Health Care Problems

health insurance
As President Barack Obama prepares to address the nation tonight, a new survey provides a boost to his claim that the health care system is at a perilous place and in need of reform. Since September of last year, nearly five million adults have lost their insurance.

A survey of more than 29,000 individuals in June by Gallup shows that 16 percent of Americans over the age of 18 are currently without health insurance. That number reflects what the survey’s authors describe as a “small but measurable uptick in the percentage of uninsured adults.”

Indeed, the average number of uninsured adults recorded by Gallup in 2008 was 14.8 percent. In September 2008, the monthly total recorded was at a yearly low of 13.9 percent.

While the difference in percentage may seem small, the aggregate number of additional uninsured is vast.

According to 2007 U.S. Census data, the population of those 18 years or older stood at 228,196,823. By using that figure, in September of 2008, the number of uninsured adults would have totaled approximately 31.7 million. Today, the figure stands at 36.5 million — meaning that 4.8 million adults have, in less than a year, lost their insurance coverage.

That said, the percentage of uninsured adults stood at 16.6 percent in May 2009, meaning that the situation has improved slightly but still remains dire.

Digging deeper into the numbers, one gets the sense of just how tricky a political situation the health care debate poses for both parties. The demographic that stands to gain the most from an increase in insurance coverage happens to represent the fastest-expanding voting bloc. More than 41 percent of Hispanic Americans are uninsured, Gallup reports, which is by far the largest segment of the U.S. population. The next highest groups are those who make less than $36,000 a year (28.6 percent uninsured) and those aged 18 to 29 (27.6 percent).

It is hard not to see the benefits for the political party that steps up to help resolve the health care problems of millions of Hispanic and young Americans. Just as, conversely, it is conceivable that the party that is blamed for obstructing comprehensive reform could suffer serious consequences at the polls.

It should be noted just how comprehensive the Gallup is in recording this data. Officially titled the Gallup-Healthways Well-Being Index, the study involved conducting at least 1,000 tracking interviews each day and 178,000 since the beginning of the year. The maximum margin of sampling error is plus-or-minus one percentage point.



By: Individual Health Insurance

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Quoting and Saving on your health insurance has never been easier…EasyToInsureME

Aetna
Aetna health insurance

EasyToInsureME offers clients the easiest way to buy individual health insurance. Free services include instant online health insurance quotes, custom proposals for each client, free phone consultations, and 10-minute application by phone. Nobody does what we do for our clients!



senior insurance plans

Health Maintenance Organizations

health insurance
When comparing health insurance quotes, make sure you are comparing similar plans. Health insurance comes in two basic forms – indemnity plans and managed care plans. Both indemnity and managed care health insurance are further broken down into several different types of health insurance so it is important to take the time and compare health insurance plans to determine what best fits your health care needs.

Indemnity Health Insurance

Indemnity health plans put you in charge of choosing your doctors, hospitals and other health care providers. You pay a set monthly premium and your health insurance pays your medical care, often after you pay a deductible and possibly a percentage of the bill.

A common employer-sponsored form of health insurance is a cafeteria or flexible spending plan. This type of health insurance allows employees to create a benefit package taken from a number of options. You need to contact the employee benefit department at your company for more information on the exact mix of choices available to you.

If you are looking for lower cost health insurance, a “basic and essential” plan may be the best option. Do keep in mind this type of health insurance is limited in what services may be covered so it is important to carefully read the policy so you understand what treatments the plan does cover. Another type of health insurance known as catastrophic health insurance or high-deductible health plans do just what it sounds like they would. The deductible is high, but this type of health insurance protects you against catastrophic illness with a very high total cost.

Health savings accounts are fairly new and an alternative to traditional health insurance. This plan involves putting money into a tax-free savings account to cover your medical expenses.

Managed Care Health Insurance

The two most common types of managed care health insurance are health maintenance organizations (HMOs) and preferred provider organizations (PPOs). HMOs give you access to a group of participating doctors, hospitals and health care providers. HMOs come with fewer out-of-pocket expenses, but visits to the doctor, prescriptions and other services usually come with a co-pay or fee.

PPOs are fee-for-service health insurance and medical services are paid by the insurer on a negotiated and discounted fee schedule. PPOs allow participants to choose medical providers outside the plan’s network, although this can result in higher out-of-pocket costs.

