Tag Archive for affordable health insurance

Most Health Insurance Plans Don’t Cover Autism

Most health insurance plans don’t cover autism. That may be about to change based on a bill being considered in Missouri.

Autism is far more common than we realize, but what many people don’t realize is that most health insurance plans do not provide coverage for this neurological condition. Generally speaking, since each autistic individual is different, autism causes them to have mild to severe problems communicating with others and also struggle with social interactions. In many cases, the most opportune time for intervention is in early childhood and working with a variety of programs that will help them to be able to live a near normal life.

As you might expect, treatment for this disorder runs to the tens of thousands of dollars each year and most parents don’t have access to that kind of money. Sadly, most health insurance plans won’t cover it either. However, there is encouraging news on the horizon, in the form of a bill in the works in Missouri that would require many health insurance carriers to cover autism.

The legislation mandates health insurance plans to cover up to $45,000 annually for applied behavioral analysis therapy (from a licensed provider) for kids under 18. To avoid the possibility of fraud from people posing as therapists, or less than honest therapists wanting to cash in on the insurance wagon, the state is planning on creating a new licensing process. If the bill is signed by the governor, the new rules would roll out on the 1st of January, 2011.

One of the other benefits of this bill is that it includes an annual adjustment of the cap that is tagged to inflation. While it sounds good on first read, those with autistic children do need to know there are some potential catches. Those catches would be that the law would only apply to group health insurance plans regulated by the state; that would mean plans bought through small to mid-sized companies.

For larger corporations, ones who self-insure, this bill would not apply, as they are federally regulated. For any small business that has fewer than 50 workers, an exemption may apply if they prove that the mandate caused their rates to rise over 2.5% the previous year. In a nutshell, there will be various options that include autism coverage for treatment and for diagnosis, but this will not be attached to all of the plans sold in the state.

This is great news that may have many other applications nationwide if the bill proves to be a success and keeps the overall health care budget down, thanks to early intervention allowing those with autism to live a fairly normal life.

Clelland Green is with Benepath.com, a leader in providing health insurance quotes. Benepath provides individuals, families, and businesses with affordable health insurance quotes in just a few mouse clicks. To learn more, visit http://www.benepath.com.

Forming Your Own Group for Group Health Insurance

If you don’t work for someone else, you don’t get the health benefits they do. There is a way around that.

Running a small business is a real challenge, particularly in this kind of an economic climate. While it’s nice to be your own boss, there are some things that you just don’t get – like health insurance; you know, the health insurance others get when they work for a bigger company. You feel like you’re stuck between a rock and a hard place trying to find affordable health insurance plans for your small outfit.

You shrug your shoulders and figure maybe it just isn’t in the cards. No need to give up hope, because there is something you can do – form your own group to get small business group health insurance rates. This is actually a pretty easy thing to do and all you need is a group of like-minded small business owners who all need health insurance. Then, you band together and apply to a medical insurance company as a group. Sweet! This is a terrific way to get discounted rates on your individual policies.

Be aware that each company does have different rules when it comes to group health insurance policies, so ask questions first and find out specifically what you need to do (in great detail) before you present your idea to the “group.” Get information on individual and family coverage, just so your idea incorporates choices for everyone and in general, make sure that the group you want to form has a variety of choices as well so people have the chance to pick what suits their needs.

Psssst! Here’s a bit of a hint for you as well. If you spend a lot of time putting together this new group to apply for health insurance – finding out what you need to know, sorting out the application process, making sure everyone gets what they need, etc. – it isn’t uncommon for you to get your health insurance coverage free. Yes, free. What this means is that your individual cover would be dispersed between all the members of the group. We’re not talking a chunk of change here, but mere pennies on the dollar. It’s fair payment for the work you have done.

The bottom line? The bottom line is if you have no health insurance and are a small business owner, there is a way to form your own group and take advantage of reduced health insurance rates. Just check around to various carriers and find out what you need to know and go from there.

Clelland Green is with Benepath.com, a leader in providing health insurance quotes. Benepath provides individuals, families, and businesses with affordable health insurance quotes in just a few mouse clicks. To learn more, visit http://www.benepath.com.

Benepath Offers Small Businesses Tips for Meeting Employees’ Health Insurance Needs

Business health insurance is a major cost of doing business, especially for small companies. There are ways, though, for small business to help give employees the kind of coverage they want at an affordable rate.

