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Old 25-07-2011, 10:34 PM   #1
SEZ213
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Default Realising the importance of health insurance...a little too late.

Just a heads up for anyone who might think health insurance is a 'luxury you can't afford'...turns out not having it is a necessity I really could have used... :(

I got a rather rude shock today. Turns out my wisdom teeth need to be surgically removed - I'm okay with that, I'd rather be knocked out...what did knock me out what the cost of it.

Two wisdom teeth surgically extracted

$110.00 for surgical consult ($70 medicare rebate - cool)
$795.00 for the surgical suite booking - no rebate
$550.00 for the anesthetist (about $140 back on medicare - maybe)
$880.00 for removal of two teeth (four is $1400) - no rebate

So after all expenses - $2335.00, or $2935 for all four...and maybe $210 back on the whole caper.

To be honest, I'm a little ****y that the cost is not claimable, particularly given it's not elective surgery, but compulsory...but you live and learn.

I had private health insurance at one stage and got rid of it because I didn't use it. Having had this sneak up on me...I'm thinking perhaps I should get it again...

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Old 25-07-2011, 10:39 PM   #2
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Default Re: Realising the importance of health insurance...a little too late.

Under 35, insane if you have no private health insurance; for around $10 to $15 a week your are quite well covered.
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Old 25-07-2011, 10:40 PM   #3
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Default Re: Realising the importance of health insurance...a little too late.

yeah im currently dealing with issues with my ears, and im wishing i had health insurance.
specialists are like lawyers, they charge for every tiny little thing.
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Old 25-07-2011, 10:43 PM   #4
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Default Re: Realising the importance of health insurance...a little too late.

Why not rejoin a private health fund?

Tell them what you want done, ask how long the wait is, get the best quote.

You could use all that money you have saved being self insured
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Old 25-07-2011, 10:44 PM   #5
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by Sezzy
Just a heads up for anyone who might think health insurance is a 'luxury you can't afford'...turns out not having it is a necessity I really could have used... :(

I got a rather rude shock today. Turns out my wisdom teeth need to be surgically removed - I'm okay with that, I'd rather be knocked out...what did knock me out what the cost of it.

Two wisdom teeth surgically extracted

$110.00 for surgical consult ($70 medicare rebate - cool)
$795.00 for the surgical suite booking - no rebate
$550.00 for the anesthetist (about $140 back on medicare - maybe)
$880.00 for removal of two teeth (four is $1400) - no rebate

So after all expenses - $2335.00, or $2935 for all four...and maybe $210 back on the whole caper.

To be honest, I'm a little ****y that the cost is not claimable, particularly given it's not elective surgery, but compulsory...but you live and learn.

I had private health insurance at one stage and got rid of it because I didn't use it. Having had this sneak up on me...I'm thinking perhaps I should get it again...

I'll do it with my long nosed pliers for $15, you supply your own alcohol though.

I don't understand why dentists are so expensive for, sure its important but you think other things which keep you alive would be worth more than 32 pieces of bone.
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Old 25-07-2011, 10:49 PM   #6
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by Sezzy
Just a heads up for anyone who might think health insurance is a 'luxury you can't afford'...turns out not having it is a necessity I really could have used... :(

I got a rather rude shock today. Turns out my wisdom teeth need to be surgically removed - I'm okay with that, I'd rather be knocked out...what did knock me out what the cost of it.

Two wisdom teeth surgically extracted

$110.00 for surgical consult ($70 medicare rebate - cool)
$795.00 for the surgical suite booking - no rebate
$550.00 for the anesthetist (about $140 back on medicare - maybe)
$880.00 for removal of two teeth (four is $1400) - no rebate

So after all expenses - $2335.00, or $2935 for all four...and maybe $210 back on the whole caper.

To be honest, I'm a little ****y that the cost is not claimable, particularly given it's not elective surgery, but compulsory...but you live and learn.

