I wanted to have a vaccine for shingles. Then he handed me some information about this condition from the Centers for Disease Control (CDC). I have a friend who suffered from shingles for over two years so this had my attention. My first question: "what does it cost?" The answer: "$300 and your insurance probably won't cover it." I gave him the green light anyway.
That decision puts me in the top 5% of my "class" (finally!); e.g. of the 45 million folks boomer age and older who should be vaccinated for shingles, only 2.3 million have done so. It seems besides the influenza vaccine most of us know about, there are other "adult immunizations" most of us do not hear about; tetanus, pneumonia, even cervical cancer! Perhaps this is largely because our health plans don't cover them. That seems like another of the many confounding financial decisions we allow our insurers to make for us. [Actually, if I were (way) older and covered by Medicare Part D, the shingles vaccine would be covered subject to a copay I found as low as $37 with one carrier.]
I also found that had I simply delayed my decision, I could have had the same injection at a Walgreen's Take Care Clinic for just $219.99. The moral of the story: listen well to your doctors advice but then if conditions allow a little time, shop for the best deal. Of all the people who should have known that, you'd think it would be me. My Health Savings Account will be minus $300 instead of $219. Darn! And, since my risk of getting shingles has now been halved, I'll be asking my insurer for a discount when the renewal premium arrives. Which brings me full circle on this post . . . . . .
Labels: Boomer Wellness, Shopping for Health Care
As President & Owner of a successful health insurance brokerage in downtown Milwaukee - 

1 Comments:
Jon,
Thanks again for pointing out the need to "shop around". You're right of course that there is a tremendous difference in what providers charge. Luckily in your case the difference was only $80. In so many instances the difference can be hundreds if not thousands of dollars.
Your end of the appointment "do you want fries with that?" experience, is becoming more common. I'm not suggesting that your Dr. is trying to impulse sell you, it sounds like a good idea to protect yourself from shingles, but why aren't all of your adult vaccinations part of a "plan" that could be set out for you in advance so you'd have the opportunity to make the best financial choice?
More importantly your experience demonstrates the lack of a system in American medicine. Vaccinations and other preventative care are not the focus, hence studies that show France and Canada ahead of the US in overall health care delivery. The lack of preventative care focus costs everyone more. I'm probably being overly cinical, but I'm guessing treating a month long shingles episode generates more dollars than did your vaccine. Shingles primarily affects Medicare age persons, whom will eventually present to a hospital if their condition becomes painful enough. One overnight stay and the hospital generates thousands of dollars.
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