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How to Stop Letting Health Care Costs Drain Your Wallet
Insurance

July 22, 2026

Phase 3: Build the Framework

How to Stop Letting Health Care Costs Drain Your Wallet

3 min read

by:
Anthony O'Neal
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How to Stop Letting Health Care Costs Drain Your Wallet

Listen, family — health care costs are out of control right now. The average American family spends over $22,000 a year on health care. That's not a typo. And if you're living paycheck to paycheck, one unexpected medical bill can wipe out everything you've worked for.

But here's the truth: the system is expensive, but you're not powerless. There are real, practical moves you can make right now to stop overpaying and start keeping more of your money where it belongs — in your pocket.

Today I'm breaking down 10 ways to cut your health care costs without cutting corners on your care. Let's get to work.

In This Article:

  1. Know What Your Insurance Actually Covers
  2. Shop Around for the Right Plan
  3. Always Choose In-Network Providers
  4. Plan Before You Need Care
  5. Open an HSA and Use It
  6. Save Big on Prescriptions
  7. Use Your Tax Deductions
  8. Invest in Your Health Now
  9. Think About Long-Term Care Early
  10. Lower Your Medicare Costs

1. Know What Your Insurance Actually Covers

Most people pay for health insurance every single month and have no idea what they're actually covered for. That's money walking out the door.

Pull out your plan documents and actually read them. Look at your deductible, your copays, and your out-of-pocket maximum. If you're young and healthy and barely using your insurance, you might be overpaying for coverage you don't need.

A high-deductible health plan (HDHP) could save you hundreds every month in premiums. Yes, you'll pay more if something happens — but pair it with a Health Savings Account (HSA) and you've got a powerful combo that works in your favor.

On the flip side, if you're using your insurance regularly, a lower deductible plan might actually save you more in the long run. The point is — know your numbers. Don't just pay and pray.

2. Shop Around for the Right Plan

Family, you wouldn't buy the first car you see on the lot without comparing prices. So why are you doing that with health insurance?

Every year during open enrollment, take 30 minutes to compare your options. Premiums, deductibles, copays, and networks can all vary significantly from plan to plan. What worked last year might not be the best deal this year.

If this feels overwhelming, connect with an independent insurance agent — not one tied to a single company. They'll shop multiple options for you and help you find the best fit for your budget and your health needs. That's working smarter, not harder.

3. Always Choose In-Network Providers

This one move alone can save you hundreds — sometimes thousands — of dollars.

In-network providers have agreed to discounted rates with your insurance company. When you go out of network, those discounts disappear and you're left holding a much bigger bill.

Here's a real example. Say you visit a doctor for a $200 appointment. In-network, your insurance negotiates that down and you might only owe $20 after your plan kicks in. Out-of-network? That same visit could cost you $70 or more out of pocket — for the exact same care.

Before every appointment, call your insurance company or check their online directory to confirm your provider is in-network. It takes five minutes and can save you a lot of stress.

4. Plan Before You Need Care

Real talk — not every medical situation requires a trip to the emergency room. And ER visits are expensive. We're talking hundreds to thousands of dollars depending on your plan.

Before a health crisis hits, sit down and make a simple plan:

  • Emergency room — for life-threatening situations only (chest pain, severe bleeding, difficulty breathing)
  • Urgent care — for serious but non-life-threatening issues (sprains, minor cuts, infections)
  • Primary care doctor — for anything that can wait a day or two
  • Telehealth — for minor issues you can handle from home

Knowing where to go before you need to go there saves you money and time. And if you're headed to urgent care, call ahead to make sure they have the equipment you need — otherwise you could end up in the ER anyway.

5. Open an HSA and Use It

If you have a high-deductible health plan, you qualify for a Health Savings Account — and if you're not using one, you're leaving money on the table.

An HSA lets you set aside money tax-free to pay for medical expenses. That means you're not paying taxes on the money going in, the money growing, or the money coming out — as long as it's used for qualified health expenses. That's a triple tax advantage, family.

And unlike some other accounts, your HSA balance rolls over every single year. It doesn't disappear if you don't use it. Over time, it becomes a powerful tool for covering health costs in retirement.

If your employer doesn't offer an HDHP, ask about a Flexible Spending Account (FSA). It works similarly, but the funds typically don't roll over — so use it or lose it.

6. Save Big on Prescriptions

Brand-name medications are marketed heavily, but here's what the commercials don't tell you — generic versions contain the same active ingredients and work just as well. The only difference is the price tag.

Always ask your doctor if a generic version is available. Most of the time, it is.

Beyond generics, here are a few more ways to cut prescription costs:

  • Use a prescription discount card like GoodRx
  • Ask your doctor for samples
  • Check if the manufacturer offers a patient assistance program
  • Compare prices at different pharmacies — they vary more than you'd think
  • Consider a 90-day supply instead of monthly refills

Don't let pride or habit keep you paying more than you have to.

