Saturday, May 10, 2008
Pay For Alternative Medicine
Because money withdrawn from a health savings account to pay medical expenses is tax-free, anyone who has an HSA can funnel all alternative medical expenses through their HSA and get a tax write-off. This could include biofeedback, naturopathy, Ayurvedic medicine, aromatherapy, magnetic healing, reflexology, and the list goes on.
People who use complementary therapies are often very health conscious, and go to traditional physicians less often. So it does not make sense for them to be paying a high premium for a traditional health insurance plan with a co-pay, particularly when their medical treatments are not covered anyway. Instead, many are choosing a low cost high-deductible HSA plan.
Alternative Therapies Becoming Mainstream
Many hospitals are now offering complementary treatments. The website for the Memorial Sloan-Keating Cancer Center states that complementary therapies are used to "help alleviate stress, reduce pain and anxiety, manage symptoms, and promote a feeling of well-being."
Some group health insurance plans are beginning to cover more complementary expenses, but there is still very little coverage for these expenses in individual or family plans. Those that cover chiropractic limit coverage to 12 - 20 visits per year, and a few will cover a limited amount of acupuncture. But very few if any cover hypnotherapy, Reiki, iridology, or faith healers.
Why Complementary Medicine
The conventional medicine practiced by most MDs is called allopathic medicine. The philosophy of this system is to treat disease and injury using counteractive methods. For instance, if you have a fever you may take aspirin to make it go down, if your cholesterol is elevated you may take a statin to reduce it, if you have heartburn you may take an antacid. The thinking is mostly focused on removing the symptoms of disease, and the primary treatment modalities are surgery and prescription drugs.
But there are other ways to look at things. Naturopathic medicine is based on the belief in the body's own healing powers, which can be strengthened through the use of certain foods, vitamins, herbs, or other "natural" treatments. Traditional Chinese Medicine (TCM) is based on ancient Chinese theories about the balance of yin and yang. Ayurvedic medicine is based on principles of movement, metabolism, and structure.
Part of the growing use of complementary therapies is a reaction to the costs, side effects, and philosophy of conventional allopathic medicine. Physicians get much of their continuing education from the pharmaceutical industry, and they work in an environment where the insurers and the patients are both looking for a quick fix. The result is that the average 60 year old is now taking 5 regular medications, yet there is little expectation that those drugs will ever cure the health problems for which they're being used. Many consumers see this, and instead are using other methods to try to get to the root of their illness.
What is Considered an "HSA Qualified Expenses"
Qualified medical expenses have been partially defined in IRS Publication 502, and through various federal court rulings. There is no definitive list, but there are really very few restrictions as long as the procedure is for the treatment or prevention of a specific health condition. For instance, you could not use your HSA funds to pay for a relaxing massage for your own personal pleasure. But if your doctor recommends you get a massage for specific medical reasons, this is considered a qualified expense. Yoga would not normally be considered a qualified medical expense, but it would be if it was recommended as a physical therapy following some sort of accident.
Some may question why the government would give a tax deduction for someone to use some crazy energy vibration machine to cure their cancer. But this is as it should be. No one but you should be able to decide what type of treatment you will use for your own illnesses. By empowering individuals to manage their health as they see fit, Health Savings Accounts encourage personal responsibility and help loosen the monopoly on healthcare that conventional medicine has had for the past few decades.
How To Pay Off Accounts In Collections
The damage is done the moment the account is reported as being in collections. Before you pay off that collection account, you want to negotiate with the debt collector to have the credit report updated to one of the more favorable notations, as described above. You do not want to deal with the nightmare that many people face because they didn't negotiate with the creditor and get the intention in writing for the update of your credit report- some people have paid accounts off that are in collections and their credit report is not updated. For at least seven years after the account is paid off; the individuals end up having problems getting new credit because the account still appears in negative status on the credit report.
The Best Scenario for You
The best you can hope for in terms of improving your credit is to have the collector delete the account from your credit report entirely. Send a "pay for delete" letter to the collector, and offer a settlement payment that you will pay them in exchange for the deletion of the account from your credit report. Get the collectors response in writing before you make a payment, to be sure you have proof of the arrangement in the event they don't follow through with their end of the bargain.
If you prefer to call the debt collector, you chance being recorded saying something that can be used against you in a judgement case. You'll want to get the agreement from the collector in writing anyway, so it's a good idea to do this in writing anyway.
Debt collectors do not have to remove accurate entries from your credit report, even if you offer a settlement, so not all debt collectors will agree to this scenario.