One other type of health insurance is point-of-service (POS) plans. This type of health insurance is similar to indemnity plans, and your primary care physician can refer you outside of the plan without any extra costs to the insured. If you refer yourself outside a POS plan you will be charged a co-pay.



By: Barclay Win

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The Best Site To Get FREE Multiple Competing Insurance Quotes For Auto, Home, Life, Health, And Renters Insurance. Provides Insurance Quotes Comparison Facilities Like Auto Insurance Comparison, Home Insurance Comparison, Life Insurance Comparison, Health Insurance Comparison, Renters Insurance Comparison – www.wecompareinsurance.com



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Individual Insurance

health insurance
We all know that there are several types of insurance exist like General Insurance for family, Health insurance, Tax benefits, insurance on vehicles and homes and many more which have benefits at their own places.  We all have are most lovable and caring family which are special to us and we care for them most and we want to ensure a security and happiness for them. Now a day every working man is busy and sometime due to this we are not able to manage all personal work that is necessary.

For all these problem to get sort out many financial institutes and insurance companies   provide insurance both public and private that shares your responsibility toward your family. Health insurance gives a benefit of covering your entire family under a policy there are many different insurance come under health insurance like health of includes compressive health insurance, personal accidents, compare plans, health renewal, health advantage plus, health claims and many other.

Compressive health insurance takes care of medical expenses during sudden illness, surgeries, accidents and accidents against terrorism. All these are the general actions which cause anytime which no one knows. Health insurance is insurance that pays for all or part of a person’s health care bills. Health insurance can be further classified into fee for-service (traditional insurance) and managed care. Different health insurances are individual plans, group health plans, workers’ compensation, and government health plans such as Medicare and Medicaid. Both group and individual insurance plans can be either fee-for-service or managed care plans.

The main purpose of health insurance is to help people cover their health care costs which include doctor visits, surgery, procedures, tests, home care, hospital stays, and other treatments and services. Medicare and Medicaid are two health plans offered by the U.S. government. They are available to individuals who meet certain age, income, or disability criteria. But in some condition Insurance may not take effect immediately upon signing up for a policy.

Sometimes a waiting period exists, during which time premiums are not paid and benefits are not available. Health care services received during this period are not covered. Every person has the right to be assured of proper medical attention and everybody needs health insurance coverage. But then again, providers are always faced with the constant clash of giving excellence coverage against the ever-increasing medical care, hospitalization, and health maintenance costs.

Health care insurance is expensive now a days because for one, there have been big gains on medical science over the past few years. Health insurance will guard you and your dependants against any economic constraints arising on account of a medical emergency. Basically, the customer pays an amount of money called the Premium and in turn the Insurance firm would commit to pay a predetermined sum of money to meet up the customer’s claims. Non medical life insurance cover up is not accessible for those people with serious health problems like AIDS, HIV, heart and lung disorders, cancer, liver disease and stroke, and mental or nervous disorders. Therefore choosing a best one according to our need is important.





By: Jeff

About the Author:

To learn how to find affordable health insurance and to learn all about Insurance companies make sure to visit our site at http://www.cheap-insurance.ir/



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Group Health Plans

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Florida Health Insurance Rate Hike

Florida Health insurance premiums have touched new heights! Every Floridian has the common knowledge that most annual health insurance contracts will endure a rate increase at the end of the year. This trend is not new and should be expected. Every time this issue pops up it seems as though the blame game starts. Floridians blame Health insurance companies; Health insurance companies blame Hospitals, Doctors and other medical care providers, Medical care providers blame inflation and politicians, well, we really don’t know what they do to help the issue… No one seems to be interested in finding the real cause of the health insurance premium rate increase. Most individuals, self employed, and small business owners have taken Florida Health Insurance Rate Hikes as the inevitable evil.

Hard Facts

What are various reports telling us? Why do Health insurance premium have annual rate increases?

Rate of inflation and heath insurance premium rate increase.

