Archive for 'Basic Information'

Indemnity Plan Pros and Cons

Categories: Basic Information | November 27th, 2008 | by Administrator | no comments

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An Indemnity or Traditional Plan gives more liberty for you to select which physicians or medical institutions to use, however, it may entail bigger out-of-pocket expenses and additional paperwork for you. In an Indemnity plan, you can consult the physicians or medical specialist you like without need of referrals. Even if you want to get your primary care from only one physician, your insurance provider will not obligate you to select a primary care physician (PCP). But this will mean more expense for you. If you have this kind of liberty, you will have to pay a yearly deductible prior to your insurance provider paying on your claims. After paying your deductible, your insurance provider will now pay your claims at a set percentage (as provided for in your policy) of the “usual, customary and reasonable (UCR) rate” for the service. The UCR rate is the usual amount doctors and other health professionals charge in your area for a particular service or procedure done.

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Does Your Health Insurance Plan Work For You?

Categories: Basic Information | October 9th, 2008 | by Administrator | no comments

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Even if you say you are not sickly, or you take very good care of yourself, there will be times when you will need hospitalization due to a lot of reasons and if you are not prepared, then your pocket will have a hard time adjusting to the all bills that suddenly need to be paid, that is why you need to get the best health insurance plan that will help you in times of need. First think about all your insurance choices. Consider the health needs of your family before signing up for anything. There are two kinds of health insurance: private and government health insurance. The private health insurance is signed up for by the person and if you ahve a job, you will also have insurance coverage as one of your benefits. The health insurance coverage given by the government maybe done on a local, state or national level. Medicare is a health insurance plan given on a national level. This insurance is for those 65 years of age and above and to people with disabilities. The other various government provided insurance are Medicaid, Children’s Health Insurance Program (CHIP), health care benefits for the veterans, the military and qualified American Indians.

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Covering Pre-Existing Conditions

Categories: Basic Information, Feature, Guide | September 30th, 2008 | by Administrator | no comments

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You’ve recently been diagnosed with diabetes, and you know how expensive treatment can be. So you’ve decided to get health insurance to help you with the costs. Wait! Before you even apply for health insurance, read this tip.
A Pre-existing Condition is any illness or ailment that you’ve been diagnosed with and treated for over a specific period of time, by licensed medical practitioner. The time frame varies, depending on your insurance provider, from a year to 24 months. Moreover, any illness that is diagnosed within a specific time frame after your coverage starts may also be considered as a pre-existing condition. This is if the doctor determines that your illness may have started even before your coverage, and may or may not have manifested its symptoms already. In some cases, illnesses that are considered as genetically hereditary (such as asthma) may also be considered a pre-existing condition.
As the insured, you should know that any claims or consultations for this condition is usually not covered by the insurance company. It’s a necessary protection for the insurance company, and a way to keep premiums down. This doesn’t mean that you shouldn’t get health insurance, though. You will still be covered for any illness that will occur after your coverage starts.

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How a Health Insurance Works

Categories: Basic Information | June 2nd, 2008 | by Administrator | no comments

post-1.jpgWhat are the procedures behind a health insurance policy? A health insurance program is basically a legal contract between an individual and an insurance company. Before sealing an official health insurance agreement, all the health care specifications including the type and costs are specified. There are different forms of payment obligations for an individual who applied for a health insurance progam. Some of these are Premium, Deductible, Copayment and the Coinsurance. There may be exclusions in a health insurance policy, the payment for these exclusions will not be covered by the company and will be shouldered by the policy-holder.

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Health Economics: Fundamentals and Flow of Funds

Categories: Basic Information | April 25th, 2008 | by Administrator | no comments

According to recent reports, healthcare has increased its share of U.S. GDP from 5.7 % in year 1929 to 14.7 % in year 2002. It is expected that its share almost certainly will continue to grow, given the increasing number and proportion of elderly.  The Healthcare has also had high rates of price increases compared to the remainder of the economy.  For about 44 million Americans are lack of insurance coverage and the rising prices for prescription drugs have fueled a political debate about what direction healthcare should take. The healthcare economy has characterized the search for market power and increased resources. It discusses the major healthcare issues in conjunction with providing a review of Health Economics: Fundamentals and Flow of Funds by Thomas E. Getzen

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Mandatory Health

Categories: Basic Information | April 20th, 2008 | by Administrator | no comments

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The health-care contract between American workers and their employers began when Franklin D. Roosevelt left health care out of his New Deal. Labor restrictions, tax breaks and accounting rules induced employers to offer private health insurance to workers. In 1940, 21 million Americans were enrolled in company-sponsored health plans; by 1950, 142 million. Privatized health insurance seemed like a glorious triumph for capitalism. Keep government out; let industry thrive!

Health-care expenditures in the U.S. totaled $27 billion in 1960; in 2005, $2 trillion. Oh, workers paid their part, in the form of premiums and co-pays. But as benefits grew more generous, employees’ contributions shrank, from 48% of all health-care costs in 1960 to 15% in 2000.

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Importance of Health Insurance

Categories: Basic Information | April 10th, 2008 | by Administrator | no comments

Wal-Mart have recently been on the news because the company neglected to provide health insurance plans for their employees. Companies are always looking for ways to maximize profit without considering they well being of their workers. That’s the reason why much of our taxes are going to pay for the health insurance of minimum wage workers. No one should disregard the need for health insurance. Health insurance provide us with an easy way to ensure our future. If you’re still young and healthy you can be sure that you can get an affordable monthly rate. Take no chances with your future. It just takes one accident to put you out of commission

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Parity for Mental Illness Treatment

Categories: Basic Information | April 5th, 2008 | by Administrator | no comments

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Two Kennedys are battling it out in Congress over mental health coverage. The House of Representatives passed a bill sponsored by Rep. Patrick Kennedy, a Democrat from Rhode Island, that requires health insurers to cover mental illness treatments as they do physical ailments.
It also sponsors a competing bill in the Senate that gives insurance companies more flexibility.
The Substance Abuse and Mental Health Services Administration, a division of the Department of Health and Human Services, today released a state-by-state snapshot of mental health problems, alcohol abuse, substence dependency, and tobacco use in the United States. Some statistics: North Dakota scored lowest in the nation on percentage of citizens using illicit drugs, but it ranks the highest for underage alcohol use.

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Specialist insurance vital for “health tourists”

Categories: Basic Information | March 1st, 2008 | by Administrator | no comments

Health tourists need to purchase specialist travel insurance before they make a trip abroad for the purpose of undergoing medical treatment. During 2007, statistics show that Britons taking advantage of faster and cheaper treatments abroad is rising by around 30% per annum, with over 70,000 people choosing to have cosmetic surgery or elective medical treatments. The Post Office research found that over 25,000 people put themselves at risk last year by failing to take out adequate insurance cover. The head of the Post office Travel Services, Helen Warburton , says that it is “vital” that people purchase additional specialist cover when an overseas trip involves medical treatment.

 

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Health Insurance Statistic in the U. S.

Categories: Basic Information | February 11th, 2008 | by Administrator | no comments

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In the United States, health insurance is considered to be a “must have” for every person or family. That is why it is such a big issue when they talk about health insurance matters. In many instances, people who quit their job would be concerned first about their health insurance among any others. The reason for this is that Americans believe that health insurance is their protection when major incidents happen like childbirths and tragic accidents. From the U.S. Census Bureau comes the following insurance statistics:
• 245.3 million people in the US have health insurance of any form
• As the rate of insured people increases, so is the rate of the uninsured because the number of immigrants and children being born also increases

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