I had private health insurance at one stage and got rid of it because I didn't use it. Having had this sneak up on me...I'm thinking perhaps I should get it again...
LOL I'm with private health and that's no more expensive.

Private health is a scam, you'll still pay thousands, and in my case $20k for upper and lower jaw surgery, $2000 anesthetist costs.
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Old 25-07-2011, 10:51 PM   #7
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by nstg8a
yeah im currently dealing with issues with my ears, and im wishing i had health insurance.
specialists are like lawyers, they charge for every tiny little thing.
There's an ENT specialist over Wynnum way that bulk bills...good bloke too.

Quote:
Originally Posted by Burnout
Under 35, insane if you have no private health insurance; for around $10 to $15 a week your are quite well covered.
I was forking out $120 a month (with rebate) for private health for two years...I never used it, not even once...it was a tax dodge...I guess now I'm getting 'older' reconsidering is a good option!


Quote:
Originally Posted by Work Horse
Why not rejoin a private health fund?

Tell them what you want done, ask how long the wait is, get the best quote.

You could use all that money you have saved being self insured
Unfortunately, it has very quickly gotten to the point where I need it done...well, yesterday...early onset infection, a swollen face and incredibly tender teeth from all the pushing from the wisdom's growing sideways...all in less than two weeks...for the last two days I've been known as 'mumbles'... waiting is no longer an option...otherwise I would put it off, but I'm pretty sure if comes under 'pre-existing' which given I've had x-rays, etc. is considered 'pre-existing' as far as private health is concerned (and they don't generally cover for that do they?). If they do and I can somehow bypass the six month waiting period for major dental...I'm there...but surgery is booked for next Wednesday...
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Old 25-07-2011, 10:57 PM   #8
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Default Re: Realising the importance of health insurance...a little too late.

I'm with private insurance because I'll pay around the same in tax levy if I didn't have it. Hardly claim anything.

What price do you pay for your health and comfort? I paid 7 grand to get braces and remove all 4 wisdom teeth when I was 21. At the time I believed it was a small price to pay for the long term benefits and I still believe it today.
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Old 25-07-2011, 10:58 PM   #9
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Default Re: Realising the importance of health insurance...a little too late.

Dont forget to claim the net amount of your outgoings in next years tax return

The Medical Expenses rebate is often overlooked by many people

20% of amount greater than $2000. Sure it isnt much , but something to think about

http://calculators.ato.gov.au/script...Off1.xr4&go=ok
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Old 25-07-2011, 11:01 PM   #10
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by Sezzy
There's an ENT specialist over Wynnum way that bulk bills...good bloke too.
yup, and unfortunately a waiting list so long theyre not taking new patients.

i see the specialist next week, and ive already been waiting nearly two onths for that appointment.
luckily so far ive been able to claim back pretty much 50% of all costs through medicare. just a shock to the system after being used to nz's free healthcare.
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Old 25-07-2011, 11:03 PM   #11
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by gcg2503
Dont forget to claim the net amount of your outgoings in next years tax return

The Medical Expenses rebate is often overlooked by many people

20% of amount greater than $2000. Sure it isnt much , but something to think about

http://calculators.ato.gov.au/script...Off1.xr4&go=ok
I have that one locked in already! Thanks for the link - turns out...about 25 bucks, but...it's better than Damo's offer of taking them out with a pair of pointy nose pliers!
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Old 26-07-2011, 07:31 AM   #12
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by Sezzy
I have that one locked in already! Thanks for the link - turns out...about 25 bucks, but...it's better than Damo's offer of taking them out with a pair of pointy nose pliers!

Be careful with that Damo, I am not sure he is really a health professional!
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Old 26-07-2011, 08:20 AM   #13
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Default Re: Realising the importance of health insurance...a little too late.

I'm still in two minds about private health insurance. We have it for the family, and it costs 2-3k per year... I thought i was exempt from the medicare levy, so it was worth it for that alone. Wrong! Only exempt from the surcharge.