Second Best Scenario for You
There are a number of collectors who will hold out in hopes of getting the payment in full and will refuse to delete the account from your credit report in exchange for a settlement (less than amount owed) payment. If this is your situation, you'll have to offer to pay the full amount to get the collector to delete the account from your credit history report.
Not as Good, But Acceptable!
There are some collectors who simply refuse to remove an entry from your credit report, even when you've made payment. You would then want to get the collector to agree to update the notation to "Paid in Full"; whether you make a settlement payment or the full amount.
Unfortunately, a number of collectors won't report it as "paid in full" if you settle. If you get the debt collector to agree to a settlement payment, but not "paid in full", it would still be acceptable and better than your current situation to have the account reflect "Paid- Settled" on your credit report. It will not result in an instant, huge boost in your credit score, but it is certainly better than the situation you're in now (having the account in collections) and is the best alternative if you can't get it deleted or marked "Paid in full" for making a partial payment. (If you have the money to pay the account in full, do it because the notation on your credit report for an account paid in full is much better for you over the long term!)
Tuesday, March 25, 2008
Tax Deductible Account To Pay Through Health Insurances
Because money withdrawn from a health savings account to pay medical expenses is tax-free, anyone who has an HSA can funnel all alternative medical expenses through their HSA and get a tax write-off. This could include biofeedback, naturopathy, Ayurvedic medicine, aromatherapy, magnetic healing, reflexology, and the list goes on.
People who use complementary therapies are often very health conscious, and go to traditional physicians less often. So it does not make sense for them to be paying a high premium for a traditional health insurance plan with a co-pay, particularly when their medical treatments are not covered anyway. Instead, many are choosing a low cost high-deductible HSA plan.
Alternative Therapies Becoming Mainstream
Many hospitals are now offering complementary treatments. The website for the Memorial Sloan-Keating Cancer Center states that complementary therapies are used to "help alleviate stress, reduce pain and anxiety, manage symptoms, and promote a feeling of well-being."
Some group health insurance plans are beginning to cover more complementary expenses, but there is still very little coverage for these expenses in individual or family plans. Those that cover chiropractic limit coverage to 12 - 20 visits per year, and a few will cover a limited amount of acupuncture. But very few if any cover hypnotherapy, Reiki, iridology, or faith healers.
Why Complementary Medicine
The conventional medicine practiced by most MDs is called allopathic medicine. The philosophy of this system is to treat disease and injury using counteractive methods. For instance, if you have a fever you may take aspirin to make it go down, if your cholesterol is elevated you may take a statin to reduce it, if you have heartburn you may take an antacid. The thinking is mostly focused on removing the symptoms of disease, and the primary treatment modalities are surgery and prescription drugs.
But there are other ways to look at things. Naturopathic medicine is based on the belief in the body's own healing powers, which can be strengthened through the use of certain foods, vitamins, herbs, or other "natural" treatments. Traditional Chinese Medicine (TCM) is based on ancient Chinese theories about the balance of yin and yang. Ayurvedic medicine is based on principles of movement, metabolism, and structure.
Part of the growing use of complementary therapies is a reaction to the costs, side effects, and philosophy of conventional allopathic medicine. Physicians get much of their continuing education from the pharmaceutical industry, and they work in an environment where the insurers and the patients are both looking for a quick fix. The result is that the average 60 year old is now taking 5 regular medications, yet there is little expectation that those drugs will ever cure the health problems for which they're being used. Many consumers see this, and instead are using other methods to try to get to the root of their illness.
What is Considered an "HSA Qualified Expenses"
Qualified medical expenses have been partially defined in IRS Publication 502, and through various federal court rulings. There is no definitive list, but there are really very few restrictions as long as the procedure is for the treatment or prevention of a specific health condition. For instance, you could not use your HSA funds to pay for a relaxing massage for your own personal pleasure. But if your doctor recommends you get a massage for specific medical reasons, this is considered a qualified expense. Yoga would not normally be considered a qualified medical expense, but it would be if it was recommended as a physical therapy following some sort of accident.
Some may question why the government would give a tax deduction for someone to use some crazy energy vibration machine to cure their cancer. But this is as it should be. No one but you should be able to decide what type of treatment you will use for your own illnesses. By empowering individuals to manage their health as they see fit, Health Savings Accounts encourage personal responsibility and help loosen the monopoly on healthcare that conventional medicine has had for the past few decades.
