Archive for August, 2012

What Is Not Covered Under Health Insurance

August 15th, 2012

Individual health insurance plans are different than health insurance plans you might of had while working for a company.  Individual plans do not include all types of coverages so it is important to read the benefit details before choosing a plan.

For instance, many people do not know that maternity if not covered under most individual health insurance plans.  This is very important to know.  In fact, it is very difficult to add health insurance coverage after you find out your pregnant.  Many people want to try to get health insurance once they realize of the cost associated with the pregnancy.  Health insurance carriers
are well aware of these high costs and will usually decline coverage if you apply after the fact.

Other types of services usually not covered by health insurance are physical therapy, fertility treatment, cosmetic or elective surgery, weight control services and many other things.  It is extremely important to know what types of services you need based on your current health.  And also, to read the benefit details before making a final decision on the health insurance plan.

Why Does Insurance Keep Rising?

August 7th, 2012

Each year, consumers see their health insurance premiums increase and there are no signs of it getting better anytime soon.  Why do these premiums keep going up and not down?  Why hasn’t the government stepped in and tried to help?  Well the quick answer is that the government passed the health care reform with the exact attempt to make health insurance more affordable for everyone.  The reason premiums increase each year, and why the health reform was passed, is obviously very complex and confusing.  Starting with the health care system, all the way from hospitals to doctors, is very broken and tiered.  Meaning, there are many doctors that are incentivized by different things.

Some want to see as many patients as possible, which obviously lowers quality of care.  And some doctors, only deal with certain markets, providers, carriers, etc. and that leads to other hosts of issues.  The only way that health insurance will become affordable is if people do not game the system.  The major reason health reform might not succeed is that adverse selection might become a big issue.  Since pre-existing conditions will not be an issue starting in 2014 to get approved for health insurance, many fear that the sick will only get health insurance right before a major surgery and then cancel the plan.  This means that the healthy will end up paying for the sick.  This will not make health insurance more affordable.  In fact, it will probably make health insurance more expensive in the years to come.