HIPAA Law



             


Sunday, March 30, 2008

Choosing Affordable Health Insurance For Children

Choosing Affordable Health Insurance For Children

In most cases, private health insurance comes through a person's employer, who picks up the majority of the cost of premiums. However, today many people, who are either self-employed or who work for a company that doesn't offer health insurance, find it necessary to obtain quality affordable health insurance for children. There are a wide range of plans and offerings of affordable health insurance for children and it's necessary to pick and choose from among the many plans available. For example, if you feel your family may need alternative health options such as massage therapy or acupuncture, you'll want to make sure your plan covers these choices.

Affordable Health Insurance For Children and families.

Another consideration is the cost. Generally, the higher your premiums the lower your deductible. But, don't let the lure of have no insurance coverage persuade you that affordable health insurance for children is something you don't need. That simply isn't the case. The cost of a major hospital visit can vastly exceed any premiums you may have not paid over the past several years. Experts tell us that it's very important that children have access to quality health care as they grow up and most people agree that in this day and age, everyone needs some type of health insurance coverage. With it youll have more peace of mind and, should you become ill, youre covered. The good news is there are quite a number of low cost health-insurance options available and navigating the maze of available policies is easier than ever with the help of the Internet.

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

mjy610@hotmail.com

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Wednesday, March 19, 2008

Solutions for Health Insurance Coverage

When it comes to health care, there is no "one size fits all."

Ideally, working for an employer who offers non-contributory health insurance is what most of us would aspire to. However, that is not a realistic scenario.

Finding affordable, adequate health care coverage is a huge problem in our country right now. If you are in a situation where you require certain medications and have no access to reduced rates on prescriptions you can almost bet the farm that you will be paying top dollar for the medications you need.

When considering a change in employment, scrutinizing the potential employers health care plan is a given. Sadly, many people look at everything about a new job except the health care plan. Contracting a debilitating illness or becoming an unwilling participant in an accident is not something that anyone can foresee.

Life situations change and a health care plan that was adequate for a single person may not apply should he/she marry and even have children while employed. If their policy has no provisions for the addition of dependents in the future you can find your health care woefully inadequate. Take the time to project what your future situation might be and plan accordingly.

One of the most overlooked segments of our society are the self-employed. Depending on age and dependent requirements, the cost for individual coverage can be astronomical.

If you are self-employed or a very small business owner, consider joining a local association like a chamber of commerce, better business bureau or some other type of business organization. Many of these organizations offer access to health care that might otherwise be prohibitive on an individual basis.

Unless you are in a category considered as "low income" that would afford you access to social health care, you can plan on paying hefty premiums. If you have a pre-existing condition, your chances of obtaining affordable rates are statistically very low. But, there are some things you can do.

Some tips to bear in mind are:

- Make certain you are looking at insurance that is appropriate and adequate for your needs.
- Read the fine print so you understand what is included and what is excluded.
- Never buy a policy that covers a single disease.
- Are there deductibles and if so, how much?
- Does the coverage include major medical?
- What is the maximum out of pocket expense you can expect to incur?
- When does coverage begin?
- Does the coverage include prescriptions?
- Are lab fees and x-rays included?
- Can you choose your own physician or select from a list of providers?
- What is most important to you?
- Does the coverage include dental, vision, maternity, well-baby care, etc.

If you are in that "no mans land" where you do not yet qualify for Medicare, Medicaid or any of the other social programs yet are too old for individual coverage you might take a look at AARP. It can provide a stop gap for that period of time while you are waiting to qualify for assistance.

If you are a young single parent, investigate any subsidized programs that might be available in your state. Many states have programs that will provide care for your children if not for yourself. These social programs are generally based on a sliding scale based on your income level and in many cases visits and prescriptions for your children might be free of charge.

Investigate non-insurance type programs. If you find yourself not able to pay the hefty monthly insurance premiums, can't get the coverage you need, or fall into areas that are not covered by traditional health insurance means, this type of program can literally save you thousands of dollars. This non-insurance solution gives members negotiated reduced fee schedules or discounts for medical, dental, prescriptions, hospitals, vision care, and more.