America’s health expenditure in the year 2004 has increased dramatically, it has increased more than three time the inflation rate. In this year the inflation rate was around 2.5% while the national health expenses were around 7.9%. The employer health insurance or group health insurance premium had increased approximately 7.8% in the year 2006, which is almost double the rate of inflation. In short, last year in 2006, the annual premiums of group health plan sponsored by an employer was around $4,250 for a single premium plan, while the average family premium was around $ 11,250 per year. This indicates that in the year 2006 the employer sponsored health insurance premium increased 7.7 percent. Taking the biggest hit were small businesses that had 0-24 employees. There health insurance premiums increased by nearly 10.4%

Employees are also not spared, in the year 2006 the employee also had to pay around $ 3,000 more in their contribution to employer’s sponsored health insurance plan in comparison to the previous year, 2005. Rate hikes have been in existence since the “Florida Health Insurance” plan started. In covering an entire family of four, a person will experience an increase in premium rate at every annual renewal. If they would have kept the record of their health insurance premium payments they will find that they are now paying around $ 1,100 more than they paid in the year 2000 for the same coverage and with the same company. The same item was found by the Health Research Educational Trust and the Kaiser Family Foundation in their survey report of the year 2000. They found out that the premiums of health insurance that is sponsored by the employer increases by around 4 times than the employee’s salary. This report also stated that since 2000 the contribution of employees in group health insurance sponsored by employer was increased by more than 143 percent.

One business man predicts that if nothing is done and the Health insurance premiums keep increasing that in the year 2008, the amount of health premium contribution to employer will surpass their profit. Professionals within and outside the field of Florida health insurance, think that the reason for increase in Florida health insurance premium rates are due to many factors, such as high administration expenditure, inflation, poor or bad management, increase in the cost of medical care, waste etc.

Florida health insurance rate hikes affect whom?

Rising rates of Florida health insurance generally affects most of the Floridians who live in our beautiful state. The highest affected individudals are the minimum wage and low wage workers. Recent drops in the renewal of health insurance are mostly from this low income group. They just can’t afford the high premiums of Florida health insurance. They are in the situation where they can not afford the medical care and they can not afford the medical insurance premiums that are assosiated with adequate coverage. Almost half of all Americans are of the opinion that they are more worried about the high health insurance rate and high cost of health care, over any other bill they have on a monthly basis. A survey also finds that around 42% of Americans can not afford the high cost of health care services. There is one very interesting study conducted by Harvard University researchers. They found out that 68% of people who filed bankruptcy covered themselves and their family by health insurance. Average out-of-pocket deductibles for people filed bankruptcy were around $ 12,000 per year. They also found some co-relation between medical expenditure and bankruptcy. A national survey also reports that main reason for people not to take health insurance is the high premium rate of health insurance.

How to reduce Florida’s high health insurance cost? Nobody knows for sure. There are different opinions and experts are not agreeing with each other. Health professionals believe that if we can raise the number of healthy people by improving the lifestyle and regular exercise, good diets etc. than naturally they will need less medical care services which decreases the demands of health care and hence the cost.( This year in Florida the smoking rate has increased by 21.7 percent) One Floridian sarcastically suggested that there are ‘highs’ and ‘lows’ in health care that are needed to reversed. That the state of Florida is to ‘high’ in cost of medical care compare to other States and ‘low’ in the quality of health care.

Florida Health insurance rate hike has attracted many frauds. These frauds float many bogus insurance companies and offer cheap health insurance rate which attract many people to them. These companies usually through assosiations that are based in other states.

Meanwhile reputable Florida health insurance companies provide different types of health insurance like employer sponsored group health insurance, small business health insurance, individual health insurance etc. to vast number of employees and their families. Still there are many people in Florida that lack any health coverage. Today the employer also has found it challenging to decide how to offer employer sponsored group health insurance to their employees, so that both of them arrive at some point of agreement.

For Floridians it is very important to shop around for a quality health insurance program that doesn’t break the bank.

You need to find an agent or web portal like Florida Health Insurance Web, www.FloridaHealthInsuranceWeb.com that offers a variety of products. There you will most likely be able to get quotes, compare plans, and apply online.

Florida Health Insurance Consultants can help you!



By: Morgan Q. Moran

About the Author:

Morgan Q. Moran is a licensed insurance agent in the state of Florida and is the managing partner of The Moran Financial Group http://www.floridahealthinsuranceweb.com. His strong background in financial management includes: insurance, annuities, and asset management. He has proven methodologies to help his client with all aspects of financial risk management. Morgan holds a B.S. degree from the University of Vermont in Business Administration with concentrations in both marketing and finance.



