Health Insurance ? Not As Straightforward As It Would Seem

Most of the seven million people covered by health insurance in the UK have a policy provided by their company. As such it is a useful benefit, but many of us assume that it will cover any kind of health issue and this is definitely not the case. The insurers exclude a wide variety of possible claims, and this article will explain those in detail.

Health insurance has a very specific purpose ? to get people suffering from short-term, curable health problems straight through to a consultant and to receive top quality private care in top speed time. Essentially, it's about jumping the lengthy NHS queues. However, there are many health problems that don't fit into this narrow band, and as such are not covered by a health insurance policy.

Be aware however that every policy is different, and only be reading your own policy documents will you be able to find out exactly what you are covered for. This article will give you the knowledge you need to understand your policy better.

Defining ? Chronic'

Illnesses and conditions etc fall into two main categories: ?acute' and ?chronic'. Short-term illnesses that can be fixed and cured are called ?acute', for example if you fell and broke your arm, this would be classed as acute. If, however, your problem is either incurable or deemed to be a long-term issue, then it will be classed as ?chronic' and subsequently you will not be able to make a claim.

What counts as ?acute' and what counts as ?chronic' is a hotly disputed issue between insurance companies and their customers. Diabetes and asthma are acknowledged as chronic, long-term conditions that cannot be cured.

The issues become more difficult with certain types of cancer. It often happens that the cancer is considered to be treatable at first, and then the diagnosis is changed at a later time to incurable. In this case, you would only be covered as long as the cancer was diagnosed curable. If the prognosis changes you will lose your cover. Insurance companies are allowed to reclassify an illness from acute to chronic at any time.

What about the long-term
If you need long-term treatment then you're out of luck. However insurers have different ideas on what constitutes long-term, you may be covered for 10 months or up to a year, but it probably won't be for any longer than that. Check your policy for details.

Does preventative medicine count?
Health insurance cannot be used to pay for preventative treatment, although that is another matter of contention. For example, a drug called ?Herceptin' can be used to help women who have ?HER2', a virulent form of breast cancer. The drug has helped reduce the risk of the cancer returning by an average of 50%. Many would call this an essential treatment, but some insurers call it preventative. Legal and General and Axa PPP will not pay for this treatment, however BUPA, Standard Life Healthcare, Norwich Union and WPA will.

Drugs not yet available on the NHS
You might think that it doesn't matter if the drug is available on the NHS, but it relates to the system of drug approval in England and Wales. Before a drug can be used in the NHS, it must be approved by The Institute for Health and Clinical Excellence. The problem is, if it's not approved, the insurance company won't allow you to be treated with it. Huge delays affect the introduction of new drugs into the NHS because The Institute for Health and Clinical Excellence must first ascertain if the benefits of the drug justify the financial costs of adding it to the NHS treatments. As a result, the drug you need may not be approved, and if so, it won't be covered.

Aware of this problem. the Financial Ombudsman issued a compromise which stipulates if the insurer won't cover ?experimental treatments', then it should cover the cost of the approved conventional treatment. The policyholder is then free to undergo the experimental treatment and pay the surplus if it's more expensive.

Pre-existing conditions

A ?pre-existing condition' describes a condition or illness that you suffered from before starting your health insurance policy. You will have to provide details of all these when you fill out your application form. That way the insurer is aware of what they can exclude from your policy. Be sure to be truthful in the application form as the insurer can easily contact your doctor to see your medical history, and they often do ? having requested your approval first. They will also sometimes ask people to undergo a medical examination.

What counts as a pre-existing condition is also a potentially sore subject. If you fell off your horse years ago and fractured an ankle, you may find in later life that it starts playing up again and you need an operation to fix the problem. The insurance company may reject a claim, saying that it's a condition that occurred before the policy began. If that happens, you either pay yourself, or go with the NHS.

Some insurance companies write a moratorium provision into their policies, which allows some respite from a potential long list of pre-existing conditions. For example, you may be covered as long as you have not suffered from the condition for two years, with the condition first taking place in the last five years. These time frames are individual to insurance companies, read the small print first to see if your policy includes a moratorium provision.

The condition or illness is excluded

Health insurance is renewable on a yearly basis and at renewal time, you may find that your policy, and your premiums, have changed ? often not for the better.

If you are undergoing treatment at time of renewal, it's possible that your condition or illness will have become ?excluded' in the renewed policy, and that you will have to cover the cost of the rest of the treatment.

Because medical research is advancing so quickly, and the number of conditions considered treatable is increasing, the goalposts are always shifting as to what is chronic and what is acute.

The insurance companies are usually trying to cover their own backs. More conditions are being classified as acute, so they have to pay out more in claims. At the same time, newly introduced treatments and drugs are often expensive, so that's more expense to the insurer. To cover their losses, the insurers increase the premiums, and introduce some more exclusions. You have to watch out for this as you may renew your policy without realising that some very important details have changed.

So if have Health Insurance, or you are considering signing up to a policy, take this article into account and read the small print so you know exactly what is and isn't covered. And the golden rule: before getting treatment, always double check with your insurer first that it is covered.

