Archive for the ‘Pennsylvania Health Insurance’ category

Health Care Reform Needs The Right Leaders

January 21st, 2013

As the exchange era approaches and the reform bills take affect, many are still wondering what the overall result will be.  As of late, many have seen there health insurance premiums double with no explanation.  Also, many are still without health insurance because it is still way too expensive.  It is estimated that there are still over 40 million Americans without health insurance today.  That number is obviously why President Obama is trying to overhaul the system with his laws that were passed over two years ago.  In California, there are currently over 8 million uninsured, one of the highest figures in the country.  So, how will the exchanges get these millions of Americans insurance?  How long will it take for everyone to get health insurance?  5 Years?  20 years?  Another question, will people simply pay the fees associated with not having insurance because that it is still much cheaper than actual health insurance premiums.

Many people who make $10 dollars an hour, trying to make a living, do not have and can’t afford to get health insurance.  America needs quality leaders to oversee the health care system and the implementation of it coming next year.  Most are predicting that the healthy will pay for the poor, just like the rich pay for the poor when it comes to government programs, etc.  Next year everything takes affect, we will find out soon.

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.

Individual Plans Offer Maternity Coverage

June 8th, 2012

Before July of this year, many individual health insurance plans did not offer maternity coverage.  And if you picked a particular plan that had some type of maternity coverage, the coverage was limited and the plan was very expensive.  Now, the marketplace has changed a little bit.  Whether a direct result of the health reform or not, all carriers are offering plans that cover maternity and it is not at a hefty price.

Many individual health insurance plans have actually become more affordable while offering better benefits.  This is usually not the case in the individual health insurance market.  Usually when carriers offer better benefits for their health insurance plans, they usually charge you more per month.  Many are taking advantage of these great benefits, especially since there is uncertainty because the Supreme Court is scheduled to rule on the health reform any day now.

Supreme Court Decision Drawing Near

June 4th, 2012

The health reform was passed well over two years ago and has not gone without debate.  Many parts of the reform have already been implemented and have had a positive impact.  For instance, the lifetime maximum was lifted so no one can be limited by the amount of medical services they can receive.  This is very important for those patients who are terminally ill and rely of medical services to keep them alive.  Also, the age was increased for dependents to be on their parents’ health insurance to age 26.  As the economy continues to struggle, many are relying on others to pay their health insurance premiums.

However, the most important part of the reform is still being debated, and that is whether or not the individual mandate is constitutional.  Starting in 2014, the reform says that everyone must have health insurance and they will face a penalty from the government.  The Supreme Court is ruling on this and the results will have a huge impact on health care and the economy as a whole.

Saving On Health Insurance

April 30th, 2012

There are a few ways to save on individual health insurance.  For one, make sure you know what you need as far as medical services.  What I mean by that is, know your health history and also your current health.  Many people can save money if they know what is necessary and what benefits would be a waste of money.  For instance, prescription coverage is very costly for both the health insurance carrier and the consumer.  If you know that you do not have a history of taking medications, then choose a health insurance plan that does not have rich prescription coverage.

Also, if you are generally a healthier person, then selecting a health insurance plan with a higher deductible can also save you some money.  Why?  Because health insurance carriers will give you a discount if they know you have more skin in the game.  If you are responsible for more of the upfront bills, then they will try charge you less per month.

Do All Individual Health Insurance Plans Have Maternity Coverage?

March 28th, 2012

The fast answer is no.  In fact, most individual health insurance plans do not have maternity coverage.  The reason is simply, it is very expensive for both the carrier and unfortunately the patient.  When looking at the health insurance plans, make sure you research the benefit details to see whether maternity is offered with that particular plan.  All the health insurance carriers do offer plans that have maternity coverage, the issue is that it can be very expensive from a monthly premium standpoint.

Also, health insurance carriers know that most people get the health insurance right before they are giving birth and will probably cancel the health insurance afterwards.  In these cases, most will be denied.  The best thing to do is to get the health insurance before you start planning the pregnancy.  As a consumer, the best thing to do is plan ahead and make sure you look at the fine print.

Emergency Room And Hospital Coverage

March 27th, 2012

When trying to decide on which individual health insurance plan to choose, make sure you look closely at all the plan benefits.  One of the most expensive parts of health care is emergency room and hospital services.  The average overnight stay in the hospital can reach over $10,000.  Also, even visiting the emergency room for a few hours can cost you thousands.  Although you can’t plan when these unfortunate events might occur, it is important to pick an individual health insurance plan that has the right benefits in place in case you need them.

Some health insurance plans have great office copay benefits and while having weak prescription benefits.  Other plans are strong with ER and inpatient benefits but weaker when it comes to visiting your doctor.  It is very important to look at the benefit details page for each health insurance plan you are interesting in.  This is where it will give you details on what it will truly cost you when catastrophic events occur.