With the recent public concern over the new healthcare law coming into effect, it’s no wonder that Dan and I have fielded many questions about what our plans will be for healthcare and health insurance while we are cruising. Spend any time on forums for cruisers and you will find the same questions. It is a legitimate concern considering we will no longer have insurance available to us through our employers, private insurance (up until this point) has been known to be extremely expensive in the United States, and that expense certainly would put a big kink in a limited cruising budget.
Luckily, there are some factors that help mitigate the need for expensive health insurance for us. First (and biggest in our opinion) is the fact that we do not intend to use the healthcare system in the United States almost at all once we start cruising, as we will no longer be located here. Anyone who has traveled abroad extensively will tell you that healthcare costs outside of the United States are significantly lower than here at home. Regardless of the reasons why that is true, it means that having insurance isn’t really a huge necessity like it is here. In fact, most international health insurance providers charge significantly discounted rates for plans that include everywhere in the world other than the U.S. With almost $75,000 in our own personal emergency funds, self insurance while abroad makes the most sense to us.
We are (currently) young and healthy with very little risk that any major health costs will be popping up over the next 5-10 years. However, we do plan to carry Divers Alert Network (DAN) coverage for all three of us. Their particular plan will cover our #1 greatest risk factor: scuba diving. We’ve already had a good experience working with DAN during my Rescue Victim episode and the coverage is highly rated. Basically, DAN covers any diving-related injury fully including recompression chamber visits and even repatriation to the United States from anywhere in the world if necessary. Not only that but it also covers up to $10,000 for any other non-diving medical expenses, plus even coverage for loss or damage of our equipment (like if our dive camera got flooded or we accidentally drop our gear into the abyss). I’d say that’s a pretty good deal for only $600/year.
There is one little catch in this plan that you may have noticed. What about the healthcare mandate starting in 2014? Well to be honest…we don’t really know. We haven’t gotten any satisfactory answers about what our legal status actually will be once we start traveling permanently; resident/non-resident – its somewhat unclear. Fortunately, we do know that according to all of the income charts (and assuming we don’t get filthy rich from writing this blog) our yearly taxable income should put us firmly below poverty level in the United States. Great news, right? In this case it is, because that means that even if we are required to get health insurance it will be free. We would become part of the <insert random percentage here> of people who receive assistance from the Federal Government. Isn’t that something…