About the Author: Safeguard is a uk critical illness insurance website. We provide a huge amount of information based around our products, to read more visit the critical illness information

Finding Affordable Health Insurance

Affordable health insurance - it seems, particularly today, those words just don't belong together in the same sentence. Health insurance monthly premiums are becoming the biggest single expense in our lives - surpassing even mortgage payments. In fact, if you have any permanent health problems, such as diabetes, or have had cancer at one time in your family history, your monthly cost could easily be more than the house and car payment combined.

Shopping for affordable health insurance can certainly be an eye-opener. If you have always had a health insurance benefit where you work - especially a state or federal employee - and now have to buy your own, you may not be able to afford the level of health insurance coverage you have become used to.

Affordable health insurance, however, is definitely available -if you know how and where to look.

When you are looking for affordable health insurance, you want the lowest cost per year that will fit your budget, of course. But, even more importantly, you want a company that has a good record for paying without fighting with you on every detail. Just as there is a car for just about any budget, there is also affordable health insurance. You may not be able to afford a "Cadillac" policy - but then you probably don't need all the frills anyway.

Shopping for health insurance on the internet is the easiest and best way to find affordable health insurance. Here are five reasons why.

1. You don't need a local agent to help you submit the claims for health insurance. The medical provider does it for you. You save money because the health insurance company saves money by not paying the agent commission. This could amount to an 8% to 12% savings to you. 2. All the top health insurance companies are at your fingertips on the internet. Most local agents can only quote you from the few companies that they represent. They may not offer you what is best for you financially or health-wise but only what they happen to have available. 3. Health insurance companies have to be extremely competitive because it is so quick and easy to compare them with their competitors on the internet today. In the past you would have had to visit physically eight to ten agents to do a similar comparison. Most folks just didn't have the time or desire for that. 4. You can change your coverage, deductibles, and payment options with just a few clicks rather than going through the paperwork delay with a local agent (and then finding out he/she made a mistake - more delay). 5. Charging to a credit card means you aren't going to forget a payment and be without insurance. Also, it gives you another 30 days before you actually have to pay. Also, many companies today give an additional discount for "auto-pay".

The key, however, to finding affordable health insurance is realizing that the purpose of any health insurance is to protect you from a major financial loss - not to protect you from spending small money on clinic visits and sliver removal. These small expenses may be cumbersome but they generally will not hurt you. It's the $100,000 heart operation that will break you. That's the financial disaster health insurance was originally designed to prevent.

Also, keep this in mind. Health insurance, as with any insurance, is a gamble. You are gambling that you will draw out more than you pay in. Your health insurance company is gambling they will pay out less. The odds are in their favor for two reasons. They have all the facts for millions of families to average out, so they know the risk in advance. Also, they get to set the rules and the prices. The higher you set your deductible, the more risk you take. This is not a bad thing at all. You will most likely be the winner in the long run.

Yes, finding affordable health insurance is much easier than most people think.

By adding more of the risk with higher deductibles, spending a little time on the internet comparing eight to ten different companies, and deleting coverage that you will not likely need (such as maternity for many people) will make it likely for you to find your own affordable health insurance.

Daniel J Lesser is the creator of HotHealthInsuranceSecrets.com. A whole world awaits those healthy enough to see it. Find out how to stay healthy at an affordable price www.hothealthinsurancesecrets.com.

Health Insurance ? Not As Straightforward As It Would Seem

Most of the seven million people covered by health insurance in the UK have a policy provided by their company. As such it is a useful benefit, but many of us assume that it will cover any kind of health issue and this is definitely not the case. The insurers exclude a wide variety of possible claims, and this article will explain those in detail.

Health insurance has a very specific purpose ? to get people suffering from short-term, curable health problems straight through to a consultant and to receive top quality private care in top speed time. Essentially, it's about jumping the lengthy NHS queues. However, there are many health problems that don't fit into this narrow band, and as such are not covered by a health insurance policy.

Be aware however that every policy is different, and only be reading your own policy documents will you be able to find out exactly what you are covered for. This article will give you the knowledge you need to understand your policy better.

Defining ? Chronic'

Illnesses and conditions etc fall into two main categories: ?acute' and ?chronic'. Short-term illnesses that can be fixed and cured are called ?acute', for example if you fell and broke your arm, this would be classed as acute. If, however, your problem is either incurable or deemed to be a long-term issue, then it will be classed as ?chronic' and subsequently you will not be able to make a claim.

What counts as ?acute' and what counts as ?chronic' is a hotly disputed issue between insurance companies and their customers. Diabetes and asthma are acknowledged as chronic, long-term conditions that cannot be cured.

The issues become more difficult with certain types of cancer. It often happens that the cancer is considered to be treatable at first, and then the diagnosis is changed at a later time to incurable. In this case, you would only be covered as long as the cancer was diagnosed curable. If the prognosis changes you will lose your cover. Insurance companies are allowed to reclassify an illness from acute to chronic at any time.

What about the long-term
If you need long-term treatment then you're out of luck. However insurers have different ideas on what constitutes long-term, you may be covered for 10 months or up to a year, but it probably won't be for any longer than that. Check your policy for details.