With health insurance premiums soaring, many small business owners are asking their employees to shoulder more of the financial burden for their benefits or are cutting benefits entirely. Small business health insurance may take a huge chunk out of an employers’ revenue, but the benefits of offering insurance to employees are great. Offering health insurance often attracts better employees and helps retain existing workers. In addition, satisfied, healthy employees are more likely to help your business grow.

When considering purchasing a group health insurance plan for their small business, employers should consider the health care needs of their employees. Employers may wish to consider conducting an employee survey to find out what kind of coverage their employees want and what kinds of service are most important to them. In doing so, employers can ensure that they are searching for the type of coverage their employees will value.

Once employers have determined what kind of coverage their employees desire, they must then determine a way to provide this coverage without breaking the bank. Reducing the amount of coverage offered to employees or requiring them to pay more for their health care expenses are both logical and easy ways to save money on health insurance premiums; however, this option is likely to be unpopular with employees. Employers will need to consider their employees’ needs and come up with a solution that best fits their budget. Employees may be more willing to contribute more to the premium if the coverage they require is provided.

A Health Savings Account (HSA) may be another type of affordable health insurance employers could offer their employees. This type of account works with a qualifying high-deductible health plan to provide coverage. The HSA is used to pay for routine health care expenses, and the high-deductible plan is used to pay for more significant health care expenses. The high-deductible plan can be through an HMO, PPO or through traditional insurance. An HSA is funded with pre-tax dollars to pay eligible health care expenses including insurance policy deductibles, copayments and out-of-pocket medical expenses. These tax-exempt accounts could reduce small business health insurance costs while giving employees tax breaks.

Offering group health insurance is beneficial for employers and employees. It can help a small business hire and retain the best workers, and the amount the employer pays toward employee premiums may be tax-deductible. Also, since no one can be turned down based on medical history, group coverage can protect workers or family members who might otherwise go uninsured.

To learn more, visit http://www.benepath.com

Most Health Insurance Plans Don’t Cover Autism

Most health insurance plans don’t cover autism. That may be about to change based on a bill being considered in Missouri.

Autism is far more common than we realize, but what many people don’t realize is that most health insurance plans do not provide coverage for this neurological condition. Generally speaking, since each autistic individual is different, autism causes them to have mild to severe problems communicating with others and also struggle with social interactions. In many cases, the most opportune time for intervention is in early childhood and working with a variety of programs that will help them to be able to live a near normal life.

As you might expect, treatment for this disorder runs to the tens of thousands of dollars each year and most parents don’t have access to that kind of money. Sadly, most health insurance plans won’t cover it either. However, there is encouraging news on the horizon, in the form of a bill in the works in Missouri that would require many health insurance carriers to cover autism.

The legislation mandates health insurance plans to cover up to $45,000 annually for applied behavioral analysis therapy (from a licensed provider) for kids under 18. To avoid the possibility of fraud from people posing as therapists, or less than honest therapists wanting to cash in on the insurance wagon, the state is planning on creating a new licensing process. If the bill is signed by the governor, the new rules would roll out on the 1st of January, 2011.

One of the other benefits of this bill is that it includes an annual adjustment of the cap that is tagged to inflation. While it sounds good on first read, those with autistic children do need to know there are some potential catches. Those catches would be that the law would only apply to group health insurance plans regulated by the state; that would mean plans bought through small to mid-sized companies.

For larger corporations, ones who self-insure, this bill would not apply, as they are federally regulated. For any small business that has fewer than 50 workers, an exemption may apply if they prove that the mandate caused their rates to rise over 2.5% the previous year. In a nutshell, there will be various options that include autism coverage for treatment and for diagnosis, but this will not be attached to all of the plans sold in the state.

This is great news that may have many other applications nationwide if the bill proves to be a success and keeps the overall health care budget down, thanks to early intervention allowing those with autism to live a fairly normal life.

Clelland Green is with Benepath.com, a leader in providing health insurance quotes. Benepath provides individuals, families, and businesses with affordable health insurance quotes in just a few mouse clicks. To learn more, visit http://www.benepath.com.

Budget Concerns May Hamper Health Insurance

People may tell you not to worry about the cost of health insurance. They obviously haven’t lived with your budget concerns.

Having or not having health insurance in America these days is a major debate. Those that have it know the benefits it offers.