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Health Insurance Programs

health insurance
Cheap health insurance has become the issue of the moment in South Carolina and across the country. More small businesses are increasingly unable to provide cheap health insurance plans to their employees because of the rising cost and the lack of federal and state legislation that would allow small businesses to purchase cheap medical insurance in pools. In the meantime South Carolina and other states are looking to cut the costs of the Medicare and Medicaid health insurance programs for the elderly and the poor. However, more affordable forms of health insurance plans are available as some private companies are experimenting with a new variation of cheap health insurance known as health discount plans. In the article that follows we’ll explain the various aspects of cheap health insurance in South Carolina and how to find a plan that works for you.

Health Care Costs due to Managed Health Care

The current health care system in America is inaccessible to approximately 47 million poor and lower middle class people. In order to address the growing health care insurance crisis in the U.S. that resulted in health care cost growth in the 1970s and 1980s, health maintenance organizations (HMOs) sprung up. These were initially as non-profit groups designed to separate unnecessary tests and treatments from those that the patient required in an effort to keep costs down. Managed care organizations began screening requested procedures by physicians to pre-authorize what the HMO would or would not cover. However, the number of people who are the riskiest to insure-diabetics, cancer, etc.-continues to rise. Many South Carolina managed care industry experts say the cost of cheap health insurance is still high because of the existing pool of insured people who use the health care system more than an average amount.

The other battle that is ongoing in South Carolina involves the health insurance companies and hospitals, the latter which cannot turn anyone away from care by law. However, as the number of South Carolinians who cannot afford cheap health insurance increases, hospital emergency rooms are handling the majority of the load. More people have to turn to hospitals as their primary health care givers given a lack of adequate or non-existant health insurance coverage.

Cheap Health Insurance Plans Through the Workplace

Most cheap medical insurance policies in South Carolina are usually written through group coverage offered at work by your employer through a private South Carolina cheap health insurance company. This is usually the more cost effective way to purchase cheap health insurance now available since a large number of employees allows South Carolina companies to reduce their insurance premiums. Similar to buying in bulk, the more health insurance plans a business can purchase for its employees the less expensive the insurance is per employee. In South Carolina, like the rest of the nation, the number of companies that can provide cheap health insurance for their employees is declining.

Personal Health Insurance Plans

Health insurance plans can be purchased by individuals and families from virtually every insurance provider in South Carolina. Trying to purchase health insurance on an individual basis can be more expensive if the person already has a health problem, known as a pre-existing condition. Many companies will not cover people with pre-existing conditions if they have no continuation of coverage-renewing health insurance coverage after only a prescribed short period of time-picked up from an earlier cheap health insurance policy.

South Carolina Health Insurance Pool

The South Carolina Health Insurance Pool is a state health insurance plan designed to provide coverage for those that either do not have or have lost medical coverage at no fault of their own and are uninsurable. The pool was created by the General Assembly to help people who couldn’t get health insurance coverage from any other source, including people with certain disabilities. Blue Cross and Blue Shield of South Carolina currently administers the pool.

Coverage is available to a person who has been a state resident for at least 30 days and meets the following criteria:



They were turned down for private health insurance coverage for health reasons;

They were accepted for private health insurance, but have pre-existing illnesses or conditions excluded from coverage, for a period exceeding 12 months;

They are paying health insurance premiums for comparable coverage which are more than 150 percent of the premium levels charged by the pool;

In certain situations, other individuals whose last health insurance coverage was an employer based group health plan may be eligible for coverage.



No matter what your age, there are also several federally sponsored programs to help you if can’t afford the premiums for individual health insurance, providing you meet their eligibility guidelines.



Medicare, a health insurance program for people age 65 or older, certain younger people with disabilities, and people with end-stage renal disease.

Medicaid, a program for the poorest individuals and low-income families with children.

The Children’s Health Insurance Program (CHIP), a plan that provides health care to children whose parents make too much to qualify for Medicaid, but earn too little to afford individual health insurance.



Types of Cheap Health Insurance Coverage

Cheap health insurance plans generally fall into one of two categories: indemnity plans and managed care plans (HMOs, PPOs or POS plans). An indemnity plan allows you to choose your own doctors and pays for your medical expenses totally, in part, or up to a specified amount. Managed care plans generally provide broader coverage within a specified network of health-care providers.

Although you can purchase cheap health insurance plans that cover specific areas of health care (surgical, hospital, physician expense plans) most plans cover varying degrees of health care in a number of different areas. This health insurance coverage, known as major medical insurance, offers extremely broad coverage with a very high maximum benefit that’s designed to protect you against losses from catastrophic illness or injury.

