Free healthcare?

Before we begin, let’s review 4 points:

  1. Insurance carriers aren’t in business to lose money. United Healthcare reported $163.3 billion of revenue in 2017.
  2. There is no such thing as free healthcare. Wouldn’t it be great if you could get BOGOs at your clinic?.
  3. This year’s insurance premiums are based on last year’s claims (Health Insurance 101).
  4. More than half of Americans (57 percent) have less than $1,000 in their savings accounts according to a 2017 GOBankingRates survey. At least you don’t have to feel alone.

Those four statements were running through my head as I read an article on making the most of a high deductible health plan. The article at first glance made some sense. The main premise was that if you are facing a surgery or similar healthcare situation that will bring about significant medical bills after you’ve hit your deductible, then why not pile on the medical services during that same year. After all, once you’ve reached your deductible, the rest of the year you get free healthcare, right? Well, not so fast.

It’s important to understand that a HDHP is a health plan with an annual deductible of at least $1,350 for self-only coverage or $2,700 for family coverage. According to point #4, that means 57% of us can’t afford our HDHP since we have less than $1,000 in savings. Then, remember point #3 – insurance companies don’t lose money in the long run. Therefore, if medical claims exceed premiums this year, the insurance companies will increase premiums next year, meaning either your monthly premium will increase, your deductible will increase or both.

Now let’s “follow the dollar” through this scenario. According to the Business Insider, the average cost of having a baby in the US is $10,808. Let’s say you have a $3,000 deductible, so you will obviously blow past it with the birth of your precious one. Once you hit $3000, your insurance carrier will then pick up the remainder of the balance and any of your healthcare that follows in that plan year is “free”. Therefore, you either decide to have some unnecessary medical procedures or you have needed procedures and don’t feel the need to price shop since you don’t have to pay anyway. Sound reasonable? Yes, according to the article I read. However, what happens next year to the cost of your healthcare? According to the annual Kaiser Family Foundation Employer Health Benefits Survey, insurance premiums have continued to rise ever since they began measuring them in 1999, so most likely, that’s your answer.

According to Benefitfocus, a benefits technology and services firm, 70% of large employers offered at least one HDHP either in addition to a traditional plan or exclusively as a full replacement for traditional coverage. Here’s the conundrum: most of us can’t afford our high deductible plans now and are hearing messages that if the unfortunate happens and we do exceed our deductible in a plan year, the remainder of the year is “free”. This sets us up for a downward spiral for the next year and so on and on and on.

What is the answer – earn more and save more? That sounds great but unfortunately is not always possible. What is possible is to learn how to be a savvy medical consumer by increasing your healthcare literacy. Learn how to compare costs when it comes to pharmaceuticals and medical procedures. Learn how to find quality care in your network. If you are among the 57% that has limited savings, ask the doctor or hospital for a low- or no-interest installment plan and always ask whether a less expensive, alternative treatment is available. Remember, healthcare is a consumer good and we need to treat it as such. The good news is that it isn’t hard, The Definitive Guide on Increasing Employee Healthcare Literacy will show you how.

Help Your Boss Understand the Importance of Healthcare Literacy

Your boss is asking you to help control the cost of your health plan, which is most likely your second biggest expense after payroll. Healthcare literacy is the key to improving your employees’ healthcare outcomes, ensuring quality of care and controlling costs. Now, if only your boss understood that.  We will help you make the case for convincing your employer that healthcare literacy is the way of the future and a necessary component to your benefit package. Healthcare literacy will do the following 10 things for your employees:

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How to talk to your employees about health literacy


Health Literacy is defined as “the degree to which individuals have the capacity to obtain, process and understand basic healthcare information and services needed to make appropriate health decisions”.

Currently, only 12% of Americans are considered health literate. Consequently, many companies are recognizing the need to provide easy to use tools with comprehensible language  to improve literacy. This results in healthier, lower cost outcomes.


According to the Department of Health and Human Services, people who are considered “Healthcare Illiterate”:

  • Are more likely to have chronic conditions and lack the understanding to manage them
  • Do not use preventive care services
  • Experience longer hospital stays, many of which many could have been prevented altogether
  • Are using medications inappropriately or ineffectively
  • Don’t ask for help because they are feel intimidated and are self-conscious
  • Are less compliant in their treatment due to misunderstanding

For employers, this means higher medical claims, lower productivity, more disability claims and a higher rate of absenteeism.


Luckily, there are ways to improve employee’s health literacy and avoid negative outcomes:

  • Be consistent – Use the same language when describing your health plan, costs and services
  • Simplify your language – Try to write the way you speak. Use short, less complex sentences
  • Make your communication easy to read – Use larger font, headings and bullets. Leave plenty of white space in the margins
  • Use pictures – Some people are more visual learners than others
  • Give specific instructions – Clearly tell your audience what actions you want them to take
  • Get rid of the jargon – Don’t assume people understand things like deductibles, co-pays or FSA’s
  • Treat everyone the same – Remember that most people don’t understand the healthcare system
  • Use peer groups – Encourage your employees to help each other with questions and concerns
  • Use a variety of communication methods – Some people are more technologically inclined than others, so don’t leave employees behind because they are not as computer savvy
  • Remember the families – Many times the healthcare decision maker is not the employee, it may be a spouse or dependent so make sure to communicate with them as often as possible
  • Use mobile apps – Some employees, especially the younger generation will be exclusively using their smartphone, so make it easy for them
  • Use their language – Make communications available in the languages that are most prevalent in your company’s culture


Establishing behavior change in your company’s workplace can be a daunting task. Remember that you’re not alone. Health Literacy is a problem for everyone, but that can be changed. If you are interested in getting more acquainted with the topic, take a look at Trig’s Health Literacy Guide. Get your employees on the path to better care and lower costs through engagement and education.