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Cheap Health Insurance Made Easy

Thursday, January 20th, 2011

Cheap Health Insurance Made Easy

Cheap health insurance has become the issue of the moment in South Carolina and across the country. More small businesses are increasingly unable to provide cheap health insurance plans to their employees because of the rising cost and the lack of federal and state legislation that would allow small businesses to purchase cheap medical insurance in pools. In the meantime South Carolina and other states are looking to cut the costs of the Medicare and Medicaid health insurance programs for the elderly and the poor. However, more affordable forms of health insurance plans are available as some private companies are experimenting with a new variation of cheap health insurance known as health discount plans. In the article that follows we’ll explain the various aspects of cheap health insurance in South Carolina and how to find a plan that works for you.

Health Care Costs due to Managed Health Care

The current health care system in America is inaccessible to approximately 47 million poor and lower middle class people. In order to address the growing health care insurance crisis in the U.S. that resulted in health care cost growth in the 1970s and 1980s, health maintenance organizations (HMOs) sprung up. These were initially as non-profit groups designed to separate unnecessary tests and treatments from those that the patient required in an effort to keep costs down. Managed care organizations began screening requested procedures by physicians to pre-authorize what the HMO would or would not cover. However, the number of people who are the riskiest to insure-diabetics, cancer, etc.-continues to rise. Many South Carolina managed care industry experts say the cost of cheap health insurance is still high because of the existing pool of insured people who use the health care system more than an average amount.

The other battle that is ongoing in South Carolina involves the health insurance companies and hospitals, the latter which cannot turn anyone away from care by law. However, as the number of South Carolinians who cannot afford cheap health insurance increases, hospital emergency rooms are handling the majority of the load. More people have to turn to hospitals as their primary health care givers given a lack of adequate or non-existant health insurance coverage.

Cheap Health Insurance Plans Through the Workplace

Most cheap medical insurance policies in South Carolina are usually written through group coverage offered at work by your employer through a private South Carolina cheap health insurance company. This is usually the more cost effective way to purchase cheap health insurance now available since a large number of employees allows South Carolina companies to reduce their insurance premiums. Similar to buying in bulk, the more health insurance plans a business can purchase for its employees the less expensive the insurance is per employee. In South Carolina, like the rest of the nation, the number of companies that can provide cheap health insurance for their employees is declining.

Personal Health Insurance Plans

Health insurance plans can be purchased by individuals and families from virtually every insurance provider in South Carolina. Trying to purchase health insurance on an individual basis can be more expensive if the person already has a health problem, known as a pre-existing condition. Many companies will not cover people with pre-existing conditions if they have no continuation of coverage-renewing health insurance coverage after only a prescribed short period of time-picked up from an earlier cheap health insurance policy.

South Carolina Health Insurance Pool

The South Carolina Health Insurance Pool is a state health insurance plan designed to provide coverage for those that either do not have or have lost medical coverage at no fault of their own and are uninsurable. The pool was created by the General Assembly to help people who couldn’t get health insurance coverage from any other source, including people with certain disabilities. Blue Cross and Blue Shield of South Carolina currently administers the pool.

Coverage is available to a person who has been a state resident for at least 30 days and meets the following criteria:

They were turned down for private health insurance coverage for health reasons;
They were accepted for private health insurance, but have pre-existing illnesses or conditions excluded from coverage, for a period exceeding 12 months;
They are paying health insurance premiums for comparable coverage which are more than 150 percent of the premium levels charged by the pool;
In certain situations, other individuals whose last health insurance coverage was an employer based group health plan may be eligible for coverage.

No matter what your age, there are also several federally sponsored programs to help you if can’t afford the premiums for individual health insurance, providing you meet their eligibility guidelines.

Medicare, a health insurance program for people age 65 or older, certain younger people with disabilities, and people with end-stage renal disease.
Medicaid, a program for the poorest individuals and low-income families with children.
The Children’s Health Insurance Program (CHIP), a plan that provides health care to children whose parents make too much to qualify for Medicaid, but earn too little to afford individual health insurance.

