Health Insurance Policy

You now are the owner of a new health insurance policy because your place of employment changed providers, but you do not have the first clue what the new policy covers. The first thing you should do is take a moment to read the policy. Do not be surpirsed if you get more confused as each word. This is common pace for a lot of people and it shouldn't discourage you. Insurance policies are simple to understand if you understand the language they speak. If you don't tspeak their language, which most of us do not, then you will surely get lost.
The first things you want to understand about your policy are the many terms that are in your policy. One of the common terms that you will see is a deductible. A deductible is what you pay before any benefits in your health insurance policy are accessible. Usually, this is an annual amount and will vary greatly by the type of policy. Usually there are separate deductibles for an individual account versus a family account. A few policies let consumers use some of their services with out meeting the deductible. The following year after you have exhausted your deductableh you will have to start all over again.
Co-payments are dollar amounts that are paid by the consumer before the insurance will pay for services and this is paid in addition to the deductibles by the consumer. Some policies will allow the consumer pay a co-payment for certain services without meeting the deductible.
Out of Pocket costs are what the consumer is required to pay out of your own pocket. This could include deductibles, and co-payments. The term "annual out of pocket expense" is the maximum omaximum amounta consumer would have to pay for health services minus the premiums.
Most policies have a lifetime maximum term. This means that every policy has a cap on it. During the lifetime of the policy the consumer expenses can't go over a predetermined amount or the health insurance policy underwriter will not pay. Do not worry. It is usually a very high amount to start but with the rapidly escalating health care costs a consumer can reach it quickly.
The exclusions section must also be read very carefully and a consumer must fully understand the health insurance policy. Exclusions are conditions that the policy does not cover. This can be a very hazy area. The policy may cover operations but not the after care of the operations or it may cover the after care and not the operation itself. This is the most important section of your policy so read it carefully to ensure that you grasp all of exclusions.
There are many things that you should always remember as you read your health insurance policy. Read every paragraph to ensure you understand how the policy functions so you will not have questions if the need ever arises to use it.

Top 5 Goverment Approved Whistle Blowing Tips Next Time You Go Shopping For Low Cost Health Insurance.

So, you've decided to renew or purchase a health insurance policy. Shop Carefully Before You Buy. Policies differ as to coverage and cost, there are many companies and they differ as to service. Do your homework, contact several companies and compare their premiums before you make your final purchasing decision.
1. Don't Buy More Policies Than You Need. Duplicate coverage is expensive and unnecessary. A single comprehensive policy is better than several policies with overlapping or duplicate coverage. Federal law prohibits issuing duplicative coverage to Medicare beneficiaries even if both policies would pay full benefits. The law generally prohibits the sale of a Medicare supplement policy to a person who has Medicaid or another health insurance policy that provides coverage for any of the same benefits.
Similarly, the sale of any other kind of health insurance policy is generally prohibited if it duplicates coverage you already have. When you buy a replacement Medigap policy, the insurer is required to obtain your written statement that you intend to cancel the first policy after the new policy becomes effective. If you are on Medicaid, insurers may not sell you a Medigap policy unless the state pays the premium. Anyone who sells you a policy in violation of these anti-duplication provisions is subject to criminal and/or civil penalties under federal law. Call 1-800-638-6833 to report suspected violations.
2. Consider Your Alternatives. Depending on your health care needs and finances, you may want to consider continuing the group coverage you have at work; joining an HMO, CMP or other managed care plan; buying a Medigap policy; or buying a longterm care insurance policy.
3. Check For Preexisting Condition Exclusions. In evaluating a policy, you should determine whether it limits or excludes coverage for existing health conditions. Many policies do not cover health problems that you have at the time of purchase. Preexisting conditions are generally health problems you went to see a physician about within the 6 months before the date the policy went into effect.
4. Don't be misled by the phrase "no medical examination required." If you have had a health problem, the insurer might not cover you immediately for expenses connected with that problem. Medigap policies, however, are required to cover preexisting conditions after the policy has been in effect for 6 months.
5. Beware of Replacing Existing Coverage. Be careful when buying a replacement Medigap policy. Make sure you have a good reason for switching from one policy to another--you should only switch for different benefits, better service, or a more affordable price. On the other hand, don't keep inadequate policies simply because you have had them a long time. If you decide to replace your Medigap policy, you must be given credit for the time spent under the old policy in determining when any preexisting conditions restrictions apply under the new policy. You must also sign a statement that you intend to terminate the policy to be replaced. Do not cancel the first policy until you are sure that you want to keep the new policy.
Further thoughts that you may have not yet considered...
Policies to Supplement Medicare Are Neither Sold Nor Serviced by the State or Federal Governments. State insurance departments approve policies sold by insurance companies but approval only means the company and policy meet requirements of state law. Do not believe statements that insurance to supplement Medicare is a government-sponsored program.
Above all take your time. Do not be pressured into buying a policy. Principled salespeople will not rush you. If you are not certain whether a program is worthy, ask the salesperson to explain it to a friend.

