Getting Sick with a High Deductible
January 10th, 2008Well, as some of you may know, I opted for a High Deductible Heatlhcare Plan (HDHP) with a Health Savings Account (HSA). I knew that at some point, there would be a need for going to the doctor, and I would have to spend some of the funds in my HSA, but I didn’t think it would come this quickly (I put off going to the doctor, so it is my own fault). I have been having sinus headaches for a few weeks now and I have been really tired. This morning, my throat started hurting close to my ears. It was time to seek some medical attention.
Since I am spending my own money up to my $3000 deductible, I figured I should look for the most economical, yet effective, means to get treated. If any of you frequent CVS pharmacies, you may have seen the signs for the Minute Clinic. It is essentially asmall doctor’s office staffed by either a Nurse Practitioner or a Physicians Assistant. These are post-graduate earners that are not to be confused with a standard nurse. If you go to a doctor’s office with multiple physicians, you may have already been treated by a nurse practitioner, as many have them. Anyhow, Minute Clinic is located right inside some CVS locations. They do not treat everything, and they may refer you to your family doctor.
To make a long story short, I went to the Minute Clinic and signed in. The PRN seated me immediately. There is nothing fancy about the place… it is actually quite small, but we don’t need shrines to medical care; that is why it costs so much at most places. She took my insurance card, asked me some basic questions and then asked me why I was seeing her. I gave her my symptoms, and then she asked some more questions. Then, she checked my ears, nose, and throat… followed by my breathing. She indicated that I had a mild sinus infection and a middle-ear infection. She asked if I was currently taking any medications, and if I had any known allergies to medications. She then asked me where I would like to get my prescription filled. I figured that CVS was where I had to have it filled, but they were happy to send it elsewhere. She gave me a generic and indicated that it would be $4 at CVS (which was news to me), as well as Walmart and Target, and that it was on the free list at Meijer. Since my home is in a neighborhood that has a Meijer in it, I had it sent there and went through the drive-thru and paid $0 for my prescription. My bill at Minute Clinic was $49.99, and it will be billed later, as the co-pay on HDHP/HSA plans is $0 so that it can be paid via HSA funds, later.
I was quite pleased with the service and I will definitely be a repeat customer if circumstances warrant it.
As a tech guy, I paid a lot of attention to the computer setup. It looks like they paid attention to IT costs, as well. The computer doesn’t run any software, it connects to a Citrix server that runs all of the applications centrally on it via an network connection. The applications seem to be running locally, but they aren’t. This dramatically reduces hardware needs for each user (but a more powerful server), and it lowers the Total Cost of Ownership of the systems because they are controlled and configured in one central place, lowering the deployment and support costs.
I am impressed.