728x90
my iParenting
quick clicks
pregnancy today articles
pregnancy today q&a
message boards
research baby names
prepare a birth plan
content channels
ip channel rss feeds
read birth stories
read parenting stories
recommended books
e-newsletters
safety recalls
ip diaries
ip store
mom of the month
dad of the month
editor's letter
letters to the editor
From Our Sponsors
e-newsletters
Sign up to receive our free weekly e-newsletters

new terms of use
new privacy policy
award-winning products
The iParenting Media Awards program helps parents find the best products for their families.

Lifestyle Q & A Forum

I don't have health insurance -- how can I pay for my delivery?

by
Dee Lee, CFP, MBA
Certified Financial Planner & Author Harvard Financial Educators



junethirty
Question:
I recently became self-employed and didn't think about buying anything other than catastrophic insurance coverage. I am now unexpectedly pregnant with no effective insurance coverage and am told that there's no way I can get coverage until after I deliver. I'm not mentally prepared for a home birth, but how can I pay for prenatal care and a hospital birth? Should I use credit cards or ask the doctors to extend credit? Will I be able to deduct these expenses from my taxes? -- Randi, Toledo
Answer:
You're right, no one will insure you after the fact... but you do need to purchase health insurance now so other things will be covered, such as the newborn child. As a self-employed individual, you may claim a special deduction for health insurance on your form 1040. For 1998 and 1999 you may deduct 45% of amounts you paid during the taxable year for insurance that provides medical care. The amount will gradually increase to 100% in 2007. So there will be some help for you with that bill.

As for paying for the birth of the baby, speak with your doctor and see if she/he will extend you credit and see if you can set up a payment plan. If you own your own home check out a home equity loan and use your credit card as last resource for the interest rate there will be the highest. You will need to do the same thing with the hospital and see what kind of payments terms they will allow you to set up.

The tax law only provides a limited opportunity to deduct medical costs for you and your family. You may only deduct expenses exceeding 7.5% of your adjusted gross income. So if your AGI is $40,000 for 1998, any medical expenses exceeding $3,000 will be deductible. But your deduction for the health insurance is a special deduction for the self-employed so you will qualify for that. Also, your medical costs become deductions in the year you pay them.

I also suggest that you consider purchasing JK Lasser's Taxes Made Easy for Your Home-based Business, which offers help on taxes and deductions.