Supplemental Medical Insurance – What Is Supplemental Health Insurance?

Group health insurance rates have been increasing year after year and employers have been forced to make some drastic changes in their employee benefit programs. Many employers have changed their health insurance to high deductible plans. Dental Insurance has been discontinued by some companies as well as vision care. Disability programs have been trimmed down as well as group life insurance. This has created gaps in coverage and employees have had to look for alternatives for coverage that has been omitted or decreased in their benefit package. The answer to this problem has come in the form of supplemental health insurance. Supplemental health insurance companies will enroll employees with these products and the premiums are paid through payroll deduction.
Supplemental health Insurance Products
1. Disability Insurance – Supplemental disability insurance is sold to employees to fill in gaps or replace lost benefits. Long term and short term disability insurance can be purchased with a variety of waiting periods and benefit periods.
2. Life Insurance – Supplemental life insurance includes a variety of permanent plans as well as term life insurance. There are non-medical life policies available for larger groups when a certain amount of employees participate in the plan.
3. Dental Insurance – This is one of the more popular supplemental health products because it usually the first discontinued by the employer.
4. Cancer Insurance – The cancer policy is a single need policy with relatively low premiums.
5. Accident Insurance – The accident policy covers accidental injury and death. There are accident disability riders on some accident policies.
6. Hospital Income – The hospital income policy pays a daily dollar rate to the insured while hospitalized. These policies can pay as low as $10 per day and as high as $200 for each day hospitalized.
The need for supplemental insurance is stronger than ever before. These policies can also be purchased on an individual basis with most companies.

Low Cost Family Health Insurance - Some New Trends That Will Save You Money

Is there such a thing as low cost family health insurance? If you listen to the news and read all the newspapers then I am sure that you are already convinced that health insurance is no longer affordable. There has been an upward trend in the cost of health insurance. The cost for doctor and hospital services is always on the increase and so the cost of health insurance will rise accordingly. This should not surprise any of us who understand basic economics.
Insurers understand this problem and are making every effort to find creative methods to lower health insurance premiums. The health insurance shopper has to take a different approach. There are many ways to fine-tune a health insurance plan without losing the desired benefits. The smart shopper will look into the new approach to purchasing health insurance and reap the benefits.
Self-Insuring
There are advantages to the consumer who can grasp the concept of self-insuring. Self-insuring allows you to lower your health insurance premium by taking responsibility for the deductible amount. Deductibles are examples of self-insurance. Health insurance deductibles can range from $500 to $5000 with some major medical plans. The amount of the deductible should be determined by your ability to self-insure for the deductible amount.
Health Savings Accounts
This kind of savings account is like having a medical IRA. You can set aside money in a savings account for future medical expenses. The health savings account is a great way to fund the higher deductible. The tax-deductible feature of the Health Savings Account makes it very attractive.
The average consumer spends way too much time choosing between PPO (The Preferred Provider Organization Plan) verses the HMO (The Health Maintenance Organization Plan). The real cost savings issues are found when we concentrate on the plan design. That includes the deductible options, vision care, dental care, and prescription drug options.

Ins and Outs and others of health insurance

One of the great benefits of working at a full time job, is that often times your employer will provide health insurance. This insurance doesn't come free, most likely a portion of your salary is deducted to cover it's costs, however becuase you are under a company you can acheive greater discounts through group rates.
Health insurance is simply a type of insurance that will cover the insured person or part when that person or party become sick or injured,etc. The insurer is not always a private organization it can often times be a government agency. There are great differences between health care insurance around the world. For example in Canada health care is part of our social system and is public, where as in the United States health care is for the most part private.
There are several pros and cons to each system, and depending on the area in which you reside you might not have a choice as to which system that you choose. Private health insurance has become one of the most talked about and debated forms of insurance because of the impact that it places on the different levels of society, for example the poor, middle class, and wealthy. Should it be that a person with more money, is allowed to have better medical facilities and attention, and is it not that a services such as health care are a basic human right? I'm not sure if we will ever see an end to this debate, as there is soo many pros and cons to each side, and I'm sure that you can see who would be fighting for which side, and why.