We've only had to make one claim, and on a $300-400 item we still had to come up with about $150.

It really annoys me that i fork out so much for it, yet i still have to cover the 'gap'...

Hypothetically speaking, if i had insurance for the past 10 years, and was paying 3k per year, that's 30k. I could have put away 3-4k per year and have had 40k sitting in the offset account.

I guess it's worth it for the major things, and i suppose that's why i keep paying it! You just never know what's around the corner. $50,000 doesn't go far if you need major surgery.
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Old 26-07-2011, 08:36 AM   #14
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Default Re: Realising the importance of health insurance...a little too late.

Just be very careful with your level of cover. I had to go to hospital and found out I was not covered at all in that area! $750 please sir!

Now I have the appropriate cover next time I should be ok.

Had my teeth out (4) and thanks to private health it cost me bugger all and done in a private hospital, it is worth having.
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Old 26-07-2011, 08:44 AM   #15
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Default Re: Realising the importance of health insurance...a little too late.

Yeah its one of those things, like car insurance, a ***** because you typically dont use it but when you do your glad.

I was the same, healthy, young etc but when we started having kids that was it. I think its about $120 a fortnight but we had one birth under the insurance and we paid some tiny fee, couple of hundred when the bill was in the thousands...oh and we stayed at the Hilton after it too..LOL
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Old 26-07-2011, 08:55 AM   #16
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by Polyal
Yeah its one of those things, like car insurance, a ***** because you typically dont use it but when you do your glad.

I was the same, healthy, young etc but when we started having kids that was it. I think its about $120 a fortnight but we had one birth under the insurance and we paid some tiny fee, couple of hundred when the bill was in the thousands...oh and we stayed at the Hilton after it too..LOL
But when needed though ... car insurance covers you.

When needed ... private health doesn't cover you at all ... and there's still a massive GAP that you have to pay out of your own pocket ... no matter what ... no use being covered ... you pay sooo much for the premium ... and you still have to cough up the $$$.

After looking at it ... and doing the sums ... private health just bleeds you dry. You could have saved the money you have spent on the insurance ... and used it for that "rainy day" when it is needed ... and still be ahead.
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Old 26-07-2011, 09:01 AM   #17
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Default Re: Realising the importance of health insurance...a little too late.

Im not 100% sure..but I know we are up a few thousand easy over the 3 years we have had it for 2 births (one was under my wives before we got family cover). Not to mention we got private care which is way better than "normal" public.

Surely it would cover you, in most part, for the really serious stuff.

I have heard of people doing what you say, putting the same amount into an account and waiting until its needed. Which is all well and good but if you d a good job of hurting yourself then it can skyrocket..thats the worry for me.

Even with health cover, we get our dental check ups etc, I had a filling the other day that was 100% covered as we had no claim bonuses etc.

I am happy to pay, even if we are down, to cover something that I cant afford down the track. And if I never use it then so be it, cant complain with being healthy.
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Old 26-07-2011, 09:10 AM   #18
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Default Re: Realising the importance of health insurance...a little too late.

Don't go in as a private patient for having a baby delivered. You get absolutely cained. sister-in-law went in with her first child as a private patient ... smooth labour ... nothing too wrong with it .. and out fairly early. They have full cover.
It cost them over $2K in GAP fees ... and the hospital facilities were below average and nursing staff were crap.

Family friend went in as a private patient ... baby had to be airlifted to Sydney due to heart issues and needed surgery ... Full private cover as well (well they thought so anyway) ... $10,000k in GAP fees (god knows why .... they pay through the nose for insurance). They are still paying it off.

After seeing this ... my wife went in as a public patient for the birth of our son ... complications during delivery ... needed and emergency C-section ... extended stay in hospital. Excellent specialists on-hand and nursing staff were really helpful. Cost to us ... $0

I can see the benefit in ambulance cover ... that's a given ... but everything else is a rip-off ... you may get a rude shock thinking you are covered at a later date ... until you get that GAP bill. Then you will really think twice about good your private health insurance is.
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Old 26-07-2011, 09:23 AM   #19
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Default Re: Realising the importance of health insurance...a little too late.

