ÏHK P ori land O bserver • J anuary 31,1996 P age B7 Managing The Family Cost Of Health Care • » Brian and Connie Claflin know all about medical costs. With seven children, the Claflins have been through flus, colds and stitches. And because they work for a family business, they’ve also sur­ vived high deductibles, low reim­ bursements and periods o f no health insurance at all. “ It was really tough at times,” said Brian Claflin. “But maybe in some ways this was a blessing in disguise because now we watch how we spend our health care dollars very, very carefully.” Nationally, the average family spends $2,321 annually for medical care- either for insurance premiums or out-of-pocket expenses, accord­ ing to Families USA Foundation, a nonprofit W ashington consum er group. But health care experts say most families can shave their annual ex­ penses if they learn to become smart medical consumers. “Don’t wait for anyone else to help you cut your health care costs— not doctors, not hospitals, not the government,” said Matthew Lesko, author o f What To Do When You C an’t Afford Health Care, a book that lists national and state resources for getting free treatment and free research on illnesses. “The typical experts can’t keep up with what’s out there,” Lesko said. “So, the individual has to take re­ sponsibility for their own health and their own medical costs. There are tons o f ways to save money.” For most families, a good starting point is to study the health insurance they plan to buy or have bought. For example, when patients con­ sider participating in a managed care plan — like a health maintenance organization — they should call lo­ cal hospitals’ billing di visions to find out how quickly the insurer settles claims, said Paul T ay lor, Akron Gen­ eral Medical Center’s director of patient financial services. Why? I f an H MO tends to drag its feet, the patient may end up paying bills out-of-pocket, he said. The in­ formation also gives the patient an idea o f whether the company consis­ tently contests claims. If you have joined an insurance plan, learn what procedures you must go through to guarantee coverage And then, play by the rules, experts say. “It requires a little self-discipline,” said Claflin, whose children range in age from 16 to 7. “ But if you follow the rules, the paperw ork flows through. Ifyou don’t, y o u '11 enter the insurance Twilight Zone.” Most often, managed care plans require patients to get prior approval from their family doctor before go­ ing to the emergency room unless it’s a life-threatening situation. Not get­ ting that approval can leave a family stuck with a bill not covered. “Before, I’d always take my kids to the emergency rooms when they needed it,” said Claflin. But I always would have this nagging feeling in the back o f my head of, ‘How much is this going to cost me?’ By follow­ ing the rules, I have a doctor’s ap­ proval, I know it’s covered and I can just concentrate on getting my kids well.” But to get a clearer sense o f whether the illness or accident merits immediate attention, patients can use 24-hour help lines set up at most hospitals. Nurses are often available any time who can help families determine whether something calls for an em er­ gency room visit. “If it sounds like you need to go to the emergency room, they’ll tell you,” he said. “But if it sounds like it can wait until the next morning, they’ll tell you that, too. That can save a family a bit o f money.” But there are other options that can help ease the blow o f a medical bi 11: If you plan to pay cash, ask for a discount. And if you can, make the medical professionals tell you up front what your bill will be for procedures or hospital stays. uilding Pain may be Plans eliminated for millions Clash Continued from front ▲ said, “ Is she saying the (on-street) spaces have to be reserved for her people?” Grear said, “A nice restaurant that served alcohol would be a great im­ provement for this neighborhood, but (Stewart) doesn’t seem to have any plan.” Oregon Liquor Control Commis­ sion investigator Larry Jacobson has the same concern and has asked for more information before the request is processed. At the Boise meeting, longtime neighborhood activist Charles Ford told Stewart, “You need to give more information, and do more outreach. If you can create a good package, there’s a good chance that it can be sold.” Stewart does have one supporter. Leonard Smith used to own the Housing Our Families lot and tried unsuccessfully to open a business in Stewart’s building. The area has too much “ spe- ial needs" housing, and too lit- le indepen d en t b u sin esses run by A frican -A m erican men and w om en, he said. 