New Way To Lower The Cost Of Health Insurance

It seems that every day there is an article about the rising cost of health insurance, the high number of people with no health insurance, and our system of financing medical care which is broken and needs repair or replacement.
What goes unreported is that since January 1, 2004 there is a new way to finance medical expenses which drastically reduces the cost of medical insurance when compared to traditional forms of health insurance. The name of this radical new approach to financing health care is: Health Savings Accounts, or HSAs.
Health Savings Accounts combine a health insurance plan that will pay medical expenses after a patient has paid a few thousand dollars for medical care. A unique feature of these high up-front (a “high deductible” in insurance-speak) medical insurance plans is that a patient can open up an IRA-like tax favored savings account to fund the deductible. When sick the patient can withdraw money from the Health Savings Account without any tax penalty.
Like a rainy day fund, a person on an HSA puts money aside in his/her own savings account in addition to paying a health insurance premium for insurance that will pay when a catastrophe happens. The HSA-compatible medical insurance plans are less expensive than most other health insurance because they only begin to pay for treatment after a patient has incurred several thousand dollars worth of medical bills.
The combined cost of the low cost medical insurance plan and the HSA savings component are likely the same or less than the cost of a traditional health insurance plan which begins paying medical bills immediately. The big savings in HSA plans are threefold:
1) The money invested in the HSA savings vehicle stays in the pocket of the insured person until used to pay qualified medical expenses;
2) The money deposited into the HSA savings account is a deductible expense from Federal income taxes – also many states allow income tax deductibility for HSA contributions; and,
3) An insured person pays less for health insurance to an insurance company.
Most people only care about the cost of health insurance when they have to pay the premium (i.e., monthly payment for the insurance.) This applies to individuals and families who purchase their own policies and also companies which purchase health insurance on behalf of employees and their families. HSAs make the most sense for these people – since every dollar they save on premium stays in their pocket.
HSAs offer a unique feature to employers: they can partially or fully fund the HSA savings account for employees covered by a compatible health insurance plan. Employees can also make tax deductible contributions to their own HSA account – up to the maximum allowed by the IRS.
So, an employer who may save $150-$200 per month per employee could contribute $75-$100 pre month to an employees HSA account, get a tax deduction and still spend less money in total for health insurance than they would spend on a traditional health insurance plan for their employees.
The employees like this arrangement because any money deposited into their HSA account become theirs immediately (i.e., the vest immediately.) The immediate full vesting for the employees also helps those companies with no retirement accounts (e.g., 401k plan.)
Money in the HSA accounts can be used for non-medical expenses at age 65 with no tax penalty. Many employees see this as an opportunity to accumulate a lot of money for their retirement – assuming they stay healthy. If they become sick the money is there to pay for medical expenses.
HSAs – the new way to reduce the cost of financing medical care.

Expensive Health Insurance? Ways To Cut The Cost.