Those that don’t think it’s a waste of time and money and they don’t need it – that is they don’t need it right now – but later? That may be a whole different can of worms.

The question still remains though, how does one get affordable health insurance in this economy? How does one stay safe and be covered and not be broke? Good questions and the answers are highly individual to each person’s specific situation. Of course, the bottom line is and will always be what dollars are there to go around in the household to pay for everything from soup to nuts and still include health insurance plans? This is even more of an issue when you are considering buying individual insurance and you happen to be self-employed – meaning your income will vary wildly from month to month.

Being self-employed and wanting insurance means finding a way to budget it and doing with less someplace else. Why is this a smart idea even if it hurts? It’s smart because if you are hurt, need medical care and don’t have health insurance, then your business may go under because you need the funds to pay the medical bills. If you work for someone else; well, lucky is the worker who has their health care costs picked up by the company.

Let’s say you want individual health insurance and you work for yourself or for someone else – either way, your premiums will vary depending on what you choose in terms of health insurance plans. Things like co-pays, co-insurance and deductibles are costly, but they are usually the plans with lower premiums.

So there you have it, the health insurance plans with lower initial costs usually have higher premiums, and the health plans that mean you need to use a network (like HMOs) will cost less. What to choose? You choose what your personal preference is, as health insurance coverage is a highly individualized thing.

Can any of these choices be done on a budget? You bet they can, as despite prevailing opinion that no one can afford health insurance, there are affordable health insurance policies out there for everyone. It’s just that some people, no matter how reasonable a health insurance plan is, still won’t buy one for their own reasons. For those individuals, when life happens, they too will see the necessity of needing health insurance.

Clelland Green is with Benepath.com, a leader in providing health insurance quotes. Benepath provides individuals, families, and businesses with affordable health insurance quotes in just a few mouse clicks. To learn more, visit http://www.benepath.com.

Ask the Right Questions When Looking for Health Insurance Quotes

Health insurance quotes are crucial to help you choose an insurance plan that works for you.
Health insurance quotes, while helpful to assist you in choosing the right health insurance plan, are really the tip of the iceberg. There is a whole lot more you need to know and should be asking when it comes to buying a health insurance plan than just how much it costs. This applies for individual health insurance and when buying family health insurance.

You need to start out by telling a health insurance broker what you need for a health insurance plan. Once you have seen at least three different options, and know what they each offer you, then you can compare prices. Unfortunately, a large number of people just take the agent’s suggestion at face value without comparing costs. There isn’t anything wrong with an agent making a suggestion for your policy needs, but ultimately, they don’t know “you” they same way “you” know “you.” This could result in you getting a policy that is cheap, but doesn’t cover what you really need.

When buying an affordable health insurance plan, don’t assume a particular kind of coverage is provided. You must find out what the policy “exclusions” are; items that are “not” covered. Some examples of things that may not be covered are carpal tunnel, autism and pre-existing medical conditions.

Along with the exclusions, make sure to ask what the coverage limit is for each item. The answer may surprise you and its better you find out in advance of needing to activate your coverage for a medical claim. There may be limits for coverage for “each” item, such as ambulance, doctor’s visits, etc. Check the limits before you buy your health insurance plan.

Make sure you also ask about the deductible. That’s the amount you pay before the insurance company starts to pay. Many health industry pundits suggest a higher deductible is a smart move in order to reduce your monthly premiums. While this may be a good idea for some people, if you are constantly at the doctor’s for one thing or another, you might prefer paying a higher monthly premium.
And last, but not least, find out what your co-pay will be when someone visits the doctor. If it’s just you, you may be paying up to $75 per visit. This is something to ask your health insurance agent about. Just remember, you get what you get when you don’t ask things you need to ask. So, take the time to ask the questions, pay attention to the answers, and then make an informed decision.

Clelland Green is with Benepath.com, a leader in providing health insurance quotes. Benepath provides individuals, families, and businesses with affordable health insurance quotes in just a few mouse clicks. To learn more, visit http://www.benepath.com.

Cheap and Inflexible Versus Pricey but Flexible Health Insurance

Choosing the right kind of health insurance is tough. It’s hard to know what would work best for you.
One thing can certainly be said for the health insurance industry today, and that is they offer a lot of choices for people wanting affordable health insurance. The problem for the end user or consumer is that they may not know what would work the best for them. Interestingly enough, there are no right or wrong answers to the question of what’s best, but there are personal choices, wants and needs.