Avoiding Pay Accounts In Credit Collections
The damage is done the moment the account is reported as being in collections. Before you pay off that collection account, you want to negotiate with the debt collector to have the credit report updated to one of the more favorable notations, as described above. You do not want to deal with the nightmare that many people face because they didn't negotiate with the creditor and get the intention in writing for the update of your credit report- some people have paid accounts off that are in collections and their credit report is not updated. For at least seven years after the account is paid off; the individuals end up having problems getting new credit because the account still appears in negative status on the credit report.
The Best Scenario for You
The best you can hope for in terms of improving your credit is to have the collector delete the account from your credit report entirely. Send a "pay for delete" letter to the collector, and offer a settlement payment that you will pay them in exchange for the deletion of the account from your credit report. Get the collectors response in writing before you make a payment, to be sure you have proof of the arrangement in the event they don't follow through with their end of the bargain.
If you prefer to call the debt collector, you chance being recorded saying something that can be used against you in a judgement case. You'll want to get the agreement from the collector in writing anyway, so it's a good idea to do this in writing anyway.
Debt collectors do not have to remove accurate entries from your credit report, even if you offer a settlement, so not all debt collectors will agree to this scenario.
Second Best Scenario for You
There are a number of collectors who will hold out in hopes of getting the payment in full and will refuse to delete the account from your credit report in exchange for a settlement (less than amount owed) payment. If this is your situation, you'll have to offer to pay the full amount to get the collector to delete the account from your credit history report.
Not as Good, But Acceptable!
There are some collectors who simply refuse to remove an entry from your credit report, even when you've made payment. You would then want to get the collector to agree to update the notation to "Paid in Full"; whether you make a settlement payment or the full amount.
Unfortunately, a number of collectors won't report it as "paid in full" if you settle. If you get the debt collector to agree to a settlement payment, but not "paid in full", it would still be acceptable and better than your current situation to have the account reflect "Paid- Settled" on your credit report. It will not result in an instant, huge boost in your credit score, but it is certainly better than the situation you're in now (having the account in collections) and is the best alternative if you can't get it deleted or marked "Paid in full" for making a partial payment. (If you have the money to pay the account in full, do it because the notation on your credit report for an account paid in full is much better for you over the long term!)
Thursday, February 28, 2008
Pay Accounts Through Online Money banking
In this article we are going to talk about how to make money with having online accounts. There are people using the internet to make a part-time and full time income online. They make their money through advertising, selling/promoting other companies products through affiliate marketing, lead generation, selling their own products etc etc. These people get paid via an online bank account system.
So lets take a few examples and talk about some of the above methods of getting paid into a sort of online bank account. If we take the example of advertising for instance. Probably the most common advertising method that comes with a bank account is Google AdSense. They pay you each and every time someone clicks on a Google AdSense advertisement that is on your website. That transaction is made instantly into your money account that is provided with the Google AdSense program. You can check this money bank account anytime you wish. There are many statistics you can view to see what money you are making on a daily, weekly or even monthly basis. Using the Google AdSense bank account is a great way to check your financial position within the program.
There is very good money to be make with this program, provided you know how to master the AdSense program. If you wish, you can do a search online for Google AdSense information. To master it properly, you need to know about ad positioning, colours etc. So its advised that you study up on this so you can maximise the most out of your Google AdSense bank account.
Another form of income online that most online business people use is affiliate marketing. With affiliate marketing, you simply promote and recommend products and services to the market that these products and services based in. That is affiliate marketing in a nut shell. In order for you, the affiliate marketer to receive payment, there has to be a payment service put in place. For many affiliate marketers, there is a common website that they go to in order to find products and services to promote. This website is known as clickbank. Clickbank offers affiliates over 10,000 digital products to promote and sell online. It is very easy to join up. You simply create an account with Clickbank and once that is done you can then access the many products and services that are offered by clickbank in many different categories.
When you sign up for clickbank, you can easily get an affiliate link for any product you wish to promote. You can place the link wherever you wish, whether it is on your website, blog etc. When a visitor views your page and decides to click on your affiliate link in order to buy what you are offering, clickbank can trace your link and is aware that you have made a commission. This is recorded into your clickbank account and you receive a commission for your promoting efforts. Its that simple really!
One final way to make money with an online bank account is perhaps via pay-pal. Lets say you are selling an ebook or some physical product and someone online wishes to buy your product. You can setup a pay-pal bank account so that you can take orders from customers that are interested in buying your product. This is a great way to do business online. Pay-pal is a very reputable company and it is used by many people that do business around the world! Unlike clickbank, where you have to wait a couple of weeks in order to receive payments. With pay-pal you can instantly receive the cash sum amount. So you never have problems with cashflow.