When comparing cheap medical insurance plans, check to see if they provide additional benefits that you may need, including prescription drugs, preventive care, mental health benefits, maternity care, and vision care. A comparison of various health insurance policies and rates through many South Carolina health insurance companies can be obtained at www.insurances.sc.

Cheap Health Insurance Recipient Costs

With most cheap health insurance policies available in South Carolina, the way to control cost is to cut down on the out-of-pocket expenses. Since most health care insurance policies require you to make a co-payment (the amount you pay a health care provider with every visit), anything involving a lot of time spent in the doctor or dentist’s office can become expensive. Most also require a deductible (costs you must cover out of your pocket for any major expense before your cheap health insurance policy picks up the remaining costs). You may also have coinsurance, the percentage of cheap medical insurance cost you will still have to pay after you reach your deductibles.

Another thing to consider is COBRA health insurance. This law allows employees who leave a job the ability to stay on that South Carolina company’s employee health insurance for up to 18 months although they have to pay the full amount of the coverage. Check the COBRA benefits to see if purchasing a less expensive individual health insurance plan may be in your best interest.

How to Buy Cheap Health Insurance

If you need to purchase individual health insurance, it can be expensive. Unlike group plans, in which the costs and risks associated with health care are spread among many people; individual health policies are “medically underwritten” to take into account your personal health history. Any “pre-existing” condition such as heart disease, diabetes, and even pregnancy, can nix your chances of acceptance or boost your premiums.

To determine the acceptability of a particular applicant, a health insurance underwriter can require information regarding the following:



The individual’s age: Age determines rates and whether coverage will be issued at all.

The individual’s gender: at younger ages, males have a lower rate of illness and injury than females. That changes by age sixty.

The individual’s health history and physical condition: Someone who has had a previous condition that can contribute to a future illness/injury is not considered an ideal risk. In response to a less than ideal medical history, modified coverage may be offered depending on the individual’s health, higher than normal premiums may be issued, or the person may be denied coverage altogether.

The individual’s occupation and hobbies: Some occupations such as construction workers have higher insurance rates, along with people who enjoy dangerous activities such as skydiving or bungee jumping. At times certain occupations are considered so hazardous that insurance companies will not cover them at all.



Your first step in getting cheap health insurance coverage is to understand exactly what you need. Think carefully about what coverage you must have. Do you need health insurance for your whole family, or just yourself? Do you want to choose your providers? If you’re over 65, do you need insurance to fill the gaps in Medicare? Do you need – and can you afford – long-term disability and/or long term care coverage? Even if you begin by soliciting cheap health insurance quotes you must still know exactly what you want in terms of health insurance coverage so you will be comparing apples to apples when weighing any cheap health insurance premium quote.

After that, contact a South Carolina insurance agent in your area. Ideally, you can start with an independent South Carolina insurance agent who is familiar with the insurance companies that do business in your area. This agent is also not bound to write coverage for any particular health insurance company so he or she can give you an honest appraisal of various health insurance policies.

When you’ve found the right coverage, you’ll give information to your agent to complete the necessary forms. Be honest. It’s important to disclose your medical history thoroughly and accurately. Report all of your health problems to your agent. If any of your health information is misstated or incomplete, the company might refuse to pay your claims and could cancel your policy.



By: Zack

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Unitedhealth

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UnitedHealth Group, which already owns a formidable market share in the New York metropolitan area, is about to become even larger and more powerful in that region with the acquisition of Health Net’s 578,000 members in New York, New Jersey, and Connecticut. The Woodland Hills, CA-based insurer says it is shedding its Northeastern operations to concentrate on its core Western markets. It’s suggested that one other reason for Health Net’s decision is its recent loss of some military business to Aetna.

Under terms of the deal, United will pay about $510 million for Health Net’s Northeastern assets, which are expected to generate $2.7 billion in revenues this year. At closing, United will pay consideration of $60 million for Health Net’s Medicare and Medicaid business and renewal rights to its commercial membership in the three states. If all of the commercial plan members transfer to United plans, Health Net could receive as much as $120 million in this part of the transaction.

United will also transfer $290 million to United after closing. It will pay Health Net for the remainder of the $450 million in tangible equity in the operations “as the business transitions over the next two years.” Health Net will continue serving its members in the New York area as United attempts to sign them up.