Does preventative medicine count?
Health insurance cannot be used to pay for preventative treatment, although that is another matter of contention. For example, a drug called ?Herceptin' can be used to help women who have ?HER2', a virulent form of breast cancer. The drug has helped reduce the risk of the cancer returning by an average of 50%. Many would call this an essential treatment, but some insurers call it preventative. Legal and General and Axa PPP will not pay for this treatment, however BUPA, Standard Life Healthcare, Norwich Union and WPA will.

Drugs not yet available on the NHS
You might think that it doesn't matter if the drug is available on the NHS, but it relates to the system of drug approval in England and Wales. Before a drug can be used in the NHS, it must be approved by The Institute for Health and Clinical Excellence. The problem is, if it's not approved, the insurance company won't allow you to be treated with it. Huge delays affect the introduction of new drugs into the NHS because The Institute for Health and Clinical Excellence must first ascertain if the benefits of the drug justify the financial costs of adding it to the NHS treatments. As a result, the drug you need may not be approved, and if so, it won't be covered.

Aware of this problem. the Financial Ombudsman issued a compromise which stipulates if the insurer won't cover ?experimental treatments', then it should cover the cost of the approved conventional treatment. The policyholder is then free to undergo the experimental treatment and pay the surplus if it's more expensive.

Pre-existing conditions

A ?pre-existing condition' describes a condition or illness that you suffered from before starting your health insurance policy. You will have to provide details of all these when you fill out your application form. That way the insurer is aware of what they can exclude from your policy. Be sure to be truthful in the application form as the insurer can easily contact your doctor to see your medical history, and they often do ? having requested your approval first. They will also sometimes ask people to undergo a medical examination.

What counts as a pre-existing condition is also a potentially sore subject. If you fell off your horse years ago and fractured an ankle, you may find in later life that it starts playing up again and you need an operation to fix the problem. The insurance company may reject a claim, saying that it's a condition that occurred before the policy began. If that happens, you either pay yourself, or go with the NHS.

Some insurance companies write a moratorium provision into their policies, which allows some respite from a potential long list of pre-existing conditions. For example, you may be covered as long as you have not suffered from the condition for two years, with the condition first taking place in the last five years. These time frames are individual to insurance companies, read the small print first to see if your policy includes a moratorium provision.

The condition or illness is excluded

Health insurance is renewable on a yearly basis and at renewal time, you may find that your policy, and your premiums, have changed ? often not for the better.

If you are undergoing treatment at time of renewal, it's possible that your condition or illness will have become ?excluded' in the renewed policy, and that you will have to cover the cost of the rest of the treatment.

Because medical research is advancing so quickly, and the number of conditions considered treatable is increasing, the goalposts are always shifting as to what is chronic and what is acute.

The insurance companies are usually trying to cover their own backs. More conditions are being classified as acute, so they have to pay out more in claims. At the same time, newly introduced treatments and drugs are often expensive, so that's more expense to the insurer. To cover their losses, the insurers increase the premiums, and introduce some more exclusions. You have to watch out for this as you may renew your policy without realising that some very important details have changed.

So if have Health Insurance, or you are considering signing up to a policy, take this article into account and read the small print so you know exactly what is and isn't covered. And the golden rule: before getting treatment, always double check with your insurer first that it is covered.

Safeguard is a uk critical illness insurance website. We provide a huge amount of information based around our products, to read more visit the critical illness information

Help! I Lost My Health Insurance!

It can literally be one of the scariest places to find yourself - without health insurance coverage. When a simple trip to the emergency room can lead to thousands of dollars in charges, the last thing you need is to not have health insurance. But what options do you have? Graduating from college can be a true rite of passage into adulthood, because this is the time when most health insurance plans drop you from your parents' plan. Even landing a job right after graduation can still mean that you will have to go through a grace period before the company's health insurance kicks in. And if you have left a job for greener pastures, well...don't get sick or injured!

But do I even have options?

Well you probably do have options for health insurance coverage, but they may not be ideal. If you have quit your job, then you will have the option of extending your health insurance benefits for up to 18 months - thanks to COBRA. The only catch is that you will have to pay for those benefits out of your own pocket. Not exactly an easy thing to do without that paycheck rolling in every week.

Is that it? Is that my only hope?

Before you panic, just relax. The solution is short-term health insurance. As the name implies, this solution offers you health insurance options for a limited period of time. Most short-term health insurance benefits are available for 30 to 180 days. Depending on where you live, you may be able to obtain these benefits for up to a year.

And short term health insurance is the same as what I had at work?

Well, if you mean that you have coverage in the event of a hospital visit or sudden illness, then yes. You also can pick your own doctors and hospitals, which is actually an advantage over some health insurance plans offered by employers. But there are definitely coverage limitations on short-term health insurance plans.

So what am I not covered for?

That really is the million dollar question, isn't it? Well, routine medical exams are not covered by a short term health insurance policy. Any kind of preventative care is also out the window with this type of coverage. Plus, you can forget about dental and optical coverage with short-term health insurance. For obvious reasons, this sort of health insurance also does not cover medical costs relating to a pregnancy nor, anything having to do with the childbirth itself.