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So give me the price.’ It’s important because it allows you to plan and budget for the cost.” A lso, e x p e rts say peo p le o fte n pay for th e ir m edical serv ices to o q u ic k ly . P a tie n ts sh o u ld w a it until all in su ran ce claim s h av e been filed and resolved b e fo re putting any m oney tow ard a b ill, T aylor said. Often, statements — not bills — go out to consumers to notify them ot the progress. But patients start mak­ ing payments, which can muck up the process. Ifan insurer refuses to payaclaim , patients should appeal the decision. In about half o f the cases, insurers will rescind their original rulings if contested. And that means consum ­ ers end up paying less o f the bill. Patients should also ask for an item­ ized bill for services if they suspect Sub B id s R equested Washington County Justice Complex Hillsboro, Oregon Bid Package: #4 - Community Corrections Center Bid Date: February 22, 1996 2:00pm H HOFFMAN CONSTRUCTION COMPANY OR License #28417 Drawings Can Be Viewed at: Van Lom and Griffin Construction Offices Daily Journal of Commerce Plan Center . M I <4 N N ’ ^ 4 / iE N E R A l disadvantaged, minority, women, disabled veterans and emerging small business enterpnses. Gorgeous white and red top, with red velour seats. Only 5312 miles. $9995 or finance with $495 down (cash or trade). 60 mo. at $199.54, 9.5% APR. '92 Chevrolet Lumina 4 door, AT, BAC, PW, PDL. Nice clean car, and runs great too! $6995 or finance with $495 down (cash or trade). 6C mo. at $136.51,9.5% APR (503)281-9818 6717 NE Sandy Blvd, Portland, OR 97213 5536 N. E. 105th Avenue * j F F Portland, Oregon 97220 PhOne: 252' 9670 Fax 252-9867 We are an equal opportunity employer and request sub bids Irom small business and small disadvantaged business subcontractors and women and minority business enterprises. Sealed bids for the Ocean Administration Building Repiping project wil' be received by the Oregon State Board of Higher Education until 2:00 PM, local time, February 27,1996. Bids will be opened and publicly read aloud at the time. All bidders must be registered with the Construction Contractor’s Board. Multnomah Education Service District Additional inform ation may be obtained by contacting Facilities Services, 100 Adams Hall, Corvallis, Oreqon 97331-2001 or telephone 541-737-7694. #491-96-292 for furnishing Advertisement For Bid Sealed bids for the OSU Batcheller Hall Parapet Reinforce­ ment project will be received by the Oregon State Board of Higher Education until 2:30 PM, local time, February 27, 1996. Bids will be opened and publicly read aloud at that time All bidders must be registered with the Construction Contrac­ tor’s Board. Additional inform ation may be obtained by contacting Facilities Services, 100 Adams Hall, Corvallis, Oreqon 97331-2001 or telephone 541-737-7694. Informational Advertisement Department Of Transportation Call For Bids Request For Proposals A Lan-B ased K-12 S tude nt In fo rm a tio n S oftw are System Proposals are solicited to furnish a LAN-based K-12 Student Information Software System (software only) for this agen­ cy’s MIS Department. Proposals will be received by Michael Mlynarczyk, Purchasing Agent, at 11611 NE Ainsworth C ir­ cle, Portland, OR 97220-9017 (PO BOX 301039, Portland, OR 97294-9039) (Phone: 503-257-1791) until no later than 4:00 PM, Pacific Standard Time, March 1,1996, at which time and address the bids will be publicly opened and the names of the bidders read aloud. Requests for Proposals may be obtained at the above office. The District may reject any bid not incompliance with all prescribed public bidding procedures and requirements, and may reject for good cause any or all proposals upon a finding of the agency it is in the public interest to do so. No bid will be considered that is received after the appointed date and time. Multnomah Education Service District Request For Quotations Sealed bids will be received until 9 a.m. on February 8,1996 for the projects listed below: for furnishing Dairy Products And Eggs RFQ #221-96-291 C o unty D eschutes Lake U m atilla Hwy 242 Jet. - Locust St./South Canyon St. -US 97 Section of McKenzie Highway (OR 126) in Sisters and Redmond. AC Paving and Oiling. Valley Falls - Loveless Creek Section of the Fremont Highway north of Lakeview. 