While it’s difficult to determine how big United’s regional business is, the giant national insurer says that it currently has a network of 79,000 healthcare professionals, 200 hospitals and 61,000 pharmacies in the three states. One indication of how local physicians regard the power of United are the suits filed against the company in New York and Connecticut a few years ago by doctors who resisted United’s efforts to make them take Oxford members, or vice versa. United’s acquisition of Oxford Healthcare marked its ascent to a dominant position in the region, and the Health Net purchase will make it even more difficult for any local provider to say No to United.

Meanwhile, United has released its second-quarter results, and they are pretty strong, despite continuing attrition in membership. Revenues hit $21.7 billion, a 7 percent increase from the year-earlier period. While earnings from operations dipped slightly, to $1.44 billion, and investment income dropped more, net income shot up to $859 million from $337 million for the second quarter of 2008. Net earnings for the first six months of this year were $1.84 billion, a 38 percent rise over the prior-year period. The biggest reason for that improvement is that the year-earlier results included $922 million for settlement of two class-action lawsuits and $46 million in severance pay for laid-off employees, partly offset by $185 million from the sale of some assets. If you do the math, United’s bottom line looks less rosy, but earnings per share did rise 9 percent from the year-earlier period.

Contributors to the robust revenues for the 2009 second quarter include an 8 percent rise in premium revenues to $1.4 billion; volume growth at United’s pharmacy benefit manager,  “strong growth in risk-based products in the public and senior markets business,” including Medicare and Medicaid. The company’s “medical loss ratio”—the percentage of premium income it paid for health care—remained nearly constant at 83.6 percent.

So overall, surf’s up for United. Question is, how good will the picture look a year from now if healthcare reform legislation is passed?



By: Individual Health Insurance

About the Author:

Quoting and Saving on your health insurance has never been easier…EasyToInsureME

Golden Rule
Golden Rule Insurance

EasyToInsureME offers clients the easiest way to buy individual health insurance. Free services include instant online health insurance quotes, custom proposals for each client, free phone consultations, and 10-minute application by phone. Nobody does what we do for our clients!



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Health Care Plan

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Barack Obama’s ambitious health care plan is fairly simple and straightforward. His plan seeks to dramatically and swiftly increase the number of people that have health insurance. He insists that this plan will save the typical American family approximately $2500 in annual costs. Since the average Ohio health insurance premium is less than most other states, savings to Ohio residents may average less than $2500.

The Obama plan is designed to give the federal government more control over health care decisions and dollars, a major difference from the current decentralized system of employer-based insurance and state-based insurance regulation. Here in Ohio, health insurers have been effectively held in check by the Ohio Department of Insurance. This, however, is not the case in many other states.

The Obama Plan

Many parts of the Obama plan resemble initiatives from the Clinton health plan of 1994 and the Kerry Health plan of 2004.

Essentially, Obama’s health care plan is divided into three sections:

1. Modernizing the US health care system to lower costs and improve quality

2. Promoting prevention and strengthening public health

3. Quality, portable and affordable health coverage for every person

The “Savings”

The $2500 in savings will come from health care reform, using some of the following initiatives:

*Making health insurance universal, which may reduce spending on uncompensated care.

*Improving management and prevention of chronic conditions.

*Increasing insurance industry competition and reducing underwriting costs and profits.

*Providing reinsurance for catastrophic coverage, which will reduce insurance premiums.

Shifting Cost Burden

While all of these ideas are feasible, the underlying theme seems to be simply shifting some of the cost burden from the private sector to the government. And of course, much more control of our health dollars and decisions would come from Washington D.C and not Anthem or UnitedHealthCare.

The Obama plan will actually compete directly with Ohio private health insurance companies in a “National Health Insurance Exchange.” The federal government (not health insurance carriers) would determine the quality of health benefits that Americans would receive. And these new rules would apply to both the new national health plan and all participating private health plans.

Preventative Coverage Would Be Emphasized

Obama’s health care plan will encourage “healthy lifestyles” with specific emphasis on wellness. Employer wellness programs will be increased, and cafeterias and vending machines in the workplace may see healthier food.

School-based health screening programs may increase along with increased support for physical education.

For Ohio individuals and families, the Obama plan would require preventative services on many federally-supported health programs such as Medicare, Medicaid and SCHIP. One benefit may be possible discounts to on health insurance premiums for enrollment in wellness and prevention programs.

Currently, some Ohio individual health insurance policies offer a similar discount, such as Anthem’s Lumenos Health Incentive Account (HIA).