No offense, by why should I bother with short term health insurance?

Because a simple trip to the emergency room can cost thousands of dollars, and any emergency procedure and hospital stay can cost tens of thousands of dollars. Hey, short- term health insurance is not supposed to be the long-term solution. It is just a way to make sure you are covered while you are not on any employer's health insurance plan. And it can help you avoid going into serious debt, should something happen to you when you are not otherwise covered on a health insurance plan. For that reason alone, it is definitely worth the expense.

Albert Medinas has developed and maintains the website Health Insurance Resources, which answers the most common questions people have about Health Insurance. Please visit us at http://www.healthinsuranceresources.ws today.

Help! I Lost My Health Insurance!

It can literally be one of the scariest places to find yourself - without health insurance coverage. When a simple trip to the emergency room can lead to thousands of dollars in charges, the last thing you need is to not have health insurance. But what options do you have? Graduating from college can be a true rite of passage into adulthood, because this is the time when most health insurance plans drop you from your parents' plan. Even landing a job right after graduation can still mean that you will have to go through a grace period before the company's health insurance kicks in. And if you have left a job for greener pastures, well...don't get sick or injured!

But do I even have options?

Well you probably do have options for health insurance coverage, but they may not be ideal. If you have quit your job, then you will have the option of extending your health insurance benefits for up to 18 months - thanks to COBRA. The only catch is that you will have to pay for those benefits out of your own pocket. Not exactly an easy thing to do without that paycheck rolling in every week.

Is that it? Is that my only hope?

Before you panic, just relax. The solution is short-term health insurance. As the name implies, this solution offers you health insurance options for a limited period of time. Most short-term health insurance benefits are available for 30 to 180 days. Depending on where you live, you may be able to obtain these benefits for up to a year.

And short term health insurance is the same as what I had at work?

Well, if you mean that you have coverage in the event of a hospital visit or sudden illness, then yes. You also can pick your own doctors and hospitals, which is actually an advantage over some health insurance plans offered by employers. But there are definitely coverage limitations on short-term health insurance plans.

So what am I not covered for?

That really is the million dollar question, isn't it? Well, routine medical exams are not covered by a short term health insurance policy. Any kind of preventative care is also out the window with this type of coverage. Plus, you can forget about dental and optical coverage with short-term health insurance. For obvious reasons, this sort of health insurance also does not cover medical costs relating to a pregnancy nor, anything having to do with the childbirth itself.

No offense, by why should I bother with short term health insurance?

Because a simple trip to the emergency room can cost thousands of dollars, and any emergency procedure and hospital stay can cost tens of thousands of dollars. Hey, short- term health insurance is not supposed to be the long-term solution. It is just a way to make sure you are covered while you are not on any employer's health insurance plan. And it can help you avoid going into serious debt, should something happen to you when you are not otherwise covered on a health insurance plan. For that reason alone, it is definitely worth the expense.

Albert Medinas has developed and maintains the website Health Insurance Resources, which answers the most common questions people have about Health Insurance. Please visit us at http://www.healthinsuranceresources.ws today.

Health Insurance

When you are in your late teens and twenties, possibly up to the age of forty, it's hard for people to understand why they need health insurance. For some people, it may be less expensive to pay full price when going to the doctor then pay the monthly fee associated with health insurance. These people may ask whether or not health insurance is even worth it. For most people, however, health insurance is a huge money saver. But what are the different types of health insurance and how should you go about determining what is right for you.

There are mainly two types of insurance: Indemnity plans and managed care plans. Indemnity plans are insurance plans in which an insurer reimburses the insured for medical expenses no matter who provided the service. There are three plans within the indemnity category. These include reimbursement of actual charges, reimbursement of a percentage of the actual charges and indemnity. In the first plan, the insurer will reimburse for the entire cost of the service, the second plan covers a percentage, while indemnity pays a certain amount daily for a certain number of days.

Managed care plans have three main types: HMOs (Health Maintenance Organizations), PPOs (Preferred Provider Organizations) and finally POSs (Point of Service plans). In an HMO plan, members pay a flat monthly rate. In most circumstances, the HMO member must use medical professionals from the preferred network. Unlike HMOs, PPOs are paid on a service by service basis. PPOs are often sponsored by employers or insurance companies who reimburse the insured for the service, minus of course any co-payments. A POS is a plan in which the insured pays no deductible and a small co-payment as long as the service provider is a part of the network.

So, what should you do? Well, you should start by investigating your health insurance options. What does your employer provide? Most employers do not pay the deductible for their employees; however, the rate is reduced as it is often a group situation. The best way to determine the best plan for you is to educate yourself on what is available and what you need.

Sara Chambers is a marketing consultant and an internet content manager for http://www.healthinsuranceweblog.com

Student Health Insurance: Is Your Child Covered?

Watching your children fly from the nest is not an easy thing. Watching them stumble and fall in their quest for independence is even more difficult.

According to experts, at least 30 percent of young adults over the age of 19 have no health insurance. This puts their education and financial future at risk--and limits their chances of succeeding on their own.

So what can you, a seemingly helpless parent, do to help insure your college-bound student succeeds and thrives?