Pay Account Facilities On Medical Tourism Affairs
Thousands of U.S. citizens are taking advantage of the low cost and high quality of foreign hospitals by traveling abroad for medical treatment. The savings are often 75 percent or more, and the entire cost of treatment may even be payable with tax-free money from a Health Savings Account.
Medical tourism first began to get popular in the 1990's, when people began traveling in large numbers to Brazil for cosmetic surgery. But as costs have continued to rise, thousands of Americans have been traveling overseas for real medical conditions, such as knee replacements, by-pass operations, heart valve replacements, and other serious issues. Many countries are seeing medical tourism as a good way to bring in foreign money.
In many cases the quality of medicine available overseas is equal to the top hospitals in the U.S. Patients are showing up at places like the Apollo Hospital in Hyderabad, India, part of a 36-hospital chain founded by a cardiologist from Massachusetts General. A heart valve replacement may cost $50,000 to $100,000 in the U.S., and only $12,000 in India, including travel costs.
Escorts Heart Institute and Research Center, in Delhi, India, is another popular medical tourist destination. It was founded by Dr. Naresh Trehan, an authority on robotic cardiac surgery formerly based at New York University.
Blue Cross Blue Shield has just announced that they will pay for treatment at Bumrungrad International Hospital, in Bangkok, Thailand for individuals from South Carolina. Over 80,000 Americans received treatment there last year. The hospital boasts that over 200 of its doctors are board-certified in the U.S, and will perform a knee replacement operation for 20 percent of what it would cost in the U.S.
Who Does This? Dodie Gilmore is a 60 year-old rodeo barrel-racing champ from Oklahoma. She runs a 180 acre ranch, but could no longer ride a horse because she needed a hip replacement. Her health insurance plan had an exclusion that wouldn't cover her operation, and she really didn't feel like paying the $35,000 it would cost her. Instead she and her partner flew to India where she had the surgery at the Max Institute of Orthopedics and Joint Replacement.
Her physician was Dr. S.K.S. Marya, who averages one American hip-replacement patient every week. Dodie's total coast, including travel, was only $11,000. She even managed to take in a tour of the Taj Mahal.
Forty to Sixty percent of those surveyed say they would consider surgery abroad if it could save them $5,000 or more. Going out of the U.S. (perhaps even just to Mexico), could be a worthwhile strategy if you have an exclusionary waiver on your policy, if you'll be having elective surgery not covered by your health insurance policy, or if you have a high deductible plan.
What is the Risk? According to the Institute of Medicine, over 100,000 accidental deaths occur in hospitals every year. And that's here in the U.S. Hospitals are a dangerous place to be, and you want to spend as little of your life in one as possible. So there are risks everywhere, and probably greater risks outside the U.S.
But the magic of the free-market does give you some protection. There is a lot of money flowing to countries and international hospitals that practice high-quality medicine. If a hospital does not provide quality service, you can bet its customers will go elsewhere, particularly if they are choosing among anywhere in the world.
The influx of foreign patients (and money) is enticing more western-trained doctors to return home, so the choices are actually increasing, and the quality and prices continue to improve. I believe that if you use care in choosing your provider and structuring your treatment, the risks are no greater than having surgery here in the U.S.
How to Research Your Options Keep in mind that most health insurance plans still will not cover for treatment outside the U.S., particularly if you are traveling specifically to receive medical care. So check with your insurer if the cost of the treatment is going to exceed your deductible.
The Joint Commission on Accreditation of Healthcare Organizations certifies hospitals here in the U.S. Their international division, Joint Commission International, certifies hospitals throughout the rest of the world. Make sure the facility that you are considering has been certified by them.
Then check out your doctor. Confirm that he or she is English speaking, and was trained in the U.S., U.K., Australia, or Germany.
Finally, consider hiring a consultant to help you choose the best hospital and surgeon for your needs. A good service will not only set up the treatment, but can also arrange all travel plans, meet you at the airport, and act as your liaison while you are being treated.
If you spend money from your Health Savings Account to pay for international medical care, the amount you withdraw is tax-free. Health Savings Account regulations also allow you to cover the cost of your travel if the reason you are traveling to get medical care is not “for purely personal reasons."
When choosing how to manage your health, you should carefully consider all your options. International travel is a great option for people with Health Savings Accounts.