Ohio Group Health Insurance

Employer-based health insurance would radically change under the Obama plan. Here in Ohio, both small and large employers are able to choose among many different health plans for their employees. The Obama plan would force employers to offer a specific level of health benefits to their employees or pay a tax to finance a national health program. Currently, the amount of provided health benefits and the size of the tax have not been specifically discussed.

Perhaps the best and most economical health insurance plan for Ohio residents would be a concept already in place…HSAs (Health Savings Accounts). Thus, instead of imposing a top-down change on the health care system, it would seem to be prudent to transfer direct control of health care dollars to individuals and families. This would allow Americans to choose their own health plans and benefits, while making health insurance companies compete directly for consumer’s dollars by providing a real value to patients.

All of this could be accomplished by specific tax and regulatory changes designed to utilize the power of free-market competition. Health care spending could be reduced, preventative treatment could be emphasized and portability could be promoted. Reforming the tax treatment of health insurance and aiding employers that help their employees buy health insurance would help quite a bit.

For now, Ohio health insurance rates are remarkably low compared to many other states. There are many reputable health insurance companies that offer a wide array of policies, including Health Savings Accounts. That shouldn’t change much for the next two years. In 2011, things might change…hopefully, for the better.

For additional information on Ohio health insurance plans, or an instant Ohio health insurance quote, please visit http://www.ohioquotes.com



By: Ed Harris

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ppo vs hmo

Medical Condition

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In a country like the United States, if you do not want to be buried in debt; you need a good health insurance for yourself and your family. Whether you are an employee or self-employed, it is necessary that you have a good health insurance coverage to cover your medical bills. However, there is no unique health insurance plan good for every one; benefits and costs vary from an individual to another (due to age, medical condition, etc.). To make a good choice, you need to know what benefits you are looking for, and examine each plan to find the one that best responses to your needs.

Although you have many options in choosing your health insurance, finding the right plan can be difficult. In general, individual health insurance is a form of contract between you and an insurer (insurance company )to repay all or almost all of your medical bills, which may includes hospitalization, medications, dental care, seeing a specialist, and certain therapies (radiotherapy, chemotherapy, etc.).  Whatever your needs, you will most likely have to choose one of these plans, Fee-for-service, HMOs (Health Maintenance Organizations), or (PPOs) participating provider organization.

Fee-for-service – also known as indemnity plans, is a type of insurance plan where you, patient, have to pay all medical expenses out of your own pockets, and then request a reimbursement from your insurance company. These types of plans have their advantages and disadvantages.

Advantages: they offer more flexibility in choosing your own doctor. You can decide the time to see your health care provider, and what type of treatment you want; as long as you remain in the limit that your insurer will repay

Disadvantages: in indemnity plans, most doctors require upfront payment, so you have to submit claim forms to the insurance company to receive a reimbursement. That requires paper work, and sometimes many phone calls. Fee-for-service plans offer limited benefits; they do not cover annual physical exam and educational programs.

HMOs (Health Maintenance Organizations) – Health maintenance organizations (HMOs) are managed care plans that offer health care coverage to their members through hospitals, doctors, and other health care providers that are in their network. That is, having their service, you are limited to members of their network.

Advantages: unlike Fee-for-service plans, you do not have to pay up front; although some of them require a copayment. You do not need to submit forms after forms to receive reimbursement. In addition, HMOs usually charge a lower cost.

Disadvantages: you can use only health care providers who are associated with the organization. Most HMOs (Health Maintenance Organizations) tend to disapprove certain treatments. Although some HMOs accept their members to see physician or specialists who are not in their network, they often charge you additional costs.

(PPOs) participating provider organization – also known as Preferred Provider Organizations,  is a form of managed care organization of physicians , hospitals, clinics and other health care providers that sign a contract with an insurer to provide health services to its member at reduced rates .  Usually, PPOs cost more than traditional HMOs, but offer more options to their members.

Advantages: Preferred Provider Organizations provide more flexibility to their members; they have a bigger network of doctors and hospitals. You can take service from health care providers that are not part of their networks (certain charges often apply). You pay Lower copayments for care from primary care physicians. In addition, you do not need a referral to see a specialist.

Disadvantages: PPOs cost more than traditional HMOs. You will more likely to make co-payments (usually from $10 to $30) when you visit a health specialist.

Do some health insurance companies offer better service to their members than others?