With the skyrocketing costs of health care, no one should ever feel embarrassed or sacrifice the health of themselves or their loved ones by applying for any type of assistance that might be available to meet their needs. Until something happens to curb this upward spiral we must all take special steps to see that the most vulnerable members of our society receive the health care they need... namely, our children and our elderly.

Jill R. Hyland is an Independent Marketing Representative, National Director for Maxous, Inc., a non-insurance company saving people 20% to 50% on things people purchase every single day, such as Fast Food-Dining, Medical, Movies, Prescriptions, Car Services, Vision, Legal, Dental, Golfing, Bowling, Haircuts, Travel, and much, much more - As Low as $19.99 per month for the whole family!
http://www.discountspro.com

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Tuesday, February 26, 2008

Canadas Aging Baby Boomers: Planning Health Insurance for the Future

The first of Canadas aging baby boomers are poised to turn 65, and with this milestone birthday comes a variety of new health care concerns. In response to these changing medical needs, the Canadian health care system is preparing to handle some 10 million boomers whose reasons for visiting the hospital will range from hearing loss to long-term care. The aging of this Canadian demographic is inevitable, but falling into financial debt in order to pay for these services can be avoided. By thinking ahead to what medical services may be required, individuals are able to customize their health insurance accordingly.

Living in a country like Canada where health care is provided for all is an undeniable luxury. Yet, despite the many benefits of Canadian health care, there are gaps that exist in coverage. These gaps dictate the need for supplementary health insurance. Sadly, there are many instances where people have met with unexpected illness, but there are also many health issues that can be planned for. Aging is one such issue.

Some of the most common services required by seniors include: x-rays for weakening bones, a visit to the podiatrist for any number of foot related issues and testing and fitting hearing aids for hearing loss. Each of these services may be an inevitability for the aging individual, but they may not all be covered by the Canadian government. Provincial health plans vary from province to province with certain provinces offering a proscribed amount of money yearly for various necessities, such as a trip to the podiatrist. A visit to a specialized doctor or the purchase of a hearing aid can be very costly, and with little to no coverage, people are often left with a substantial financial burden. Supplemental health insurance is the best way for seniors to plan for and minimize these costs.

Opting for supplemental health insurance allows you to customize your plan to suit your individual needs. For many seniors, the prospect of spending time in a hospital is not a pleasant one, but with supplemental coverage, a private room in a health care facility can make the stay more comfortable. Not only does health insurance ease the worry that individuals may have concerning their own personal welfare, but it also helps to assuage the fears of family members on whom the burden of long-term care would fall.

As ten million Canadians begin to approach the time in their life when retiring is imminent, it becomes a necessity to plan for whatever eventualities the future might hold. Thinking ahead to answer the various demands of aging helps guarantee a peace of mind for yourself and your family and ensures that you are ready to face the challenge of lifes milestones.

Anna Dorbyk is the editor for Canada Health Insurance and is a graduate student in Communication Studies at Concordia University. For more information on health insurance for Canadians please visit http://www.canada-health-insurance.com/.

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Thursday, February 14, 2008

Health Insurance and health care

Health insurance is something that everyone needs today. The rising cost of visiting a health care provider or a hospital stay makes it imperative that everyone have some type of health care coverage. Government statistics estimate that over 40 million people in America are not covered by any type of health insurance on any given day. That's an enormous number of people who really are taking a financial risk.


Even if you're on a tight, limited budget, it's very important that you pick up some kind of affordable health insurance. Even if you only have a plan that covers unexpected hospitalization, your peace of mind will be greatly enhanced. Keep in mind that a catastrophic health insurance policy can come with a high deductible before their coverage kicks in. They don't pick up the cost of preventive physician visits or emergency room visits to get a few stitches.


Some questions to ask when considering affordable health insurance.

1) Can your and/or your family afford to pay ALL your medical expenses if you're sick or injured?

