13

How freelancers afford to stay healthy

To view this content, Javascript must be enabled and Adobe Flash Player must be installed.

Get Adobe Flash player

TEXT OF STORY

Bill Radke: Under the new health care law that President Obama will sign today, self-employed people and others who don't get their insurance through work will be able to pool together using insurance exchanges. But those exchanges won't open until 2014. In the meantime, some of the self-employed are finding other ways to get insured. From the Entrepreneurship Desk at Oregon Public Broadcasting, Mitchell Hartman reports.


Mitchell Hartman: By his early 40s, Martin Walker had risen to be IT manager at a big New York law firm. He had a good salary, great benefits:

Martin Walker: And just about two years ago decided to leave, set out by myself, something that I wanted to do for a while.

Walker was planning to launch a company to develop brain-training software for improving attention span and memory.

Walker: One of the big questions that came up almost right away was, "Well, how are you going to get health insurance and how are you going to pay for that?"

Walker has three kids. They've all had health problems. And since solo entrepreneurs can't access group health plans negotiated by employers, he turned to the individual market.

Waler: And we were looking at several thousand dollars per month to cover the family.

Fortunately, Walker found a solution besides simply not starting his business. He joined the 135,000-member Freelancers Union. Founder Sara Horowitz:

Sara Horowitz: We're the only place where freelancers can group together as if we all work for one large company and get health insurance on our own.

Walker got a family plan for $900 a month. But that group health plan isn't available to most solo entrepreneurs. It's only approved in New York State.

Elsewhere in the country, though, newfangled options are cropping up for some of the self-employed.

Gary Swart: We become the employer of record.

That's Gary Swart, CEO of California-based oDesk -- and let me explain what he means. oDesk is an online matchmaker of sorts, hooking up companies that want project work done, with independent contractors, like Web designers and freelance writers. oDesk normally takes a 10-percent cut of the contractor's fee. By paying an additional 10 percent, they can join oDesk's employee benefit plan.

Swart: We're going to take care of the taxes, the 401k plan, health care.

In essence, turning that "self-employed" contractor, into the employee of an outsourcing company. An employee with health insurance, that is.

I'm Mitchell Hartman for Marketplace.

About the author

Mitchell Hartman is the senior reporter for Marketplace’s Entrepreneurship Desk and also covers employment.

Pages

jesodoth's picture
jesodoth - Mar 11, 2013

Finding reviews on Freelancers Union Insurance is surprisingly difficult and since this page comes high in the list of results I thought I'd post my experience here for others benefit. I had an emergency medical situation one night last year that involved ambulance, emergency room and surgery (no hospital stay though). Even though it was one incident, all of the players involved meant there were multiple claims with multiple line items- convoluted for the customer but standard. After months of processing, I received thousands of dollars in bills totaling far more than my deductible and not one thing covered by the $250 copay my plan is supposed to have for emergency room visits (one claim did explicitly reference "emergency room").

Resolving this with Freelancers took about 6 months requiring call after call from me. Everyone was friendly but not even remotely helpful- each time I called I had to re-explain the situation (re-living a rather traumatic night for me) and pretty much every time I was given a different explanation of why it happened and if/how it could be fixed. I was told it was because the procedure hadn't been pre-approved- an unexpected procedure required to keep me from bleeding to death? A couple times I heard "Oh, I see, it was gynecological", as if that somehow explained it and wouldn't be cause for a lawsuit. Sometimes the actual problem, that the claims weren't correctly processed as a single emergency room visit, was identified but there was always a different story as to how to resolve it. It generally ended with the customer service rep telling me that they would follow-up (with the hospital/Blue Cross/a supervisor) and would call me back within a week. I never once received a call back- I'd have to wait, call back myself and start the process over from scratch. Once I was told to email my situation to a supervisor there and never even received a response acknowledging that my email was received, let alone any action taken.

Ultimately, after about 5 months of this, the claims were sent back to Blue Cross to be re-processed, which apparently was what should have happened from the beginning. Another month of waiting (no call back, of course) and at least the bulk of the claims are now being covered by the single $250 emergency co-pay- still waiting on a couple of them. That's about $3200 less than the original bills that multiple representatives pushed me to just pay. I'm sure there are people in similar situations who do believe the ill-informed representative and get gouged unnecessarily.