The Obvious Solution

The most obvious answer is student health insurance. When your children leave home, student health coverage can provide them the financial protection they need for those unexpected times of illness.

It picks up where you leave off by covering health and medical expenses during a vulnerable, transitional time in their lives. And it's a great way to keep your children sheltered when they need it most--in your absence.

In fact, young persons covered by student health insurance policies don't have to worry whether their insurance will pay for needed doctor visits or prescriptions; and they don't have to scramble to find a way to pay for health care when they're ill. They simply pick up the phone and call their doctor; grab their insurance card and go.

That brings a lot of security and peace of mind&mdashto parents and children alike.

The Options

If you're looking for health insurance coverage for your newly-independent student, you'll find several options available.

Family Health Plan Coverage
If you have a "major medical" or individual health plan purchased on your own, your child should be covered under your plan until the age of 19. Some states have increased this age limit to 25, as long as your child stays unmarried; attends school full-time; remains financially dependent and lives at home.

If, however, you're covered under an HMO (health maintenance organization), your child's medical care is normally covered only within your own health service area (except in the case of emergencies). If your child attends school outside this region, routine medical visits and procedures may not be covered.

If you're considering keeping your student on your own health policy, talk to your insurance provider to make sure coverage is available where your child will live. If so, the insurer can help your student find a doctor in the appropriate area; tell you what services are covered, and let you know their approximate cost.

University-Sponsored Health Insurance
Nearly all educational institutions now offer school-funded student health insurance policies. Prices are generally reasonable, costing less than $100 per month for a single student and around $200 for a married couple.

If your child receives financial aid or scholarship monies, most school-funded plans allow him or her to use these means to help pay for health insurance coverage. This provides a way for some students and their parents, who could otherwise not afford health care, to maintain much-needed coverage.

Individual Health Plans
If neither a family plan nor school-sponsored plan is available, your child should strongly consider purchasing an individual health policy of his or her own.

Although individual health insurance plans can be expensive, many insurers offer discounts to full-time students.

Insurance shopping services like InsureMe.com can help your student find an individual health policy at an affordable price. You'll find them online at insureme.com.

American College Student Association (ACSA) Health Coverage
Another option unknown to many students and their parents is coverage through the ACSA. This organization offers health insurance, short-term insurance, study abroad coverage and dental insurance to students at any college or university.

If your student needs health coverage for the short term, ACSA health coverage may be just the ticket. Depending on the term selected, this type of policy may last from three months up to a year.

To contact the ACSA, call (888) 526-2272.

Making the Right Choice

Finding affordable student health insurance at a great price isn't always easy. But there's almost nothing as important when your children transition from home to school.

By spending time analyzing the options, you can make the right choice for your students--and keep them healthy and happy for years to come!About InsureMe

InsureMe, an Englewood, Colorado-based company, links agents nationwide with consumers shopping for insurance. Specializing in auto, home, life, long-term care and health insurance quotes, the InsureMe network provides thousands of agents with health insurance leads every year. For more information, visit insureme.com.

Penny Hagerman is a copywriter and insurance information expert based in Denver, Colorado. She holds a BA in Communications/Journalism, and contributes years of writing and editing experience in print media and Internet communications through her informative articles.

Online Health Insurance: The Truth About Cheap Quotes

Looking for low cost health insurance quotes? Good. You are taking that most important step of shopping around for the best price. But more importantly, you undstand that it is important to have health insurance, and perhaps, even more importantly, understand that the real purpose of health insurance, as for any insurance, is protection. That is, you do not get health insurance to act as a sort of discount off the price of doctor and hospital services. The point of insurance is protection in the event of catastrophe. Yes, health insurance costs are high and continue to rise, but do not forget that the reason you are seeking health insurance quotes online--and even offline--is to insure you get the most protection (not discount) for the best (lowest) rate.

Getting health insurance quotes is now extremely easy with the use of the Internet. Take advantage of online insurance quote availability to get an idea of the range of premium prices offered. Even if you don't want to buy online, you will have a better understanding of what the insurance agent is talking about, and when it comes time to put ink on the contract, you will be making a more informed decision. Remember, too, that quotes are free and come without obligation.

When you look for cheap health insurance quotes, online or off, you must also consider type of health care you want and what that means in terms of how your care is delivered to you. Health insurance is a much more than a matter of co-payments, co-insurance, and deductibles. When you get a health insurance quote, you are getting a quote on a certain kind of plan. Unfortunately, there is no such thing as a single "best" plan. You will find that there are some plans that will serve your needs better as an individual, and plans that will be better for both you and your family's needs. Plans will vary according to what services they offer, and you will probably have to make some hard choices as to what services are most important. No plan will pay everything; there will always be out-of-pocket costs associated with your medical services, though some plans will pay more for the services you deem most important. So, health insurance quotes are really the tip of the iceberg to a very important subject.

Cheap Health Insurance Quotes and the HMO, PPO, FFS/indemnity plan, and POS.

*HMO--An HMO is a health maintenance organization. An HMO contracts with doctors, hospitals, and other medical providers to form a sort of network. As a member of an HMO, you are required to use the providers in that network. You pay the HMO a certain amount of money per their payment arrangements in order to receive medical services.

