Congress did something that works!
Very rarely does something come out of Washington that actually works. Even more rare is something that works and is a benefit to the population.
I'm referring to Health Savings Accounts (HSAs). I'm a fan. Not only are these good for chiropractors, I believe they are good for chiropractic.
If you are not familar with HSA's, here's how they work.
- You contribute money into the HSA on a pre-tax basis, just as you would an IRA or 401K plan.
- The HSA is coupled with a high-deductible, catastrophic care health insurance policy.
- When out of pocket health care expenses arise, you use the money in the HSA to pay them. T
- he money in the HSA accumulates if not used and can be an additional nestegg during retirement.
Why does this make sense for chiropractors?
Chiropractors are generally healthy people and do not use the healthcare system like the average consumer. As a result, most of the time, the deductibles on traditional healthcare policies are not met. So by buying the high-deductible plan, you save money on the premium and have coverage in place for the big stuff, should they occur.
Meanwhile, money is being saved in the HSA to take care of any out-of-pocket expenses. Which is why I think this is good for chiropractic.
HSAs put the healthcare dollar back in the hands of the consumer. When consumers are paying the out-of-pocket expenses associated with the high-deductible health plans, they will seek out the best value. And guess what? Chiropractic is the best healthcare value available.
The benefits of HSAs and high-deductible health plans go on and on....it's a more affordable way to have coverage for your family, you can offer the plans as an employee benefit, etc.
First enacted by Congress in 2003, HSAs work well and I think they are a step in the right direction when we look at healthcare costs.
Hopefully, Congress won't screw it up.


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I am glad you cleared up the Health Savings Account issue. Most chiropractors legitimately want to help out their patients. When they see a deductible of $1500 - $2000, they strike up a deal with the patient, giving them discounts to counteract any objections the patient may have about their bill. They fail to ask the patient if they have a Health Savings Account or Flex-Spending account. Usually not only do they have these accounts, but frequently the employer will also contribute to the account.
Another interesting fact is that although typical insurance policies will not cover maintenance care, a health savings account will cover preventive care. Chiropractic care is listed as a covered preventive procedure under health savings accounts.
Lastly, everyone should keep in mind that it is illegal to offer to a patient with Medicare, Medicaid or Champus insurance any service for free or for other than fair market value. This means that if you are offering in any way, including advertisement, a service for a discount, you must put an asterisk in the ad with a disclaimer that this excludes Medicare, Medicaid and Champus. There is no exception to this regulation for financial hardship! If caught, the fine is $10,000 per occurrence.
Posted by: Mario Fucinari DC | July 26, 2008 at 05:16 PM
Thanks, Doc...I'm a strong believer in the HSA tool and think it is a positive for chiropractic. Thanks for the information on discounts....I'm sure many will find it useful!
Posted by: Mike Whitmer | July 27, 2008 at 10:20 AM