This is where education and research comes into play.

You need to start with the premise that you really “do” need health insurance, because without it you could wind up filing medical bankruptcy. No one can afford medical care today on their own dime and this is why affordable health insurance is crucial, because the bottom line is that people need insurance to be able to pay for those horrendous expenses.

So what are the choices out there? There are cheap HMO plans floating around, but you get limited access to doctors, plus, they have a reputation for denying more claims than they approve. If you want to access a doctor outside the network, then you need to pay that expense on your own. This would likely make you reconsider paying cheaper premiums for coverage you may not even get later when you make a claim, or if you have to access an out-of-network doctor at your own expense. In the final analysis, while the HMO may be an affordable health insurance option, if it doesn’t pay out when you need it, it really isn’t affordable.

Let’s have a quick look at PPOs. These tend to have more advantages going for them and you have access to a wider choice of doctors. Some people prefer having a greater selection of doctors to choose from, particularly when it comes to needing to see a specialist. Also, with a PPO you may get referrals and you don’t need to report to your primary care doctor; saving a few steps in the medical tango when you need medical care.

Along with the ability to be able to do more things and see more doctors, comes a slightly higher price tag on premiums. This might be OK for you if you prefer having choices. Again, what you choose for your personal health insurance plan and that of family members largely depends on what you prefer and are comfortable with in terms of service being provided for your insurance dollars.

Clelland Green is with Benepath.com, a leader in providing health insurance quotes. Benepath provides individuals, families, and businesses with affordable health insurance quotes in just a few mouse clicks. To learn more, visit http://www.benepath.com.

The Good, Bad and Ugly HMO

HMO plans have good points and bad points. Ultimately, it’s a personal decision as to what you want.
Health maintenance organization plans (HMO) are what is commonly referred to as a managed care program. Generally speaking, their raison d’être is that maintaining your good health is possible by preventing disease and providing the best of care. If you take this one step further, with good health and working to keep things that way, the rising costs of health care across the nation may be controlled, if not reduced.

When these affordable health insurance plans first came on the scene, those who were enrolled paid a fixed monthly premium to get doctoring from a contracted network of service providers. That network included clinics, hospitals and other health care professionals who’d signed on the dotted line with the HMO. You might want to call this restrictive, because you only have access to just those within the network – period.

Nonetheless, HMOs seem to have their place in the grander scheme of things and have had since about 1973, when President Nixon approved the HMO Act. Those managed affordable health insurance plans were subsidized by the government and because of that, they started to spread their wings and grow. Competition was fierce then because of the subsidy, and thus health insurance companies could offer lower priced “deals.”

It used to be that HMO plans were bought by businesses for their employees because health insurance companies could give an organization a deal with the government subsidy to back them up. These were cheaper than individual health insurance plans. Then, insurance companies started lining up doctors to join an HMO. Evidently, the physicians were told if they didn’t join, the insurance company would find other doctors who would join and then take their patients away. Many doctors joined an HMO to keep their practices viable.

Over time, the insurance companies kept making changes to the doctor’s HMO contracts; things like the requirement to see more patients, offering more services that needed pre-approval and stricter confidentiality agreements. HMOs had their heyday until the end of the 1980s. By then, more and more claims were being denied and members started to leave in droves.

Claims were denied because the insurance companies had unwisely invested their money in real estate deals. With the savings and loan bust, insurance companies lost money. To make it back, they had to deny member claims to retain funds. Put another way, bad investments meant they couldn’t pay member claims, so they denied them. Unfortunately, the denials have continued until today. Although having said that, there is a difference now, in that there are more law firms and attorneys filing cases against HMOs; cases involving medical malpractice, bad faith and wrongful death.

What an eye-opening experience this has been for HMOs; the fact they may be sued when someone dies as a result of them denying coverage for necessary treatments, for denying valid claims and for med mal on the part of one of its physician members.

Clelland Green is with Benepath.com, a leader in providing health insurance quotes. Benepath provides individuals, families, and businesses with affordable health insurance quotes in just a few mouse clicks. To learn more, visit http://www.benepath.com.

Instant Health Insurance Quotes a Little Like Bingo

It’s nice to know instantly if you qualify for health insurance. Instant health insurance quotes also provide approximate premium prices.