So, a happy ending ultimately but really no thanks to Freelancers themselves. I'm now more well-versed in their procedures and policies than their own customer service reps- so be aware that the cost of cheaper insurance from Freelancers is that you may have to do their jobs for them. If it's all you can afford, it's certainly better than nothing and until I make more money I'm stuck with them myself. Something to consider if you're looking into them and can possibly afford something better.

Attorney Okmulgee Attorney's picture
Attorney Okmulg... - Sep 22, 2011

Ohh, I wonder if there is no other way than by paying 1500.00 to launch a complete kit, obtain the necessary documentation, Great!

cheap checks gul's picture
cheap checks gul - Sep 21, 2011

Wow, I feel there is much potential for the use of this material to replace PS that is a poison:) Thanks for the share.

cheap checks rock's picture
cheap checks rock - Sep 17, 2011

I found so many interesting stuff in your blog especially its discussion. From the tons of comments on your articles, I guess I am not the only one having all the enjoyment here! keep up the good work.

Mohammad Noman's picture
Mohammad Noman - Jun 8, 2011

I joined over a year ago upon a friend/colleague's recommendation. As a NY state licensed psychotherapist in private practice for the past 25 years, I have continually faced the problem of affordable health insurance. Since I rarely use allopathic medicine, I thought the Freelancers PPO2 plan would fit my needs.

<a href="http://www.888debtline.com">Bankruptcy Tulsa</a>

Rock alb's picture
Rock alb - Mar 8, 2011

I just want to ask that I purchased in-network glasses. They refuse to pay the for glaucoma tests which are required for me, anyways Nice written.

URL: http://www.odesk-review.com

Nicole Miller's picture
Nicole Miller - Apr 10, 2010

Hi, this is Nicole from Rent a Coder. Although we do not endorse this poster's opinion and we have no affiliation with this poster, you may appreciate her unique perspective on why oDesk's W-2/benefits offer may not be appropriate for online workers: http://allfreelancewriting.com/2009/12/16/freelance-writing-jobs/writers... I invite everyone to compare the 7 major services through this link to learn even more: For Buyers: http://www.rentacoder.com/RentACoder/DotNet/misc/CompetitorInformation/W... For Workers: http://www.rentacoder.com/RentACoder/DotNet/misc/CompetitorInformation/W... If you have any questions, please let me know. You can also call in to talk to a facilitator 7 days a week, or email us (see http://www.rentacoder.com/RentACoder/misc/Feedback.asp). Nicole www.rentacoder.com

Julie Cleveland's picture
Julie Cleveland - Mar 27, 2010

Some states do have "group of 1" insurance but it is just as, if not more so, expensive as the ind. market (I am a self-employed person--2 careers, piano instructor and copyeditor--in Florida, and group of 1 insurance for myself, no family members starts at $750/month). Obviously, it's way beyond my means--my adj gross after tax was 17K. But Fla does have the Cover Fla plans, reasonable for those with pre-existing conditions. My story is similar--I signed up for these because they were CHEAP, not because I had a pre-existing condition, and all they do is spend time looking for the conditions! Gees.

Steve Lohr's picture
Steve Lohr - Mar 26, 2010

I've been a self-employed, "contractor",
whatever for decades. I have several pre-
existing conditions including Hi BP &
skin cancer. But, no one talks about the
questions about drinking and smoking.

I'm a software engineer. I gross about
$26,000 per year.

It's hopeless & I do not even try anymore for HC.

Everyone will pay a bit for my death in ER.

Sorry, but I felt I had to say this.

SHL

April Michelle Davis's picture
April Michelle Davis - Mar 24, 2010

Rather than passing legislation to give poorer people health insurance, a better way to help all working people would be to pass legislation requiring doctors, hospitals, and others in health care to post their fees. Every other company who charges a fee is required to let the customer know up front how much the cost will be. Requiring health care professionals to do this as well, will make the industry more competitive to find cures but also in their pricing, making the prices more reasonable for everyone.

Pages