In case you are not familiar with the market of insurance in general and healthcare coverage in particular, it can be quite confusing at first. But do not worry, as it is far simpler than you may think. Here’s a short recap of the most important things to know when shopping for health coverage plans. Of course, it’s not that profound to make an insurance specialist out of you in a single read, but it sure will help you find a decent policy with good coverage and low price.
Your options
Individual health policies – it is the most obvious option for most people, especially when not provided with healthcare coverage through their employers. You can find many insurance companies providing individual health plans. There are different regulations in every state regarding individual health coverage so make sure to learn more about your state before actually getting the policy. The best source for this information is your state’s insurance department.
High risk pools – these specific pools are the best solution in case you have been denied ordinary individual insurance due to a pre-existing condition. Not all states have high risk pools, but if your state allows them you will want to look better into this option. They typically have higher rates if compared to usual individual coverage, but it’s far better than having no healthcare coverage at all.
HIPAA coverage – in case you have recently been canceled of a job-base group plan and all COBRA coverage does not apply to you anymore, there’s a thing called HIPAA coverage that may be useful to you. HIPAA (Health Insurance Portability and Accountability Act) coverage is available in all states and can be of a use for people who can’t get individual coverage due to pre-existing conditions. This way HIPAA coverage is a good option in states where high risk pools do not exist. But even if there are high risk polls in your state you should consider both possibilities. Consult with your insurance agent to see what’s more appropriate in your case.
Whom to address
Insurance agents – an insurance agent is the person that will connect you with the insurance company, so it’s better to ask him or her about your options. But before you ask questions, make sure the agent is licensed for providing health insurance in your state. To do so, you can address your state insurance department and check the status of the agent you’ve been talking too. If the person is licensed, their experience in the domain can help you find good health coverage. more…
There are times when you get an overview and then it hits you, “Somethings just don’t add up.” Well, you remember Wellpoint, don’t you? This is the friendly company that, around January or February, announced it was going to increase premium rates by up to 39% in a number of states around the Union. President Obama got himself all worked up, citing them as the real reason why all the Democrats in Washington should band together and take a stand against the insurance industry. Then, sure as eggs is eggs, there was a stampede to get the healthcare reform bill to the President for him to sign it into law. Those Democrats sure did have fun beating on Wellpoint. So the big question is what happened next? Here’s one of the largest corporations in the insurance market demanding premium increases. Did it get its way?
The answer starts off in California where the maximum rate of 39% was due to take effect. The state referred the proposed increase to independent auditors for an opinion. The answer came back negative. It seemed Wellpoint couldn’t add up. Well, that’s oversimplifying things a little. But the reality is that the numbers Wellpoint offered to support their premium increases were based on some very shaky mathematical assumptions. When news of the report became public, Wellpoint withdrew the proposed increase. Acting on this, Kathleen Sebelius who is Secretary of the Department of Health and Human Services sent out a letter to all state insurance commissioners encouraging them to review every proposed premium increase. This is the first sign that the balance of power is shifting against the insurance industry and in favor of the consumer. For too long, insurance companies have hidden behind complicated mathematical explanations and gamed the system. With the Affordable Care Act now law, Sebelius is encouraging every state to give itself the power to approve rate increases. The first sign of continuing good news for consumers comes out of Connecticut where Attorney General Blumental forced an audit of Blue Shield and Anthem Blue Cross, both Wellpoint subsidiaries. Connecticut’s Insurance Commissioner Sullivan rejected these companies requests for increases last year. It seems likely the same thing will happen this year. more…
When you thought your health troubles were costing you much, they got even more expensive for fix. It is almost unreal to come to any health specialist and see him getting interested in cutting your payments. This is your task and you have to make sure your wallet is not crying tears after a visit to any health care provider. Here are some points to consider:
We spend too much money on our health when we realize that the situation got out of control. But we don’t really want to think that it is possible to prevent the disease instead of curing it. We need to keep the healthy lifestyle if we want to stay healthy all the time without any need for the health care medication. Healthy food, exercise and no smoking habits will keep your payments down giving you a chance to economize on unnecessary things. We know it is always easier to say than to do but this is the only way to save yourself from unwanted extra costs that you can do without.
Every health situation and case is totally unique. You can’t predict the health care plan you may need in the future. If you are a member of a big family or you have little children that you want to be a part of the plan too, you have to do some research to find the best possible option for yourself and your beloved people. There are different plans to choose from but they usually require consideration and time. You need to sort out what is the most important thing for you in a plan, how much you are willing to pay, what is the most important for you – deductibles, co-pays or other features. Can you afford to pay a little bit more for those or not? The truth is that it is very important to choose the right plan as it can save you lots of cash.
Before you sign up for any plan, you have to understand how it works and what good it will do for you. What you have to learn is to take care of the advantages that are given to you. Take advantage of possible discounts and ask for alternative medication if you feel like you are being prescribed the most expensive one that you cannot afford.
We will tell you a secret that might be useful for you in the future. Generic drugs are usually cheaper. They will help you save some money. Keep this in mind. more…