Types of Cheap Health Insurance Coverage

Cheap health insurance plans generally fall into one of two categories: indemnity plans and managed care plans (HMOs, PPOs or POS plans). An indemnity plan allows you to choose your own doctors and pays for your medical expenses totally, in part, or up to a specified amount. Managed care plans generally provide broader coverage within a specified network of health-care providers.

Although you can purchase cheap health insurance plans that cover specific areas of health care (surgical, hospital, physician expense plans) most plans cover varying degrees of health care in a number of different areas. This health insurance coverage, known as major medical insurance, offers extremely broad coverage with a very high maximum benefit that’s designed to protect you against losses from catastrophic illness or injury.

When comparing cheap medical insurance plans, check to see if they provide additional benefits that you may need, including prescription drugs, preventive care, mental health benefits, maternity care, and vision care. A comparison of various health insurance policies and rates through many South Carolina health insurance companies can be obtained at www.insurances.sc.

Cheap Health Insurance Recipient Costs

With most cheap health insurance policies available in South Carolina, the way to control cost is to cut down on the out-of-pocket expenses. Since most health care insurance policies require you to make a co-payment (the amount you pay a health care provider with every visit), anything involving a lot of time spent in the doctor or dentist’s office can become expensive. Most also require a deductible (costs you must cover out of your pocket for any major expense before your cheap health insurance policy picks up the remaining costs). You may also have coinsurance, the percentage of cheap medical insurance cost you will still have to pay after you reach your deductibles.

Another thing to consider is COBRA health insurance. This law allows employees who leave a job the ability to stay on that South Carolina company’s employee health insurance for up to 18 months although they have to pay the full amount of the coverage. Check the COBRA benefits to see if purchasing a less expensive individual health insurance plan may be in your best interest.

How to Buy Cheap Health Insurance

If you need to purchase individual health insurance, it can be expensive. Unlike group plans, in which the costs and risks associated with health care are spread among many people; individual health policies are “medically underwritten” to take into account your personal health history. Any “pre-existing” condition such as heart disease, diabetes, and even pregnancy, can nix your chances of acceptance or boost your premiums.

To determine the acceptability of a particular applicant, a health insurance underwriter can require information regarding the following:

The individual’s age: Age determines rates and whether coverage will be issued at all.
The individual’s gender: at younger ages, males have a lower rate of illness and injury than females. That changes by age sixty.
The individual’s health history and physical condition: Someone who has had a previous condition that can contribute to a future illness/injury is not considered an ideal risk. In response to a less than ideal medical history, modified coverage may be offered depending on the individual’s health, higher than normal premiums may be issued, or the person may be denied coverage altogether.
The individual’s occupation and hobbies: Some occupations such as construction workers have higher insurance rates, along with people who enjoy dangerous activities such as skydiving or bungee jumping. At times certain occupations are considered so hazardous that insurance companies will not cover them at all.

Your first step in getting cheap health insurance coverage is to understand exactly what you need. Think carefully about what coverage you must have. Do you need health insurance for your whole family, or just yourself? Do you want to choose your providers? If you’re over 65, do you need insurance to fill the gaps in Medicare? Do you need – and can you afford – long-term disability and/or long term care coverage? Even if you begin by soliciting cheap health insurance quotes you must still know exactly what you want in terms of health insurance coverage so you will be comparing apples to apples when weighing any cheap health insurance premium quote.

After that, contact a South Carolina insurance agent in your area. Ideally, you can start with an independent South Carolina insurance agent who is familiar with the insurance companies that do business in your area. This agent is also not bound to write coverage for any particular health insurance company so he or she can give you an honest appraisal of various health insurance policies.

When you’ve found the right coverage, you’ll give information to your agent to complete the necessary forms. Be honest. It’s important to disclose your medical history thoroughly and accurately. Report all of your health problems to your agent. If any of your health information is misstated or incomplete, the company might refuse to pay your claims and could cancel your policy.