*PPO--A PPO is a preferred provider organization. A PPO is similar to an HMO in that there is a network of medical providers that you can use. However, the PPO does not require you to use that network and allows you see doctors and go to hospitals out of network. Normally, you do not need a referral to see doctors out of network. However, in that event, you do pay more for the service. That is, the amount of coverage is less.

*POS--A POS is a point of service plan. A point of service plan is very much like an HMO except that POS doctors can refer you out of the network of providers to see a specialist. In a POS, you would not refer yourself, and if the plan does refer you out of the network, you do pay more for the service.

*FFS--A FFS or indemnity plan, is a fee for service plan. In a fee for service, you are billed by the service. You are usually not required to use a network of providers. That means you choose which doctors, hospitals, and specialists you want to see and use. Because you make the decision about who you see and where you go, there is no need for a referral to see a doctor. The only limiting factor is whether or not the provider accepts the insurance of the fee for service plan insurance.

Low Cost health insurance quotes have a lot going on behind the scenes. Seeking an online quote? Now you have a better idea of what that quote is for. When you visit an insurance agent to talk health care, be sure to look thoroughly into the options available to you. Your health insurance quote represents a package of insurance services, and it is important for you to understand the relationship between the quote and the services you may be purchasing.

Evan Davis works in Medicare customer service, and is the webmaster and owner of Instant Health Insurance. Find cheap health insurance quotes online at http://www.find-health-insurance-online.com

What to Know When Shopping for Health Insurance

What to Know When Shopping for Health Insurance

Between the rising cost of health insurance and the various types of health policies, finding a plan to fit your health needs and your budget can seem overwhelming. So how can you sort though these variables and find a policy that works for you?

Doing Your Homework

Doing a little research before you start shopping for health insurance will go a long way once you start comparing quotes and policies.

You can start by reading up on the types of policies available in your area and determining what you want and need out of your health insurance--from prescription drugs to coverage of pre-existing conditions, you'll want to identify these necessities from the outset.

To learn more about health insurance in your area, contact your state's Division of Insurance (DOI). This underutilized resource was developed to educate and protect consumers on the topic of insurance and has many guides and publications to help you make informed decisions about health insurance. And the more you know, the better decisions you'll make!

Shopping Tips

Under most state laws, health insurance policies are not regulated by the government. This means that insurers can sell different health insurance policies for very different prices. While that may seem complicated for the consumer, it's actually a benefit. This means that you can get health insurance quotes from multiple insurers and select the best health insurance policy for you.

So what exactly should you be looking at when comparing policies? Here are a few important questions to ask:

Does the policy cover all major medical expenses?
What's the monthly premium?
What are the choices for deductibles?
What percentage does the insurer pay after the deductible is met?
What coverages are included in the policy?
Does the policy cover prescription drugs?
Does the policy cover preventative care?
Are your doctors and health care facilities inside of the policy's network?
What is the cost for seeing a physician outside of the policy's network?

While you will certainly think of more questions to ask potential insurers, this list should get you started. Remember, the more you know, the better decisions you'll make!

Protecting Yourself

As with most areas of business, there are a few untrustworthy insurers out there who ruin things for the good guys. That's why it's a good idea to investigate your insurer and his or her credentials before signing a health insurance policy.

You can check your agent's credentials, as well as the company's customer satisfaction rating and financial standing through consumer-serving sites like AM Best or the Better Business Bureau. Doing a little behind the scenes work on your insurer beforehand will save you the stress and financial loss of doing business with a dodgy insurer.

You can also protect yourself by knowing your rights and privileges before signing on the dotted line. Most states now require insurers to cover certain benefits, such as mammograms and prostate exams; your local DOI will have more information on mandated benefits and other rights and privileges.

Most insurers will also offer a free-look period of 10 or so days to review your policy and make any final adjustments or decisions. If you decide you don't want the policy during that free-look period, you are entitled to a full refund and your policy will be cancelled without penalty. As a general rule, if your health policy doesn't contain a free-look period, you're probably better off purchasing health insurance from someone else.

Applying Lessons Learned

Now that you've gotten a few pointers on shopping for health insurance, you can get started and determine your needs, get the facts, shop for health insurance quotes and compare prospective insurers for price and service. Taking things one step at a time will make the task of finding cheap health insurance less daunting--and get you on the road to savings success!

About InsureMe

InsureMe, an Englewood, Colorado-based company, links agents nationwide with consumers shopping for insurance. Specializing in auto, home, life, long-term care and health insurance quotes, the InsureMe network provides thousands of agents with insurance leads every year. For more information, visit InsureMe.com.

Megan L. Mahan is a copywriter and insurance expert based in Denver, Colorado. She holds degrees in French and English from the University of Iowa and lends her writing and editing expertise in print media and Internet communications through her informative articles.

Individual Health Insurance Plans

When looking for individual health insurance plans it's important to remember that generally you'll find better rates if you deal directly with the insuring company. The internet now allows individuals the chance to plug in a few personal details and obtain individual health insurance plans quotes. Some questions to consider when choosing your coverage are the following:

1) Is it important that you keep your current Doctor?

