- I can go to any doctor, dentist or hospital I choose and can get seen same day, easily. The longest I have ever had to wait was going to see a specialist. I could not get in until the afternoon. They called my cell phone about 30 minutes before they could see me to give me time to get there.
- I am in the highest income group for coverage. My monthly premium is about $230/month. Average income people pay a premium of about $120/month. Low income premium is about $60/month.
- There are no preexisting conditions for coverage. No one is denied medical care. If someone is legitimately unable to pay the premium (e..g. temporarily out of work) a smaller monthly amount is accepted.
- 30% deductible; however, total amount is capped every month for each level of premium. Average income people can never pay more than about $270/month out of pocket for any treatment, surgery or test, including hospitalization costs.
- The average out of pocket cost for an office visit is less than $8.
- Doctors and dentists have a private practice (with surgery privileges, if part of their practice, at hospitals) or work for a university or local hospital. Hospitals are non-profit. Daily costs even for food are non-profit, about $4 per day. Doctors are salaried employees and well-paid. They are not motivated by money to perform procedures.
- A few year ago, I was transported by ambulance for emergency room treatment, followed up by an MRI and CAT scan. My out of pocket expense was about $50.
- The facility does all the paperwork. If you spend more than the monthly limit of deductible for an unusual event, you submit the bill and the refund is automatically transfered to your bank account. If you have long-term care that will exceed the limit regularly, it is automatically accounted for and no overpayment/refund is necessary.
- Childbirth is not covered by health insurance, unless there is some complication. Childbirth is not a disease. The total cost is about $1,500 for hospital expenses, but there are programs that pay for about 50% because of the low birth rate now.
The above is the national health insurance. Other plans exist for companies and employee contribution is variable - from some contribution to none. Included are free yearly exams that are quite extensive to catch any potential or existing problems early. Every locality has free yearly health screening exams for people over 50 years old under the national health care system.
It's called a national system, but it is administered locally so you can talk to someone face to face about any questions, including premiums and refunds.