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Health Insurance Reform Weekly Easy To Insure ME

Wednesday, January 12th, 2011

Health Insurance Reform Weekly Easy To Insure ME

A new study released last week adds to the growing evidence showing that many Americans go without medical care or skip filling a prescription because of high costs. Published in the journal Health Affairs, the study also shows that Americans are less happy with their health care than those in many other countries. Rising health care costs are clearly a major public policy challenge, but new research from the Center for Studying Health System Change shows where significant attention needs to be focused to meaningfully address the problem. The study found that some providers and hospital systems have significant market power to negotiate higher-than-competitive rates. In some cases, they command almost five times what Medicare pays for inpatient services and more than seven times more for outpatient care. As the author puts it: “Few would characterize the variation in hospital and physician payment rates found in this study to be consistent with a highly competitive market.” Easy To Insure ME has the answers

Congress returned last week for the first of two lame duck sessions; the first one for the week of November 15 and the second to start November 29 and last until mid-December. Given the results of the election and the size of the Republican majority in the House (largest since 1948), the first week back was more about organizing and posturing than anything called legislation. As to leadership, each party in the Senate re-elected the very same team from the last Congress to serve in the upcoming 112th Congress (2011-2012).  As expected, the House Republicans elected Ohio Congressman John Boehner as the incoming Speaker, with the remaining Republican leadership posts aligning with the same pecking order as in the 111th Congress.  House Democrats pretty much followed the same pattern with Nancy Pelosi (soon to be ex-Speaker) elected as Minority Leader, even though conservative Democrats waged a futile battle to oust her. Once Democrats created a brand new 4th spot within leadership for current # 3, James Clyburn (South Carolina), the battle for Minority Whip dissipated and went to current Majority Leader, Steny Hoyer (Maryland).  As for legislation, Congress did nothing on many key issues but is expected to act in the second lame duck session on the expiring Bush tax cuts, the Continuing (budget) Resolution to keep the government operating (expires December 3), and repeal of the new 1099 reporting requirement that PPACA imposes on small business.

The Senate, however, took a baby step toward staving off  a  23 percent cut to Medicare physicians, set to begin on December 1, by approving a measure halting the cut until until January 2011. The House is expected to pass this measure when Congress returns for its second lame duck session. Just in case there are Congressional delays, CMS has already announced a suspension of claims processing until December 14 so that any delay in House passage does not lead to an actual cut in physician payments. Just how Congress will deal with the scheduled 2011 cut of 26 percent remains an open question, one that must be answered by the next Congress.

Only the regulators are pumping out paper with meaning. This week HHS announced that it was issuing regulations that follow closely the National Association of Insurance Commissioner’s (NAIC) recommendations for implementing a new medical loss ratio (MLR) requirement as part of the Patient Protection and Affordable Care Act PPACA). Starting next year, PPACA requires that insurers spend 80 (small group and individual) to 85 percent (large group) of the premium dollar on medical services or face the prospect of providing rebates to consumers. The new regulations outline disclosure and reporting requirements and how insurers must calculate MLRs.

Last week key federal agencies (Labor, Treasury, HHS) issued a revision to a previously issued Interim Final Regulation on grandfathering that set forth the rules allowing consumers to “keep the coverage they have” as of March 23, 2010, the date the President signed PPACA.  The revision announced last week provides additional flexibility for fully insured grandfathered plans by allowing them to change insurers without jeopardizing their grandfathered status the same way a self-insured plan can change third-party administrators (without losing grandfathered status).

What is wrong with American health care, and the simple steps you can take to start fixing it. References: www.fdrurl.com
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Health insurance quotes reform weekly Easy To Insure ME

Wednesday, January 5th, 2011

Health insurance quotes reform weekly Easy To Insure ME

As the 111th Congress (2009-2010) comes to a close, it passed, and the President has signed, a tax bill with multiple moving parts. The bill was part of an end-of-session deal forged by President Obama and Republicans, with little Democratic input. The bill preserves the Bush-era tax cuts (with no carve-out to tax millionaires), extends a number of otherwise expiring individual and business tax provisions, reinstates the estate tax on Republican terms, and provides a 2 percent payroll tax cut for 2011 and a 13-month extension of unemployment benefits.  It remains to be seen whether this collection of legislative goodies will improve the public’s rather low (11 percent) approval rating of Congress, considering that it carries a 0 billion price tag that will be added to the national debt.

