To self-insure, you have to be able to cover anything. If one is situated such that you can't make a premium, self-insure is not for them.
I looked at the last ten years of my medical expenses were, looked at what continuing my insurance would cost, and it did not make much sense. And I have Thai and US SS to fall back on, but It's hard to imagine somthing costing so much it would be worthwhile to fly back.
Did you have the knee replaced?
Actually, it isn't.
The situation (unfortunately) is in the U.S. system a fairly slim vote majority can potentially bring TOTAL POWER.
As opposed to a parliamentary system.
This rather tragically (as we have a president that clearly intends to rule as an AUTOCRAT) happened this time. Bigly.
Have you had a comprehensive medical check up? Pushing 70, there's probably one or two things that are already likely, simply due to old age.
I think it is better to be forewarned BEFORE signing up for medical insurance and get one of those comprehensive 'executive' medical examinations. Private hospitals will be more expensive but some public ones have cottoned on to the idea of health checks and 'wellness' for the locals and can do the same... just takes longer and will probably be less 'comfortable' than a private hospital.
There are still a few insurers who don't require a pre-screening medical examination while you are still under 70 years old. However, they will ask for FULL disclosure when you apply and, if you didn't tell them about the glaucoma, enlarged prostate or stage 1 hypertension, they can and will weight the premium if they find out after-the-fact.
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