2) Is it important that you have access to alternative care such acupuncture or massage therapy?

3) How high a deductible are you comfortable with?

Individual Health Insurance Plans tailored to your needs.

Most people looking for individual health insurance plans are seeking modest insurance coverage, but they also want some of the basic essentials such as regular Doctor visits and prescription coverage. Keep in mind that your premium costs will vary depending on how high your deductible is and what kind of coverage you have. Generally the higher the deductible, the lower your monthly premiums. When choosing your coverage try to match low prices with quality coverage.

Mike Yeager

http://www.a1-healthinsurance-4u.com/

mjy610@hotmail.com

How HIPAA Security Policies Affect Corporate E-mail Systems

TrustAlthough considered by many to be the sole concern of health care providers, the Health Insurance Portability and Accountability Act (HIPAA) affects nearly all companies that regularly transmit or store employee health insurance information. HIPAA was signed into law in 1996 and it's original purpose was to protect employee health and insurance information when workers changed or lost their jobs. As use of the internet became more widespread in the mid-1990s, HIPAA requirements overlapped with the digital revolution and offered direction to organizations needing to exchange healthcare information. HIPAA regulations apply to any establishment that exchanges individually identifiable healthcare information.

Collaboration between healthcare professionals, their colleagues, their patients, and employers has grown progressively more digital, and e-mail has played an ever-increasing role in this communication. In the process of this development, the need for information security and privacy has created an impediment to widespread adoption.

In addition to the usual concerns about privacy and security of e-mail correspondence, even organizations that are not in the heathcare industry must now consider the regulatory compliance requirements associated with HIPAA. The Administrative Simplification section of HIPAA, which, among other things, mandates privacy and security of Protected Health Information (PHI), has sparked concern about how e-mail containing PHI should be treated in the corporate setting. HIPAA, as it relates to e-mail security, is an enforcement of otherwise well-known best practices that include:

• Ensuring that e-mail messages containing PHI are kept secure when transmitted over an unprotected link
  
• Ensuring that e-mail systems and users are properly authenticated so that PHI does not get into the wrong hands
  
• Protecting e-mail servers and message stores where PHI may exist
  

Organizations regulated by HIPAA must comply and put these practices in place. However, the need to comply with regulations puts particular pressure on the healthcare industry to enhance their use of technology and catch up with other industries of similar size and scope.

The privacy protection provisions in HIPAA pose a major compliance challenge for the healthcare industry. These provisions are intended to protect patients from disclosure of any of their individually identifiable health information. Organizations that fail to protect this information face fines ranging from $10,000 to $25,000 for each instance of unauthorized disclosure. If the disclosure is found to be intentional, HIPAA provides for fines ranging from $100,000 to $250,000 and possible jail time for individuals involved in the violations.

Starting April 21, 2005, a new security rule focusing solely on PHI that is stored and transmitted electronically will be enforced as part of HIPAA. The requirements of this rule, which are simply information security best practices, focus on the three cornerstones of a solid information security infrastructure confidentiality, integrity, and availability of information.

The imminent HIPAA regulatory requirements encompass PHI transmission, storage and discoverability. Given the widespread use and importance of e-mail, enforcement of HIPAA encryption policies and the growing demand for secure e-mail solutions, e-mail security has never been more important to the healthcare industry than it is right now.

IronMail significantly contributes to compliance with the HIPAA privacy and security requirements as they relate to protecting PHI that is transmitted and stored via e-mail. Everything from data encryption to firewall and intrusion protection to content filtering is included in the IronMail solution. Once in place, IronMail can be used to protect e-mail going into and out of corporate networks.

As IronMail is a standards-based appliance, it can be integrated into any existing e-mail system seamlessly, without requiring extensive IT staff training, or relying on users to take extra steps to perform e-mail functions.

The IronMail appliance is tailored to help organizations comply with the stringent new guidelines imposed by HIPAA, from security management processes to access control to data integrity.

HIPAA compliance is seen by many organizations as a prohibitively expensive hurdle to overcome. In addition, the growing dependence on e-mail as a mission-critical application requires security and privacy to be a top priority. A solid combination of security policies and the technologies to enforce those policies can ensure improved security as well as HIPAA readiness and ongoing adherence. With IronMail, organizations reduce information complexities as well as associated management costs which can help improve patient relationships, increase the quality of care, and improve the bottom line. E-mail can indeed be safe and secure.

Collaboration between healthcare professionals, their colleagues, their patients, and employers has grown progressively more digital, and e-mail has played an ever-increasing role in this communication. In the process of this development, the need for information security and privacy has created an impediment to widespread adoption.