2) How much is the deductible?

3) How much are the premiums?


With a little searching and comparison shopping you find the best rate for your personal affordable health insurance.

Mike Yeager
Author/Publisher
http://www.a1-healthinsurance-4u.com/

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Monday, December 3, 2007

Health Insurance; COBRA; OBRA; HIPAA; Medicare; Definitions, Relationships

 
Health Insurance; COBRA; OBRA; HIPAA; Medicare. If asked, could you state that you knew that all 5 of these topics had the same thing in common: medical insurance coverage for you and, perhaps, your family? Would you know the qualifications for each? Well, in this article, we will discuss them. For a timeline that depicts, graphically, the time relationship between them, please see the timeline in www.disabilitykey.com.

HEALTH INSURANCE Coverage from Work

If we are lucky, we, and/or our spouse, work for a company that provides, as a benefit, health insurance coverage for us and our family. If so, we are very lucky. Even if that is true, there are some key things that you might want to look at to see if you have ENOUGH coverage.

1) From your Human Resources Department (or wherever else you would go to get information about your health insurance) get what is called a "Summary Plan Description" (SPD). This document should be kept where you can always find it, as it contains all the information you will need about what your insurance covers and what it doesn't.

2) Look up "Coverage" and "non-coverage" in your SPD.

These will tell you what your plan covers and doesn't cover. You need to see if, perhaps, you or one of the covered members of your family has a condition or circumstance that might not be covered, where you need additional coverage. For example, let's say that your family has a history of cancer; perhaps your plan restricts the number of hospitalization days for care; or, restricts the days per condition. In this case, (like my children) you might want to get additional "cancer insurance" (I think that AFLAC might provide this type of coverage).

It would be a good idea to contact a Health Insurance benefit Broker and ask him/her to read your SPD and see if you have any gaps in coverage. They then can help you supplement coverage BEFORE YOU NEED IT!

NO HEALTH INSURANCE COVERAGE

You might be one of the growing members of our society that, through one circumstance or another, does NOT have health insurance coverage for your family. In this case, I strongly encourage you to contact a Health Insurance Broker and get immediate coverage of what is called "catestrophic" (not sure if I spelled this correctly) coverage. In this type of coverage, you will generally have large deductibles, but will have coverage if, say, one of you has to go into the hospital.

CONTACTING A BENEFITS INSURANCE BROKER

Whenever you call or email a Health Insurance Broker, it is very important to prepare ahead of time. WHAT, specifically are you looking for; how much can you afford to pay every month; what circumstances do you want to make sure that your family is covered for. In this way, you can make sure to focus on your critical needs.

COBRA

COBRA is an acronym ( how can I spell acronym correctly, yet not be sure that I spelled catestrophic correctly?) that stands for: Consolidated Omnibus Budget Reconciliation Act. Basically, it is a federal law that allows you to pay for your Company-paid health insurance, as an active member, if you no longer work for that company for, generally 18 additional months.

1) COBRA is "triggered" (that is, you, or a covered member of your family, become eligible for COBRA) by events such as the following: resignation from the company; termination (FOR ANY REASON) from the company; divorce of a spouse; a covered chile's birthday makes them ineligible for coverage. These are the main "triggering" events for COBRA.

2) Now, when eligible for COBRA, you will be asked to pay for 100% to 105% of the company's employee/employee and family coverage amount. You should get a letter from your company explaining what that amount will be. BEFORE YOU DECIDE TO TAKE COBRA, there are some important things for you to consider.

What will be your cost, and what will be the coverage for that cost? Sometimes the cost is too much for the coverage. In these cases, you might want to select HIPAA coverage, instead (see HIPAA below).

Or, you might just want to get catestrophic coverage as was mentioned earlier, and wait for full coverage under your next job.

Part of this decision should be whether or not you or a member of your family has what is called a "pre-exisitng coverage" condition.

