Posts Tagged ‘health insurance’

A few PPO Features to consider.

Tuesday, February 10th, 2009

Many people have a PPO health insurance plan these days. They are very popular with consumers. They provide flexibility and freedom and that is what consumers are looking for. PPO’s are not difficult to understand , here are some basics:

The first thing to understand is your lifetime maximum. A life time maximum is the amount the insurance will pay out in your lifetime. If you met that maximum your health insurance will cease. These maximums typical are 2 million to 5 million.

The next order of business is total out of pocket or deductibles and co insurance combined. Your deductible is the amount you will be responsible for annually before the insurer shares expenses with you. The co insurance is the amount they will share once your deductible is met.

Most PPO plans include the office visit co pay. This co pay amount can vary from one plan to another and one carrier to another. Basically, if you have a office visit you would pay the set amount such as $25 and the insurance company will pay the rest. Co pays waive the deductible.

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Cobra Alternatives - Temporary Medical Insurance

Monday, January 19th, 2009

Maria lost her job as a sales person for a leading company. Not knowing how long she will be out of a job she is looking into her health insurance options. She knows it could be financially devastating to go uninsured.Maria was offered the COBRA insurance. COBRA mandates that a company with 20 or more employees must allow former employees to keep their employer sponsored health insurance for up to 18 months. The employee must pay all cost however.

Once you lose the percentage your employer pays. Plus they tack on an administrative fee the COBRA insurance can be very expensive. Many time 100% more then you had paid for the health insurance while employed.

Many people like Maria look for alternatives due to those factors. Maria and her spouse are on the plan. Maria is somewhat healthy, but takes medication for diabetes. Her husband has no health conditions at all. This is where making health insurance decisions get tricky.

Since COBRA is more comprehensive and will not exclude Maria’s pre existing illness she should consider staying on the COBRA insurance. However, since her spouse is relatively healthy she could save money buy finding a alternative health insurance plan, like temporary medical insurance for him.

Temporary medical insurance is typically very inexpensive. Especially, compared to COBRA.

There are drawbacks to consider with temporary health insurance before purchasing. Here are a few things to think about:

1. Temporary health insurance limits the amount of time you can purchase. Usually 6 months to a year at a time. You could find yourself looking for other insurance if the length of uninsured time is longer then first thought

2. Temporary typically excludes pre existing conditions. So even if Maria’s husband is healthy now, if he does become ill in the term purchased when he renews or extends coverage it will no longer be covered. This can backfire if you need coverage longer then they allow.

3. Temporary medical insurance typically covers only major medical. So you can expect to pay out of pocket if her husband should get a sinus infection and have to visit the doctor. Since deductibles are usually high, the insurance would only protect you for a substantial financial burden caused due to an expected illness or injury.

Catastrophic Health Plans

Wednesday, January 14th, 2009

 Many of us are living from paycheck to paycheck and making cuts where we can.  One of the things we look towards is our medical insurance.  The increasing cost of premiums force us rethink our options such as Catastrophic Medical insurance we have more money going out then coming in and we are forced to balance this some how.

American’s are smart and realize that the lack of health insurance could end a disaster.  So instead of going uninsured they are opting for a catastrophic policy.  Catastrophic policies are some of the most affordable plans.  It is a safe alternative to nothing.

There are some things to consider before dropping your current plan.  We will discuss those below.  Even though we are struggling in today’s economy we need to consider long term affects as well as current finances.

  • If you are an individual that has health conditions that require regular office visits this kind of plan may not be beneficial.  They typically have high deductibles that must be met, before they share any cost.

  • If you are not a person that finds yourself at the doctor’s office often and feel you are healthy then this kind of plan may suit you.  It would still give you coverage just incase an expensive illness or accident occurred.

  • These plans do not offer you benefits that are typical, like office visit, prescription or emergency room co pays.  You will have to pay these expenses should they occur.  So you need to make sure you would be able to do without these benefits. 

  • Another less stringent alternative that some consumers like are HSA’s.  Or Health Savings Account.  They allow you to make a contribution to an account.  In return you can use those funds to help pay your out of pocket expenses.  These plans are affordable in comparison. Your annual preventative exam may be covered as well.

All in all, it is never a good idea to go uninsured.  A catastrophic plan is a perfect alternative.  If you are just trying to cut cost you need to carefully consider all your options and make a wise decision.