In addition to the usual concerns about privacy and security of e-mail correspondence, even organizations that are not in the heathcare industry must now consider the regulatory compliance requirements associated with HIPAA. The Administrative Simplification section of HIPAA, which, among other things, mandates privacy and security of Protected Health Information (PHI), has sparked concern about how e-mail containing PHI should be treated in the corporate setting. HIPAA, as it relates to e-mail security, is an enforcement of otherwise well-known best practices that include:

• Ensuring that e-mail messages containing PHI are kept secure when transmitted over an unprotected link
  
• Ensuring that e-mail systems and users are properly authenticated so that PHI does not get into the wrong hands
  
• Protecting e-mail servers and message stores where PHI may exist
  

Organizations regulated by HIPAA must comply and put these practices in place. However, the need to comply with regulations puts particular pressure on the healthcare industry to enhance their use of technology and catch up with other industries of similar size and scope.

The privacy protection provisions in HIPAA pose a major compliance challenge for the healthcare industry. These provisions are intended to protect patients from disclosure of any of their individually identifiable health information. Organizations that fail to protect this information face fines ranging from $10,000 to $25,000 for each instance of unauthorized disclosure. If the disclosure is found to be intentional, HIPAA provides for fines ranging from $100,000 to $250,000 and possible jail time for individuals involved in the violations.

Starting April 21, 2005, a new security rule focusing solely on PHI that is stored and transmitted electronically will be enforced as part of HIPAA. The requirements of this rule, which are simply information security best practices, focus on the three cornerstones of a solid information security infrastructure confidentiality, integrity, and availability of information.

The imminent HIPAA regulatory requirements encompass PHI transmission, storage and discoverability. Given the widespread use and importance of e-mail, enforcement of HIPAA encryption policies and the growing demand for secure e-mail solutions, e-mail security has never been more important to the healthcare industry than it is right now.

IronMail significantly contributes to compliance with the HIPAA privacy and security requirements as they relate to protecting PHI that is transmitted and stored via e-mail. Everything from data encryption to firewall and intrusion protection to content filtering is included in the IronMail solution. Once in place, IronMail can be used to protect e-mail going into and out of corporate networks.

As IronMail is a standards-based appliance, it can be integrated into any existing e-mail system seamlessly, without requiring extensive IT staff training, or relying on users to take extra steps to perform e-mail functions.

The IronMail appliance is tailored to help organizations comply with the stringent new guidelines imposed by HIPAA, from security management processes to access control to data integrity.

HIPAA compliance is seen by many organizations as a prohibitively expensive hurdle to overcome. In addition, the growing dependence on e-mail as a mission-critical application requires security and privacy to be a top priority. A solid combination of security policies and the technologies to enforce those policies can ensure improved security as well as HIPAA readiness and ongoing adherence. With IronMail, organizations reduce information complexities as well as associated management costs which can help improve patient relationships, increase the quality of care, and improve the bottom line. E-mail can indeed be safe and secure.

CipherTrust is the leader in anti-spam and email security. Learn more by downloading our free whitepaper, Contributing to HIPAA Compliance with IronMail or by visiting www.ciphertrust.com.

HIPAA in a "Nutshell" - Guidelines for EMR and Paper Medical Records Compliance

 

HIPAA in a “nutshell”

There are two HIPAA rules requirements; privacy (2003) and security (2005). Both rules require:

-Identifying possible threats,
-Assessing specific vulnerabilities,
-Determining appropriate and reasonable safeguards and
-Implementing the necessary defense mechanisms and policies.

Using an EMR (electronic medical record) has no absolute right and wrongs in either computer equipment or software for HIPAA compliance. Usually there are four areas to examine:

-Physical Security – can your computers with patient data be stolen?
-User Security - can anybody log on to the patient database?
-System Security – what happens on a hard drive crash?
-Network Security – can unauthorized persons outside your facility access patient data?

Using paper medical records begs similar questions:

-Physical Security – how secure are the files from fire and theft?
-User Security - what access controls and logging is there?
-System Security – what happens in a fire or flood?
-Storage Access – are the files in a locked, secure area?

There are HIPAA penalties

The civil monetary penalty is up to $100 per person record per violation and up to $25,000 per year total for the same type of violation. There is 30 days to correct the problem if it is not through willful neglect.

The criminal penalties are for “misuse” and for obtaining or using health information by “false pretenses” or with the intent to sell, transfer or use it for commercial advantage, personal gain or malicious harm. These penalties are up to $250,000 and five years in jail.

Currently there is no real effective enforcement body.

HIPAA compliance "thumb rules"

With an EMR most of the requirements are common sense and providers do not need to be overly concerned but do require some basic steps like:

-Put your computer server in a secure room, locked,
-Use an EMR with user management and permissions,
-Make regular back-ups and store them in a secure place and
-Employ a computer specialist.

Most medical practices and clinics using paper records need to make physical changes to be HIPPA compliant. If you continue to use paper then there are a myriad of physical complexities to consider:

-How to monitor staff access,
-Fire and flood protection (insurance is not enough)
-A disaster plan (that has been documented and practiced.)

Finally, if there is a legal case brought forward a provider to protect themselves should have a trail of how the patient's individual information was accessed. For paper records this means at a minimum a monitored sign out sheet and for an EMR user logging of patient file access.

Michael Milne is the CEO of BrunMed, Inc. (http://www.brunmed.com), the developer of Medscribbler, the first handwriting embedded EMR for the Tablet PC. Visit http://www.medscribbler.com for more information on a handwriting enabled EMR.