We didnt have it for either of our kids births and the public system was fine. We recently got back into private health insurance and at over $3K per year for a family (and thats with the rebate), I think you are better off to be self insured if you have the discipline to save the cash. So many of the benefits in private health have limits, like $1000 per year for dental etc so you often find you are not covered for the entire amount anyway.
In my case I would have to get 1 wisdom tooth done per year
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Old 26-07-2011, 09:51 AM   #20
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Default Re: Realising the importance of health insurance...a little too late.

For that type of money you'll get you teeth pulled professionally, flights, accomodation, meals and holiday on Thailand....Oz Health care is a rip off since the govt got involved no two ways about it.
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Old 26-07-2011, 10:14 AM   #21
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by bundy
For that type of money you'll get you teeth pulled professionally, flights, accomodation, meals and holiday on Thailand....Oz Health care is a rip off since the govt got involved no two ways about it.
I carry very light private cover just enough to not pay the levy and claim it back , had a major knee surgery recently and went intermediate . Had the surgery in 3 weeks by the surgeon of choice and for 5k coverage paid after rebates 490$
and thats a claim on tax
Much better than waiting 23 weeks for public (meniscus)
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Old 26-07-2011, 11:06 AM   #22
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by ILLaViTaR
LOL I'm with private health and that's no more expensive.

Private health is a scam, you'll still pay thousands, and in my case $20k for upper and lower jaw surgery, $2000 anesthetist costs.
Private health is a scam is it? I have been with HBF since birth and including my upcoming heart op, they would have shelled out near on half a mill in costs to pay for my operations etc. I am a low income earner and I wouldn't dare stop my top cover, sure I pay 116pf but that is top hospital with extras and it covers my whole family. My daughter needed glasses and they cost me nothing. So I do not see the scam you refer to. If they paid for every little thing you wanted, your premiums would be so high you would need to be a millionaire. Every fortnight HBF pay 100's of millions out in costs for procedures etc, I know because my mum works in the it section that deals with keeping the information of all the claims etc running smoothly. My jaw dropped at the amount that is paid out every night to hospitals, specialists etc.

Last edited by Spudz27; 26-07-2011 at 11:11 AM.
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Old 26-07-2011, 11:38 AM   #23
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Default Re: Realising the importance of health insurance...a little too late.

at the end of the day it is a gamble you are basing your decision to insure or not on what amounts to a bet
if you aren't insured you are betting you will stay healthy , you get sick and you loose and have to pay up
if you are insured you are betting against the insurance company that you will get sick if you stay healthy you loose, if you get sick and have big medical bills you win
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Old 26-07-2011, 11:57 AM   #24
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by Mechan1k
Don't go in as a private patient for having a baby delivered. You get absolutely cained. sister-in-law went in with her first child as a private patient ... smooth labour ... nothing too wrong with it .. and out fairly early. They have full cover.
It cost them over $2K in GAP fees ... and the hospital facilities were below average and nursing staff were crap.

Family friend went in as a private patient ... baby had to be airlifted to Sydney due to heart issues and needed surgery ... Full private cover as well (well they thought so anyway) ... $10,000k in GAP fees (god knows why .... they pay through the nose for insurance). They are still paying it off.

After seeing this ... my wife went in as a public patient for the birth of our son ... complications during delivery ... needed and emergency C-section ... extended stay in hospital. Excellent specialists on-hand and nursing staff were really helpful. Cost to us ... $0

I can see the benefit in ambulance cover ... that's a given ... but everything else is a rip-off ... you may get a rude shock thinking you are covered at a later date ... until you get that GAP bill. Then you will really think twice about good your private health insurance is.
Well I guess everyones experiences can be different. Note I am not having a go at the public system, for what it is we are lucky.