You may have noticed an increase in your health insurance premium recently. Here we examine some of the possible reasons for this and look into ways of combating them.
According to the market-research group Datamonitor, medical inflation is the reason for yearly increases of 8% in health insurance premiums. The steady progress in the development of new drugs, therapies and equipment used to diagnose medical conditions and the resulting costs are an obvious reason for this. This is understandable and everyone wants the latest in diagnostics and treatments. Equipment becomes obsolete with time and invariably the very words newer and improved mean a rise in cost.
Another reason may be that insurance risks and therefore costs increase with age. Many insurance companies still use age bands, where costs increase at the end of a ten-year period. For example, someone aged between 40 and 49 would pay their normal agreed premium. Reach the dreaded 50 and the next bracket is between 50 and 59, and so on. The increase is greater with age and could be as much as 50% in the 60 to 69 category.
Many insurers have chosen to smooth out the increases on a yearly basis. BUPA, Pruhealth and Axa PPP are three of these. Axa PPP customers, for example, should expect a rise in the cost of premiums by about 2%, due to their age. Other insurers are said to be thinking of introducing this method.
The fast rising costs of medical insurance is worrying consumers and many are making the decision to terminate their policies when they’re coming up to their 60’s and this may be just when their need is greatest. Datamonitor has issued figures showing that there was a drop of 15.2% in the number of people with private medical insurance in the 7 years prior to 2004.
With this in mind, insurers have come up with some ways to cut the costs. You could opt for an excess on the policy, effectively working out a plan to suit your budget. For instance BUPA tell us that if you were willing to pay a £2000 excess, you would halve your premium. An excess of £100 could quite well reduce your bill by around 10%.
No-claims discounts are another possible way to reduce your premium and it’s possible to obtain up to a 50% saving. You should be able to transfer this if you decide to change providers.
There’s a big variation in the way in which companies treat no claims discounts. Axa PPP offers an immediate 27.5% no claims discount at the start of a policy, but make a claim and this is lost. Not all BUPA’s policies include the provision for no claims discounts, but some do and they guarantee that in the event of a claim, the resulting rise in premium will be a maximum of 10%.
Pruehealth encourage their policyholders to stay healthy in order to reduce their premiums. You can get between 25 and 100 per cent off next year’s premium, depending on the effort you put into it. Points are given for various activities and lifestyle changes.
With all these choices, it’s an excellent time to investigate the options. Don’t just keep paying out and certainly don’t lose that valuable cover by cancelling your health insurance, just get on line and find an insurance broker who will find the right cover for you at a price to suit your budget. Your pocket will benefit too, with the on-line discount.

Basic Facts About Health Insurance Policies In A Bad Economy

1. DOES YOUR PLAN COVER YOU ON AND OFF THE JOB?
Many health insurance plans have specific exclusions that eliminate your benefits for anything that could have been covered under Workers Compensation or similar laws. Now read that last sentence again.
COULD HAVE BEEN COVERED!?
That is correct. Most self employed people and even some small business owners do not carry Workers Comp on themselves.
There are designed insurance plans that will cover you on and off the job — 24-hours a day, if you are not required by law to have Workers Compensation coverage.
2. ARE YOU WRITING IT OFF?
Independent contractors (1099's), home based business owners, professionals and other self employed people generally are not taking advantages of the tax laws available to them.
Many people who are paying 100% of their own costs are eligible to deduct their monthly insurance payments. Just that alone can reduce your net out-of-pocket costs of a proper plan by as much as 40%. Ask your accounting professional if you are eligible and/or check out the IRS website for more information.
3. INTERNAL LIMITSAll true insurance plans use some form of internal controls to determine how much they will pay out for a particular procedure or service. There are two basic methods.
-Scheduled Benefits
Many plans, some of which are specifically marketed to self employed and independent people, have a clear schedule of what they will pay per doctor office visit, hospital stay, or even limits on what they will pay for testing per 24-hr. period. This structure is usually associated with "Indemnity Plans". If you are presented with one of these plans, be sure to see the schedule of benefits, in writing. It is important that you understand these type of limits up front because once you reach them the company will not pay anything over that amount.
-Usual and Customary
"Usual and Customary" refers to the rate of pay out for a doctor office visit, procedure or hospital stay that is based on what the majority of physicians and facilities charge for that particular service in that particular geographical or comparable area. "Usual and Customary" charges represent the highest level of coverage on most major medical plans.
4.YOU HAVE THE ABILITY TO SHOP!
If you are reading this you, are probably shopping for a health plan. Every day people shop, for everything from groceries to a new home. During the shopping process, generally, the value, price, personal needs and general marketplace gets evaluated by the buyer. With this in mind, it is very disconcerting that most people never ask what a test, procedure or even doctor visit will cost. In this ever-changing health insurance market, it will become increasingly important for these questions to be asked of our medical professionals. Asking price will help you get the most out of your plan and reduce your out-of-pocket expenses.
5. NETWORKS AND DISCOUNTS
Almost all insurance plans and benefit programs work with medical networks to access discounted rates. In broad strokes, networks consist of medical professionals and facilities who agree, by contract, to charge discounted rates for services rendered. In many cases the network is one of the defining attributes of your program. Discounts can vary from 10% to 60% or more. Medical network discounts vary, but to ensure you minimize your out-of-pocket expenses, it is imperative that you preview the network's list of physicians and facilities before committing. This is not only to ensure that your local doctors and hospitals are in the network, but also to see what your options would be if you were to need a specialist.
Ask your agent what network you are in, ask if it is local or national and then determine if it meets your own individual needs.