I don’t know about you, but medical bills have been hitting our house like no body’s business! I honestly can’t believe the rate they’re flocking in right now despite our relatively good health, and decent health insurance.

An ear infection here, a broken tooth there, and routine prescriptions are a truly massive part of our monthly budget.

Here are my tips for reining in your medical costs.
1. HAVE Insurance. Find a way. Consider groups that you could join that would allow you to access medical insurance, but just because you have medical insurance doesn’t mean you shouldn’t ask your provider if a cash price would be lower than your actual deductible. Investigate this possibility. I was surprised to receive a bill for insurance for my $80 co-pay for an outer-ear infection (a scratch on my ear that needed an antibiotic to heal). The cash price for the visit since it was just 3 minutes would have been $30. I said a bad word.

2. Understand your policy. Completely. Deductibles, co-pay, in-network and out. Use in-network when you can. Here’s a great resource for the National Endowment for Financial Education.

3. Use a health savings account or cafeteria plan if it’s available to you. These can save a bundle and be used to pay for all kinds of things!

4 Rx Tips are their own little post I think but I can sum it up below:

a: get a discount card. AAA has a great one, Rite-Aid and Walmart and Target all have cards/programs, but don’t give up on a quality pharmacist who’s going to check your meds vs your allergies and contradictions.
b. Use generics when you can.
c. Ask your doc for samples if you’re starting a new medication, esp for long term use. I had a doc give me antibiotic samples recently, which was wonderful, as it turned out I was allergic. I’m sure glad I didn’t buy a month’s supply!
d. There are many prescription assistance programs, including the Partnership for Prescription Assistance which you may be able to turn to depending on your condition.

5. Dental care: if you don’t have dental insurance, you should still get your cleanings–this little expense may save you a lot in expensive repairs later. You can do this at a dental school, but pack your patience. I have had this done once (in college) and got my teeth cleaned just before graduation for $15. What a steal! It took two hours though, and the hygienist in training used a purple dye, which she cleaned off. Simple enough, but as sweet as this lady was, she was extraordinarily clumsy, and dropped the dye–on my nose. The purple dye was guest of honor at graduation, but my teeth continue to serve me well and I’ve still never had a cavity.

6. Perfect time for a segue–preventative care will save you a bundle. When you have insurance, its usually covered. Get those annual exams, the tests, mammograms, paps, and shots. You need them and early detection will save you a fortune and provide peace of mind.

7. When was the last time you had an eye exam? I recently found this great source for Rx Glasses. I always have three pairs, which costs a pretty penny–so next time, I’m giving this site a try: http://www.clearlylenz.com/ They advertise a full set of glasses for $36, but you do need to have your Rx information.

8. If possible, use a nurse hot line, emergency appt at your regular doc or a urgent care center before opting for emergency room care. Deductibles are very high in the ER, and waits can be very long.

9. Eat out less, drink less alcohol, quit smoking and walk more. Your bottom line (and your bottom) will thank you.

10. If you can’t pay, and medical bills are threatening to push you into bankruptcy –first try negotiating with your provider for a write-off or a lower rate. I’ve working on a review over at ProsperLending Review of a company called “IOUSOS“, which facilitates negotiation and collection of medical debts between patients and providers. The National Endowment for Financial Literacy also offers a manual about managing medical debt here.

Bonus item: Don’t forget to save reciepts on all medical costs for tax time. Some are deductible! (Ask your tax-preparer for more info).