- Mar 25, 2007
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To expand on what Nadine said about health care:
You will not only need health insurance, you will need really really good health insurance that covers a lot. Look for something like a PPO (as opposed to an HMO--Health Maintenance Organization). I forget what PPO stands for, it's very expensive (I pay $200/month for mine, which covers my family + me), but they cover everything reasonably well and don't argue too much over charges. The HMOs make you jump through more hoops and don't cover as much--you know how there are long waits for certain surgeries in the UK? It's often just as long here, and sometimes your insurance refuses to cover it at all, even if your doctor says you need it. So you either pay out of pocket (several thousand $$, Nadine wasn't kidding that people go bankrupt) or suffer. If you can't work anymore because you're so sick, you go on disability, and then your insurance (which is tied to your work) is dropped, and until you are basically bankrupt and have sold every financial asset you have, you don't qualify for state aid. Until you're a permanent resident (AKA "green card,") you don't qualify for state aid anyway--you're supposed to just go die.
I am not kidding. DH is a UK immigrant. He had to have back surgery. I had to work two jobs to pay for it. It was horrible. Read all the fine print in the benefits contract from your future employer, all the literature and all the policy information from the insurance company, and call them and bother the customer support people until you are 100% sure you understand it all. Do not assume that something unethical will be illegal, or even that all the insurance laws of the state will be followed. Lots of times, they aren't. The cheaper HMOs are so nasty that they will make you take them to court to get even the most basic care covered--the idea being that if they discourage you strongly from making any claims they'd have to pay out, you'll just give up and pay out of pocket, but you'll keep their crappy non-insurance in case of something really major.
Also, we have no genetic discrimination laws here, so if your health insurance asks for a genetic screening for whatever, refuse or get new insurance. Some states (such as Ohio) will disqualify you from ever having any insurance based on the results of genetic testing.
The most common thing my UK in-laws are shocked at is that our government does not believe that unethical = illegal.
You will not only need health insurance, you will need really really good health insurance that covers a lot. Look for something like a PPO (as opposed to an HMO--Health Maintenance Organization). I forget what PPO stands for, it's very expensive (I pay $200/month for mine, which covers my family + me), but they cover everything reasonably well and don't argue too much over charges. The HMOs make you jump through more hoops and don't cover as much--you know how there are long waits for certain surgeries in the UK? It's often just as long here, and sometimes your insurance refuses to cover it at all, even if your doctor says you need it. So you either pay out of pocket (several thousand $$, Nadine wasn't kidding that people go bankrupt) or suffer. If you can't work anymore because you're so sick, you go on disability, and then your insurance (which is tied to your work) is dropped, and until you are basically bankrupt and have sold every financial asset you have, you don't qualify for state aid. Until you're a permanent resident (AKA "green card,") you don't qualify for state aid anyway--you're supposed to just go die.
I am not kidding. DH is a UK immigrant. He had to have back surgery. I had to work two jobs to pay for it. It was horrible. Read all the fine print in the benefits contract from your future employer, all the literature and all the policy information from the insurance company, and call them and bother the customer support people until you are 100% sure you understand it all. Do not assume that something unethical will be illegal, or even that all the insurance laws of the state will be followed. Lots of times, they aren't. The cheaper HMOs are so nasty that they will make you take them to court to get even the most basic care covered--the idea being that if they discourage you strongly from making any claims they'd have to pay out, you'll just give up and pay out of pocket, but you'll keep their crappy non-insurance in case of something really major.
Also, we have no genetic discrimination laws here, so if your health insurance asks for a genetic screening for whatever, refuse or get new insurance. Some states (such as Ohio) will disqualify you from ever having any insurance based on the results of genetic testing.
The most common thing my UK in-laws are shocked at is that our government does not believe that unethical = illegal.