Over the weekend, the Senate passed the repeal of the military’s “don’t ask, don’t tell” policy, which is now expected to be signed by the President this week. But Republicans in the Senate blocked Majority Leader Harry Reid’s effort to pass an omnibus appropriations bill for fiscal year 2011 (September 2010 to October 2011) because of the earmarks hanging on the bill. Consequently, Reid has pulled the bill and opted for a Continuing Resolution approach to keeping government afloat into the New Year.  With this funding measure fairly completed, the Senate and the House are likely to adjourn for good sometime this week.


COLORADO: A draft bill regarding child-only coverage is being circulated. With an effective date of Jan. 1, 2012, the bill would require all carriers in the individual market, as of that date, to offer such coverage. The bill includes two open enrollment periods, notice of availability on a carrier’s website and data reporting to the Commissioner on the number of applicants, enrollees and denials. Coverage may be denied if other creditable coverage is available, and a surcharge of up to 50 percent may be charged if a policy lapses for more than 63 days before an applicant seeks coverage again.

KANSAS: Insurance Commissioner Sandy Praeger recently appeared before a public meeting of Kansas’ Joint Committee on Health Policy Oversight to give an overview of PPACA. Her presentation included Kansas-specific data on the uninsured population (18 percent), the newly established high-risk pool (currently 121 enrollees), reforms already in place, status of grant monies received, and plans for the future, including creation of an insurance exchange. Praeger explained that the federal government will take over creation of an exchange if the state declines to do so. Saying she ”wants to make sure it is done right,” Praeger encouraged the legislators on the committee to move forward with implementation. While the committee members were in agreement that federal control of an exchange in Kansas would not be desirable, they were also hesitant to support legislation that will enact anything related to ”Obama-care.” They expressed concern about whether the federal government will actually provide funding to cover the costs and stated their preference for supporting a “repeal and replace” approach.

OKLAHOMA: Members of the Oklahoma Association of Health Plans (including Aetna) recently met with Mike Rhoads, the incoming Deputy of Health Insurance, to talk about insurance exchanges and other topics. Set to serve under Commissioner-elect John Doak, Rhoads is a former BlueCross BlueShield executive. Rhoads was very interested in input on the topic of exchanges, whether one should be created by the state, what it should look like and what flexibility the state would have in creating one. While the new Republican Congressional leadership is discouraging state officials from taking any action to implement PPACA, Rhoads explained that he and Commissioner-elect Doak prefer to make plans to implement what is currently the “law of the land” and take an active role in exchange creation. They would rather not allow the federal government to take over the exchange or waiting for the Supreme Court to finally decide the issue of constitutionality. He was very interested in feedback on the current state exchanges in operation in Utah and Massachusetts, as well as any “models” that have been generated by working groups. Health plans also used the opportunity to discuss the topics of rate review, implementation of medical loss ratios (MLRs), the possibility of a phase-in for the individual market, and a new potential “pass through” fee on hospitals, intended to maximize federal Medicaid matching dollars.

TEXAS: Last week, a historic super-majority of Republicans was created after two Democrat House members announced they were officially switching political parties. Both members explained their decisions were due to political changes within their districts and a desire to ”be what the majority of the district is now.” Republicans  now can pass constitutional amendments and legislation without seeking Democratic support. By having two-thirds of the votes, Republicans have the ability to suspend parliamentary rules and begin debate on partisan issues that Democrats were unwilling to even discuss in the past. Some of those issues include Immigration and Voter ID, which had previously been blocked by Democrats. The legislature goes back into session January 11, 2011.