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Retirement Planning > Retirement Investing

Uninsured Medical Expenses Rival Retirement as Americans' Top Financial Concern

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Uninsured medical expenses vie with retirement as the most pressing financial concern for Americans, according to a survey conducted for the American Institute of Certified Public Accountants by Harris Interactive.

While retirement captures the top spot on a list of 15 financial concerns, cited by 12 percent of survey respondents, uninsured medical expenses follow closely with 11 percent of the respondents. This is an increase from 6 percent in 2008 and 8 percent in 2009.

The AICPA commissioned the survey in recognition of April as Financial Literacy Month. In 2007 the Institute began conducting an annual survey of Americans to determine their attitudes toward their finances.

Medical expenses account for nearly two-thirds of personal bankruptcies in the United States, studies show.

The National CPA Financial Literacy Commission offers the following advice:

  • Consumers who are uninsured or otherwise concerned about the cost of a medical procedure can negotiate directly with the doctor or hospital for a reduction in the charges. Medical facilities usually are willing to come to an agreement.
  • Thirty-five states have high-risk insurance pools for residents who cannot get health insurance because of a pre-existing condition. Consumers can check the website of the National Association of State Comprehensive Health Insurance Plans ( to see if their state has a pool.
  • Consumers can develop a “health care budget” of anticipated costs, including dental and vision. The basis for the budget is costs already incurred, including monthly premiums, co-payments, prescription costs, over-the-counter medications, and eyeglasses or contact lenses. After consumers have assessed these costs, they can estimate upcoming costs to the best of their ability. A key step is reviewing the prior year’s expenses to see how much spending the family has done. Once they’ve evaluated all the costs, they can begin to look at options to pay for medical care, including employer-provided insurance, health-savings accounts, flexible-spending accounts, and prescription discount clubs.

The vast majority of Americans, 86 percent, reported having some form of health insurance. However, 58 percent of those with coverage have seen their premiums go up in the past year. Just over half of the insured say their premiums have increased up to 10 percent, while a quarter said their premiums went up 11 percent to 20 percent. A total of 17 percent said their premiums have increased more than 21 percent.

For the uninsured, it’s not surprising the most common reason why they don’t have health insurance is that they can’t afford it (47 percent). Much smaller percentages indicate their employer doesn’t provide health insurance (17 percent) or that they are currently unemployed (16 percent). When asked how the uninsured pay for medical costs, half go untreated and indicate they don’t seek medical attention because they can’t afford it. However, if the uninsured need medical treatment, they use their credit card, tap into an emergency fund, or borrow from family or friends.

Source: AICPA


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