Here again, before automatically taking COBRA, it would be wise to contact a Benefits Insurance Broker and give him/her all of your options, and get their input. I have worked extensively with a Benefits Insurance Broker, and he is absolutely fantastic!

OBRA

What, you ask, is OBRA? I've never heard of it, you say, and no one I know has heard of it either! Well, that's because, 99% of Human Resource or Benefit folks that I know have never heard of it! OBRA is a federal law that was passed that extends COBRA for an additional 11 months FOR DISABILITY PURPOSES ONLY!! Why, you ask, is this important? Thanks for asking, let's see if I can explain.

If you are as nieve (did I spell this wrong too? sorry!) as I was when I first started looking to bridge my health insurance from working to Medicare, I assumed that when I got through all of the hoops to qualify for SSDI (Social Security Disabililty Insurance) I'd IMMEDIATELY be eligible for Medicare, RIGHT??? WRONG!!!!

When you FINALLY qualify for SSDI, you have to wait for 5 months before you get your first check. AND, the rules state that, you are eligible for Medicare 2 years (24 months) FROM THE DATE OF YOUR FIRST SSDI PAYMENT. Well, if you add 24 + 5 you get, 29 months between qualifying for SSDI, and Medicare coverage.

OK, I said earlier that COBRA is for 18 months of coverage. Well guess what 18 months of COBRA + 11 months of OBRA equal - 29 months!

BUT, there are two catches to OBRA; first of all, you have a small window of 30 - 60 days to apply ( this window opens the date of your SSDI approval); and, it can cost up to 150% of your plan coverage amount. BUT, if you have a "previously existing condition" this might be the best way for you to proceed.

Again, it is important to contact a Health Insurance Broker to help you with the risk/cost ratio of all of these situations.

It is also improtant to know all of these deadlines as you plan to ensure that you and your family have important health insurance coverage.

HIPAA

HIPAA is a federal law that is called, briefly, the "portability" law for health insurance. What that means is that when you leave a group (read company-paid plan), the carrier that provided that plan, must offer to you, another plan, different from COBRA, when you leave the group coverage. Generally this will be what is called a "bare bones" plan. Again, the best thing for you to do is to call/email a Health Insurance/Benefits Broker with all of your information: SPD, COBRA info, HIPAA info, needs, cost limits, and let him/her help you find the optimum plan coverage for you.

MEDICARE

OK, now, finally, we've reached Medicare! BUT (you really didn't think it would be that easy, did you?) if you have qualified for Medicare because of disability, there are RESTRICTIONS (of COURSE there are!).

First of all, if you are qualifying for Medicare because of disability, you are probably under the age of 65 - normal retirement age.

Medicare coverage does NOT cover prescription drugs, which, those of us with disabilities probably need, and which cost lots.

But, Congress prescribed that states (all but 11) offer what is called "Medicare supplement" plans, some of which do offer prescription coverages. BUT, these plans ARE NOT REQUIRED TO, and do not, offer these medicare supplement plans that offer prescription coverages to folks who qualify under age 65! So, if you are qualifying because of disability, your medical insurance plan doesn't cover one of your primary cost expenditures!

Here again is where you need to contact a health insurance/benefit broker. Again, he/she can work with you, and your specific circumstances, to get you the coverage you need.

Hope that this information was helpful to you. If you have any questions, please feel to ask them by commenting on this blog, and I'll be happy to get you an answer.

About Disabilitykey.com & Carolyn Magura:

Disabilitykey.com is a website designed to assist each person in his/her own unique quest to navigate through the difficult and often conflicting and misleading information about coping with disabilities.

Carolyn Magura, noted disability / ADA expert, has written an e-Book documenting the process that allowed her to:

a) continue to work and receive her “full salary” while on Long Term Disability; and

b) become the first person in her State to qualify for Social Security Disability the FIRST TIME, in UNDER 30 DAYS.

Click here to receive Carolyn 's easy-to-read, easy-to-follow direct guide through this difficult, trying process. If you are disabled, don't let this disabiling process

 disable you. Read Carolyns Disability Key Blog.

 

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