7. Use Your Tax Deductions

If your medical expenses were significant this year, the IRS may actually give you some relief — but only if you know to ask for it.

If your out-of-pocket medical costs exceeded 7.5% of your adjusted gross income, you may be able to deduct them on your taxes. You'll need to itemize, so talk to a tax professional to see if it makes sense for your situation.

Also worth knowing:

  • HSA contributions are tax-deductible — up to $4,150 for individuals and $8,300 for families in 2024
  • Premium tax credits may be available if your income falls within certain ranges

Don't leave money on the table. A good tax professional can help you find every deduction you're entitled to.

8. Invest in Your Health Now

I know this sounds simple, but it's one of the most powerful financial moves you can make. Prevention is always cheaper than treatment.

That means:

  • Eating real food, not fast food every day
  • Moving your body consistently
  • Getting your annual checkups — most plans cover these at no cost to you
  • Managing stress (yes, stress has a real cost on your body and your wallet)
  • Getting enough sleep

Biblical wisdom teaches us that our bodies are temples. Taking care of yourself isn't just a health decision — it's a stewardship decision. The healthier you are, the less you'll spend on care over your lifetime.

9. Think About Long-Term Care Early

This is the conversation most people avoid until it's too late.

The reality is that the majority of people who reach age 65 will need some form of long-term care — whether that's in-home assistance, assisted living, or a nursing facility. And the cost without insurance can run into the hundreds of thousands of dollars.

If you're in your 50s or approaching retirement, now is the time to look into long-term care insurance. The younger and healthier you are when you apply, the lower your premiums will be. Waiting until you need it means you may not qualify — or you'll pay a premium that doesn't make sense.

This is about protecting the legacy you're building. Don't let one health event wipe out everything you've worked for.

10. Lower Your Medicare Costs

If you're approaching retirement age, pay attention to this one.

Medicare is not free. And if your income from two years prior was above a certain threshold, you'll pay an additional surcharge on top of your regular premium. The government calls it IRMAA — Income-Related Monthly Adjustment Amount.

The good news? There are legal strategies to reduce your taxable income before retirement and lower what you'll owe in Medicare premiums. This is where working with a qualified financial advisor pays for itself.

Don't wait until you're already enrolled to think about this. Plan ahead and protect your retirement income.

Conclusion

Look, family — health care is expensive. That's just the reality we're living in. But expensive doesn't have to mean out of control.

Here's a quick recap of your 10 moves:

  1. Know what your insurance actually covers
  2. Shop around for the right plan
  3. Always choose in-network providers
  4. Plan before you need care
  5. Open an HSA and use it
  6. Save big on prescriptions
  7. Use your tax deductions
  8. Invest in your health now
  9. Think about long-term care early
  10. Lower your Medicare costs

You don't have to do all ten at once. Pick one this week and take action. Start with reviewing your current insurance plan — that alone could save you hundreds of dollars a year.

Your health and your wealth are connected. Protect both.

Here's your move: Start by reviewing your current health insurance plan this week. If you're not sure you have the right coverage, connect with an independent insurance agent who can shop multiple options for you and find the best fit for your budget.

Now I want to hear from you — which one of these tips are you going to put into action first? Drop it in the comments below. Let's build together.

Keep building,

‍

ABOUT THE AUTHOR
Full name

Anthony O'Neal is a bestselling author, speaker and personal finance educator. He teaches families how to get out of debt and build real wealth on any income through The Escape Plan, his show The Table with AO, and the In the Black app.

About the Author

Anthony O'Neal

Anthony O'Neal is a #1 national bestselling author of Debt-Free Degree, personal finance expert and host of the popular podcast and YouTube show "The TABLE." Since 2014 he has challenged cultural norms and equipped millions of people to live a debt-free life, break generational wealth-gaps and build true wealth. He has appeared on Good Morning America, Live! with Kelly and Mark, Fox & Friends, Rachael Ray, The Tamron Hall Show, CNN News and has been featured in Success Magazine, MarketWatch, Bloomberg, Black Enterprise and GOBankingrates, among others. Anthony is a sought after, dynamic public speaker, speaking on stages with audiences of 40k+ people and an adjunct professor at Virginia Union University in Consumer Economics. He has been recognized by Black Enterprise as Top 40 Under 40 (2023) and Top 25 Personal and Professional Development Influencers to Follow by Success Magazine (2023). He is the author of Take Your Seat at The Table: Live an Authentic Life of Abundance, Wellness, and Freedom, and his latest book, Stop Living Paycheck to Paycheck. He resides in the Washington, DC suburbs.

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