5% DBE goal. DBE is subject to commercially useful function (CUF). AC Pavement and Oiling. Columbia River Hwy - E Main Street (Hermiston) Section of the Hermiston Highway. AC Pave­ ment and Oiling. D ouglas N Umpqua River (Winchester) Bridge Section of Pacific Highway approximately four miles North of Roseburg. Reinforced Concrete & Structural Steel Bridges & Grade Separation Structures. G rant & W heeler W CL Spray - Holmes Creek Section of the John Day and Heppner-Spray Highways approxi­ mately 50 miles west and north of John Day. AC Pavement and Oiling. Plans, specifications and bid documents may be obtained in Room 1, Transportation Building, Salem, Oregon 97310. Plans may be ordered by phone at (503) 986-3720, or by facsimile at (503) 986-3224. There is a $20.00 cha rg e fo r p lans and s p e c ific a tio n s per p roject. Prime contractors must be prequalified ten days prior to the bid opening day. For additional information regarding pre-qualification, please con­ tact Fran Neavoll, Program Section, at (503) 986-3877. If your business is not certified as a Disadvantaged Business Enterprise (DBE) or a Women Business Enterprise (WBE), please contact the Office of Minority, Women and Emerging Small Business at 155 Cottage, Salem, OR 97310, phone (503) 378-5651. Request for Ouotations are solicited to furnish Dairy Products and Eggs for this agency’s Environmental Education Outdoor School program . Quotes will be received by M ichael Mlynarczyk, Purchasing Agent, at 11611 NE Ainsworth C ir­ cle, Portland, OR 97220-9017 (PO box 301039, Portland, OR 97230-9039) (Phone: 503-257-1791) until no later than 4:00 PM, Pacific Standard Time (PST), F ebruary 15,1996. Specifications may be obtained at the above office. The District may reject any quotation not in compliance with all prescribed public bidding procedures and requirements, and may reject for good cause any or all quotations upon a finding of the agency it is in the public interest to do so. Pre-Qualification Requested Portland City Hall Renovation Portland,OR Exterior Masonry Restoration, Marble Restoration & Replacement, Plaster Repair & Replacement, Scagolia Repair, Millwork/Casework, Wood Window Restoration, Historic Light Fixtures Prequalificatiori Due Date: February 20,1996 2:00 pm DONALD M. DRAKE COMPANY DRAKE 1740 NW Flanders Portland, OR 97209 (503) 226-3991 Fax (503) 243-2775 CCS #84045 We are an equal opportunity employer and request sub-bids from disadvantaged, minority, women, Vietnam era veterans, disabled veterans, or emerging sm all business enterpnses S u b B id s R e q u e s te d NEW AND USED CARS, TRUCKS, VANS '90 Cadillac Sedan Deville Construction Data Plan Center CONTRACTOR "For The Auto YounDesire - At The Value You Deserve ” TRADE-INS WELCOME! To Advertise Call 288-0033 Glenhaven, Irving and Arbor Lodge Parks Restroom Renovation Project Portland, OR All Trades Bid Date: February 1, 1996 We are an equal opportunity employer an request sub bids from all interested firms including Advertisement For Bid it’s too high. The bill will be very difficult to read because o f the medical coding and lingo, but patients can go over the bill with hospital administrators, Taylor said. Sub-Bids Requested OF OREGON Bid Phone: (503) 648-8869 - Bid Fax: (503) 681-6726 111 SE Washington St. Suite B - Hillsboro, OR 97123 - AVAILABLE AT Healthtek Pharmacy Ji n o “Ask for the price ahead o f time," said Lesko. “That always makes for an interesting experience because most (doctors) won’t know.” Lesko always makes health care providers tell him the cost because he carries a high deductible on his insurance and pays much o f his bills out-of-pocket. “The doctors always say, ‘Well, uh, don’t worry about that,” ’ he said. “ But then I say, ‘Well, I do worry S u b B id s R e q u e s te d Washington County Justice Complex Hillsboro, Oregon Bid Package: #4 - Community Corrections Center Bid Date: February 22,1996 2:00pm H HOFFMAN CONSTRUCTION COMPANY OF OREGON Bid Phone: (503) 221-8811 - Bid Fax: (503) 221-8934 1300 SW Sixth Avenue - Portland, OR 97201 - OR License #28417 We are an equal opportunity employer an request sub bids Irom all interested firms including disadvantaged, minority, women, disabled veterans and emerging small business enterprises. Snake River Correctional Institution Ontario, Oregon Bid Pkg #4 - Construction and Furnishings Bid Date: February 15,1996 at 4:00pm HOFFMAN CONSTRUCTION COMPANY H OF OREGON Bid Phone: (503) 221-8811 - Bid Fax: (503) 221-8934 1300 SW Sixth Avenue - Portland, OR 97201 • OR License #28417 We are an equal opportunity employer an request sub bids from all interested turns including disadvantaged, minority, women, disabled veterans and emerging small business enterprises.