 

Health Insurance Basics

Tuesday, January 13th, 2009

 There are 7 basic components to educate your self on when looking for individual health insurance.  These 7 basics can help you make well informed decisions when choosing a carrier and plan.  These 7 basics can make what many find difficult much more pleasant.

When comparing all the different plans available to you one of the key components is the Lifetime Maximum it provides to you.  This is the total amount the insurance company will ever pay out of there pocket on your policy.  If you are comparing 2 plans a couple of extra million in a life time may be a deciding factor for you. 

The next factor you should consider is the deductible amount.  When you hear the term deductible amount this is the amount you will pay out of your pocket before the carrier will start to pay.  If you would like to keep your premiums low you could share more cost and choose a plan with a higher deductible.

Sometimes the most confusing to consumers is the co insurance amounts.  This is when you have met your deductible and the insurer will start sharing the cost with you.  The co insurance is how much you will spend out of pocket before the insurer picks up at 100%.  Until you met that amount you will pay a percentage of the total for each bill until you have reached your maximum.  Depending on your plan you may pay 20% and the insurer pay 80%.

Many plans have a benefit called an office visit co pay.  What this means is if you should have to go to the doctor you would pay a set amount for the office visit.  The co pay does not always pay for labs done at that office visit so this is important to differentiate so you do not get an unexpected bill later. 

Another unexpected bill often comes following a Preventative exam.  This is due to the consumer not understanding this benefit.  More often then not, there is a limit on the amount the insurer will payout for this kind of visit.  They usually only allow 1 visit a year, so if you schedule a visit even 1 day to soon they will not pay.  Pay close attention also to the types of tests, labs and screenings it will cover.

Another important thing to know is that all carriers set limits.  There are simple limits such as; they could limit the number of office visits or emergency visits.  The can also determine a dollar amount limit that they agree to pay for a benefit.  For example they may only pay $1000 in prescriptions each year.

As stated above prescriptions could be assessed a maximum dollar amount.  Some plans give a Co pay for prescriptions, but most assign categories for different types of medications and set multiple co pays accordingly.  You must be careful and make sure that your plan will cover prescriptions. Just take time to know the basics when your searching for individual health insurance and you will be fine.

Getting Healthy for the New Year

Friday, January 9th, 2009

 It is a New Year and many of us make the New Year resolutions.  Many of these resolutions include saving money and getting healthy.  They key to being healthy is staying informed and regular visits to the doctor.  Those without health insurance typically do not meet that simple rule of thumb.  So maintaining health insurance is an essential part of staying health.

And with a little knowledge you can save hundreds of dollars on your health insurance.  More times than often you can secure private coverage that is much cheaper for your dependents than the group health insurance your employer offers.  And sometimes even cheaper even for yourself. You could even turn to temporary healthcare insurance until you figured it all out.

Rates for private insurance are based on a few things.  Two leading factors are you age and your current and past health conditions.  So the younger you are the more affordable the rate.  As well as the healthier your status the lower your rate.  Typically there is a base rate which is increased accordingly.  

 

Another way to control cost is shopping the multiple plans and carriers available.  Not everyone needs or desires the Cadillac of plans.  Some people would be fine with a catastrophic plan, only covering you in case of a major illness or accident.  Others are more comfortable knowing they can go to the doctor anytime.  

 

When shopping the different plans there are a few things to keep in mind.  How much you can afford and what range of benefits are you comfortable with.  Plans can include complete annual physicals, cover medical prescriptions, radiography and labs and even mental health.  Some even include dental and vision.

 

With private health insurance you have the freedom of customizing your benefits.  Not all members of the family have to be on the same plan for instance. If you anticipate that little Joe will only need an occasional visit for a cough or scrapped knee then you could save money by placing him on an economy plan that only includes a few visits to the office and catastrophic coverage just incase the inevitable should happen. Granny Flo would need a border range of benefits.

 

In keeping with the New Years resolution of staying or getting healthy an essential benefit to look for is the Annual Physical or Comprehensive Exam.  This benefit is available on most plans except temporary healthcare insurance.  However, they do have limits.  Some cover a broad range of screenings, as well as labs and test.  Others only cover a minimum exam. 

 

Last but not least, some plans include some extra added bonuses.  Some include smoking cessation, weight management and even discounts on health products in your local stores.  So as you see with just a little knowledge you can find a health insurance plan that gives you what you need and matches your budget and helps you meet a New Years resolution at the same time.