It’s becoming a world where it is ultimately crucial that you and your family have health insurance; affordable health insurance. If you want that kind of information quickly, after all we are in the age of instant this and that, then accessing instant health insurance quotes will let you know within seconds if you qualify for a health insurance plan and what the costs may be. Leave the work of quoting to the health insurance website, because it means more time for you to do what you really want to do instead of searching for affordable health insurance.

There are a whole lot of people out there that are working harder and longer than ever before and making less to show for it. What they are making, they stash away for their children’s future. They don’t think they can afford any type of health insurance plans. More to the point is this question: “Can they afford ‘not’ to have a health insurance plan?” The answer is: “No, they can’t afford ‘not’ to have health insurance.” Not in today’s world of high cost medical care for everything from soup to nuts. Even a broken leg may run to $20,000; money most people don’t have on hand.

The bottom line here is that having good health and keeping it, is critical for you and your family. If you don’t have your health, chances are you will run the risk of losing what savings you do have to pay medical bills that could have been covered by your health insurance plan. Health is wealth and “means” wealth if you can keep working and stay healthy – with the assistance of a health insurance plan.

In other words, if you don’t want to be in the situation where you have to declare medical bankruptcy, then you need to be checking out health insurance quotes. Before you get started, know what kind of health insurance you want for you and your family.

Once you have a good idea of what that is, hit the Internet and do some online searching for an insurance website that provides instant health insurance quotes. Instant health insurance quotes are a bit like playing Bingo – under the ‘A’ for affordable health insurance, under the ‘H’ for health insurance plans and health insurance quotes.

The whole idea in sourcing instant health insurance quotes is to let you know right away what is out there and what you qualify for in terms of health insurance plans. Knowledge is power; make it work to your advantage.

Clelland Green is with Benepath.com, a leader in providing health insurance quotes. Benepath provides individuals, families, and businesses with affordable health insurance quotes in just a few mouse clicks. To learn more, visit http://www.benepath.com.

Finding Affordable Health Care for College Grads

Worrying about being able to afford health insurance is one of the last things a recent college graduate wants to do. Recent changes to the health care system are lessening the need to worry by offering college graduates more opportunities to secure coverage.

Students graduating from college this month are going to have a lot on their minds, as they attempt to find a job, move into a new place, and settle into their new lives. Securing health insurance isn’t something else they should have to worry about. Thanks to the provisions of the recent health care legislation, college graduates will now be able to find a variety of affordable health care options.

The legislation includes incentives for small businesses to offer insurance to employees, and this could have a profound impact on those young graduates out there looking for a job. As more companies begin to offer insurance to employees, college graduates will have greater choices and will not have to turn down job opportunities because health insurance is not available.

One of the most significant healthcare reforms that will take effect later this year is the extension of time college students and graduates can be covered under their parents’ policy. Starting September 23, 2010, dependents under the age of 26 can re-enroll with a parent’s health insurance plan, and some insurance companies will begin this re-enrollment period early. While this will give college graduates more opportunities to secure health care, it may not be the most affordable option. While insurance companies may be required to cover dependents under the age of 26, it may significantly increase their parents’ premiums. College graduates should compare this amount with quotes from leading health insurance companies in their area to see if it makes more sense to buy individual coverage.

Purchasing individual health insurance may be the only option for some college graduates, as they may not qualify to re-enroll in their parents’ plan or be able to secure employer-based health insurance. College students may be able to secure affordable health care by choosing a plan with a higher deductible. The annual deductible on a health insurance plan is the amount the insured has to pay, not including co-payments, before the health insurance kicks in. Health insurance plans come with varying deductible levels and typically range from $250 or less to as much as $5,000 a year. Normally, the higher deductible one chooses, the lower the monthly payment will be.

Another affordable option available to college graduates is short-term health insurance. Short-term health insurance policies aren’t intended to cover the average visit to the doctor for a cold. Instead, they are intended to provide coverage for significant events while an individual is between more extensive policies. Short-term policies might be the right choice for some college graduates, but they should read the fine print before purchasing a policy. Some short-term policies allow for the insured to be dropped at the beginning of each month if he or she has become an expensive person to insure.

Many college graduates choose to go without insurance because they do not have much income right out of school and are faced with repaying hefty student loans. Going without insurance, though, could put college grads at risk of adding thousands of dollars of medical bills to their existing debt.

College graduates should carefully consider all of their health care options and compare policies before going forward with securing health insurance.

To learn more, visit http://www.benepath.com