But, and ill have to look through the bills, for two births at the best Hospitals in Melb and Hobart (Hobart was a womens only thingy) we paid easily less than $1k out of pocket (not including the monthly premium that I would be paying anyway). So at the moment like i said, we are up and Im finding coming from no care to a family care as a good thing.
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Old 26-07-2011, 01:23 PM   #25
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Default Re: Realising the importance of health insurance...a little too late.

Quote:
Originally Posted by bundy
For that type of money you'll get you teeth pulled professionally, flights, accomodation, meals and holiday on Thailand....Oz Health care is a rip off since the govt got involved no two ways about it.

Funny you should mention that, we seem to have a shortage of health care professionals in Australia and yet other countries pump them out of uni like it's a production line. It's only a matter of time before they are allowed to practice in Australia.
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Old 26-07-2011, 01:37 PM   #26
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Default Re: Realising the importance of health insurance...a little too late.

This is something I've been meaning to get for a long time. Considering I ride downhill mountain bikes go to the gym, drink heaps, etc etc...

It's probably not a bad idea. But I just don't understand how it works, what's good cover, etc etc
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Old 26-07-2011, 02:21 PM   #27
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Default Re: Realising the importance of health insurance...a little too late.

Its a matter of choice isn't it ? and there's always the positive and negative comments/experiences.......
Whilst I was young wouldn't have bothered at all nor did I when I got married - but once the kids came along yes please very happy to in private health......have enjoyed the benefits my contributions pay for in advance especially for my kids.
My assurance for my family nothing more nothing less..
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Old 26-07-2011, 02:24 PM   #28
SEZ213
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Default Re: Realising the importance of health insurance...a little too late.

There are certainly benefits to health care, I failed to see them when I did have the insurance...now I see the benefit, however, in saying that, I have found that private health insurance actually bumps up the price of actually getting surgery done anyway - day surgery's will charge about $130 more if you have private health insurance (well, that was the difference I was given...).

The CT scan that I had to have to find out exactly where the nerve is in relation to my wisdom teeth (apparently it looks like it's in the wrong spot from the x-ray) was completely free...and after spending my hard earned for ten minutes grace with a surgeon who got very uppity when I said I didn't like 'dentists', my bad, he's an oral surgeon...if I don't like dentists, why the hell would I like him?

Turns out though there will be enough drugs to sink a battleship!

On top of the general anesthetic, there will be local anesthetic pretty much left to right, top and bottom which will last for about 12-24 hours, antibiotics to make sure no infection occurs around the stitches and plenty of panadeine forte and neurofen in between if it causes any problems.

Slight chance of nerve damage (about 0.1%) on the bottom jaw, and thankfully have been advised that I don't have to have my jaw broken to get them out! YAY! But, I guess we'll wait and see - total bill (excluding pain medication afterwards) $2935...could be worse - I could have to pay $5000 at a hospital (the cost of day surgery at the hospital was $1300-1400, as opposed to the $795 I have to pay)...
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Old 26-07-2011, 02:58 PM   #29
The Yeti
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Default Re: Realising the importance of health insurance...a little too late.

dont shoot your self down just yet

alot of basic health funds only cover upt to $500 on dental, but another thing to look at is some health funds offer no waiting periods of dental and optical if you sign a contract, (you might have issues as this is a pre known pre existing condition) but worth looking in to

Ive been lucky and I never needed any thing until I got married, then we have bad family cover (costs a bomb) but that said both kids have been born in private rooms with our doctor, Ive had a few ambulance rides my self and a few sergerys so I think I'm not too far behind on the deal and as was said before theres alot of peice of mind as well
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Old 26-07-2011, 03:17 PM   #30
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Default Re: Realising the importance of health insurance...a little too late.

good old private heath insurance for the rich just like dental is for the rich if your poor suffer on the public system oh unless u want your teeth fixed then wait 12 months and ull get that appointment
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