Yes. Some insurers offer better service to their members. To learn more about health insurance companies that provide satisfying individual health insurance plan in the US, visit our top rated list visit careand.com, or click on the link in About Author/Resource box.



By: Remy Vixamar

About the Author:

Remy is a multi-topic writer with years of experience. He loves to share his personal experience with others. For your research on health care insurance, please visit care and insurance .



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Health Care Reform

health insurance
Federal

As mightily as it has tried over the last week, Congress has only marginally moved the needle on health care reform. The Finance Committee will go home for the recess without a deal but with a promise to continue negotiating during the break, and with a target date of September 15 for Committee action. In the House, the Blue Dog Coalition of 52 conservative Democrats put a halt to the Energy & Commerce Committee’s process for 10 days when seven coalition members refused to proceed without concessions and compromises on the House health reform bill: a public plan that is optional to providers and that negotiates rates; preservation of the role of agents/brokers; keeping the bill under $1 trillion; and allowing state-based exchanges. The compromise reached allowed the committee to continue its mark-up and ultimately approve the bill. There are 50 additional amendments that the Committee intends to address prior to floor debate in the Fall. The House will try to meld all three Committee versions into one bill in anticipation of a full House debate and vote in September, at the earliest. The Blue Dogs have made it clear that the larger coalition of 52 has not signed off on anything and that the compromise was chiefly designed to allow the Committee process to proceed. No sooner was the Energy & Commerce Committee/Blue Dog compromise struck when opposition came from both the House progressive caucus and the Congressional Black Caucus. The bottom-line is that neither the House nor the Senate will be voting as a Chamber on health care reform until the Fall, when there will be a major confrontation of all competing interests.

States

ILLINOIS: The Illinois Department of Insurance (DOI) published second notice of proposed rulemaking regarding regulation of Preferred Provider Programs that will be considered for adoption by the Illinois Joint Committee on Administrative Rules (JCAR) on August 18. These rules affect both insurers and network administrators that offer incentives to insureds to utilize the services of contracted providers. For example, new network adequacy language would require that when a beneficiary has made a good faith effort to utilize network providers for a covered service but the appropriate preferred specialty providers are not under contract, then the administrator shall ensure that the beneficiary is provided the covered service at no greater cost than if the service had been provided by a preferred provider. Aetna is currently evaluating the proposed rules.

NEW YORK: The Departments of Health and Insurance released their report by the Urban Institute that examines several proposals to reform the state’s health insurance system. The study analyzes the cost and coverage implications of: 1) the Public-Private Partnership proposal that would simplify and expand existing public programs and reform private health insurance; 2) New York Health Plus, which would give all New Yorkers an option to enroll in Family Health Plus; 3) Public Health Insurance for All, a single-payer public health insurance option; and 4) the Freedom Plan, an option that relies on regulatory flexibility and tax credits. Due to the growing state deficit and interest in federal reform, no immediate action is expected on these proposals. However, legislation based on one or more of the models is likely to be introduced, or reintroduced in 2010.

The report’s key findings include: Three of the four proposals would cover all New Yorkers. The Freedom Plan would leave 13.3 percent of New Yorkers uninsured, down from the current 15.8 percent. There would be minimal change in employer-based coverage under the Public-Private Partnership and the Freedom Plan proposals. However, employer coverage would drop significantly under New York Health Plus and end altogether under Public Health Insurance for All. The individual insurance market would cease to exist under Public Health Insurance for All and New York Health Plus. Individual coverage would increase under the Public-Private Partnership and the Freedom Plan. Post-reform expenditures by employers and individuals would also vary widely. Under Public Health Insurance for All, employer and individual spending would be eliminated. New York Health Plus would reduce both individual and small employer spending. Individual spending would remain constant under the Public-Private Partnership proposal while small employer spending would drop slightly. The Freedom Plan would increase individual spending but somewhat reduce small employer spending.

OREGON: Oregon’s health care reform efforts this year included passage of a 1 percent premium tax on health insurers. Recently, the Division of Insurance offered a draft opinion that the tax should be collected on group policies issued in Oregon and polices issued in other states that cover Oregon residents. The Division opinion is contrary to longstanding NAIC guidance and would result in the imposition of a double-tax on all group policies, as well as administrative hurdles in tracking where individuals reside. Aetna is working with the Division in the hopes of modifying this opinion.



By: Individual Health Insurance

About the Author:

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