Pros and Cons of Individual Health Insurance

Friday, January 9th, 2009

 If you are wandering what the pros and cons of Employer Group insurance is versus purchasing Individual Health Insurance, we will investigate those in this article.  Then you will have the confidence to make a wise choice.

 

Group premiums where once much cheaper.  Not so much anymore.  We are seeing those premiums skyrocket and employers sharing less cost.  We often discover that we can not afford to cover our dependents because the employer shares no cost.

 

Sometimes if you have pre existing conditions staying with your group insurance is the best bet.  Individual insurance can increase your rates based on the pre existing condition. They could attaché a rider to that condition not covering it at all. They could even refuse you coverage. 

 

Individual insurance bases rates on the individual, where group rates are set based on the entire group.  The main difference is once Group insurance is established no one in that group can be excluded no matter their health condition.  Therefore if you have a pre existing condition Group may be your best option.

 

One of the advantages of an Individual policy is the freedom of choice.  There are many plans to choose from.  You could choose a plan with rich benefits or just the minimum.  All you have to do is decide on what benefits you want and find a comparable plan.

 

In a group policy many of your freedoms are eliminated.  You may not have any say in the plan that the employer chooses.  You may lose you provider if they are not in the network.  And the worst thing is this can happen year after year.  And if you need to make changes or additions you must wait until open enrollment once a year.

 

Bundling is a splendid convenience to individual health insurance.  What this means is you can wrap medical, dental and vision up in one little neat package, with one rate.  Many carriers provide this option for you.  You could even add life insurance if you wish.

 

Take a little time to think about you budget, needs and expectations and then decide which option best matches you.  If you want freedom lean towards individual policies.  If having your medical condition covered is a deal breaker lean towards what your employer offers. 

UniCare Short Term Health Insurance

Monday, April 28th, 2008

Texas UniCare Short Term Health InsuranceSearching for UniCare Short Term Health Insurance in Texas is easy. Many people may not know what UniCare Short Term Health Insurance is. This is a health insurance plan that keeps you and your family covered if you are between jobs, or you just can’t seem to find the right Health Insurance company to meet your needs. Most of these plans will cover you for 30 to 365 days of the year. You choose how long you need to be covered, pay your premium and you are ready to go. Some companies even allow you to make monthly payments, or pay in one lump sum. UniCare Short Term Health Insurance is the only way to go, while you are between jobs.

UniCare Short Term Health Insurance

Tuesday, April 15th, 2008

UniCare Short Term Health Insurance is perfect in times of transition and change. Whether you’re going through a period of unemployment or any other temporary lapse of health insurance coverage, UniCare Short Term plans will cover you anywhere from 30 days to 180 days in coverage. What’s good about most short term health  insurance plans is that they have very limited underwriting and can start the day after they are paid for. UniCare Short Term Health Insurance is also perfect if you are waiting for your Group health insurance to start, waiting for open enrollment and you know when the business insurance coverage will start, college students who have “summer insurance gaps”, or are fixing to retire and waiting for state insurance plans starting on your birthday. Whatever your needs may be, UniCare offers various health insurance plans that include pharmacy, dental, and disability insurance and other benefits that the insured can tailor to their specific needs.

UniCare Health Insurance Sound Plans

Thursday, April 10th, 2008

UniCare Health Insurance  Sound plan  are very popular with younger adults, especially students whose parents love the reliable, affordable health insurance. When you’re young, being able to give out money for health insurance most likely isn’t high on your list of priorities. However, UniCare feels that young single people will be drawn to the Sound Health plan and the plan will dramatically reduce the number of uninsured young people. UniCare Health Insurance  Sound plan was created to lure the younger segment in to the health insurance system by offering benefit rich plans at a very affordable rate. If you are between the ages of 20 – 40 , this should be the first plan to consider because nothing else matches it for the affordable rates. UniCare Health Insurance    Sound plan  is perfect for single adults.

Flu Season is Upon us are you covered? UniCare is here to help

Wednesday, January 2nd, 2008

UniCare Health Insurance offers multiple plans to fit the needs of you and your family.  With Flu Season coming into effect you need to make sure your health insurance needs are covered.  UniCare offers many plans that have unlimited doctor copay visits.  UniCare makes this available so families will not struggle to go to the doctor when they need to go and make sure they go to the follow up visists the doctors suggest.  UniCare Health Insurance is a great company for families health insurance needs.