Health Insurance Blog

August 1, 2011

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December 29, 2010

Medicare Basics For Elderly Americans

Medicare is the Federal Government funded health program that is designed to offer necessary health coverage to elderly Americans. We all know that with age the requirement for medical assistance grow. The private insurers are particularly reluctant to cover elderly patients as they are into greater health risk. Also, you lose the health coverage offered by your employer as you retire. The Government therefore has come forth to cover individual over 65 years of age through Medicare. This write up has discussed the basics of Medicare to help you make better decision.

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Qualifying criteria for Medicare

Medicare is an entitlement program and any American meeting the qualifying criteria would qualify for Medicare. The qualifying criteria for Medicare is constant through out America. You can enroll for the Medicare part-A 3 months before your 65th birthday to 3 months after. One may qualify for Medicare if:

  • One is over 65 years old.
  • With certain disabilities.
  • Suffering from terminal renal disease.

Types of Medicare coverage

The entire Medicare coverage is divided into parts. There are part-A to part-N, of which the first four parts, namely part- A, B, C and D are the most discussed.

  • Medicare Part-A: The Medicare Part-A would cover inpatient care in hospitals, home health care and skilled nursing care if you meet certain criteria.
  • Madicare Part-B: The Medicare part-B would cover doctor services and part of preventive care services which would help you in staying healthy.
  • Medicare Part-C: The Medicare Part-C is also known as Medicare+ or Medicare Advantage. It may require you to bear some expenses of the coverage. However, its most comprehensive in nature of all the Medicare plans and covers hospital stay, skilled nursing care as well as partial prescription drug coverage.
  • Medicare Part-D: The Medicare Part-D mainly covers the prescription drugs. It is provided in collaboration with the private health insurance providers and hence individual plans are likely to vary between policies.

December 25, 2010

How to Choose The Best Health Insurance Provider?

Choosing the right health plan can itself be a daunting task but things can get even worse when you have to choose the best health coverage provider as well. To make the things worse there are now over a hundred health insurance providers in the market and they all are fighting for the attention of the customers. In this write up I have tried providing you with some tips that would help you in your bid to find the right health insurance provider.

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  • Ask references: You can ask your friends and family to suggest you few names. It is often more easy to find an insurer through its satisfied customers. Your friends or colleagues would be able to help you in finding the best health insurance provider.
  • The Yellow Pages: You would be able to find the contact details of insurance agents, brokers as well as of insurance companies from the Yellow Pages.
  • Insurance brokers: Insurance brokers are often associated with more than one insurer and thus can help you find the best one that would meet your requirements. Insurance brokers are particularly useful if one is with a health condition.
  • Commercials: Insurers often advertise their products in different media. You may find about their newly launched health policy from TV or newspaper commercials. Agents and insurance companies  may also contact customers directly  through mailer and fliers.
  • Shop around: You may shop around to find the best rate on coverage. Shopping around would help you compare the rates with the coverage of different insurer. You may also take help of an insurance agent to help you find the best deals of rate and coverage.
  • BBB site: The Better Business Bureau (BBB) would let you explore the past business record of  insurers. You can find the number of consumer complaints filed against them and also the number of complaints solved by the insurance company. This would give you a good idea about the reputation of the insurer.

December 19, 2010

Diabetes and Health Insurance

Diabetes is a health problem that has affected billions all over the world. In milder forms the ailment is not of much concern. Often simple restrictions in diet and change to a healthy lifestyle can control the condition. But sometimes the condition can worsen, especially for those falling under the high risk group. The ailment can turn fatal. Sometimes the ailments and conditions arising from diabetes include heart diseases, strokes, kidney failures, blindness and in the worst case lower limb amputation. In case the person survives he or she has to undergo serious treatment and that often can be quite costly.

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To cover the cost that is needed for treatment of diabetes and diabetes related problems there is the general health insurance that covers almost all the ailments. But this type of insurance generally becomes effective when one gets hospitalized. Often the treatment of diabetes needs regular visits to the doctors, insulin shots and medications and a number of pathological tests. These expenses are almost of recurring nature and for controlling diabetes they are extremely necessary. Sometimes the treatment lasts lifelong. So health insurance plans designed especially for diabetes takes care of all such things.

When choosing a health care plan for diabetes some things need to be kept in mind. These are very important due to the nature of ailment, that is, it can last a lifetime. These are:

  • The policy should cover all the possible medical treatments of diabetes.
  • The policy should also cover the ailments that can arise out of diabetes and the medical treatments related to them.
  • The insurance should cover all the costly medication and insulin needs for the treatment and control of diabetes.

But one thing is said about the health insurance policies covering diabetes and that is they are costly and often are not available easily with all health insurance agencies. Then even if a person gets the policy there is a chance that it will not cover all the aspects related to diabetes. Since disease or ailment specific policies are still not that common, one may have to accept the policies that cover some aspects of the disease if one needs continuous and prolonged treatment.

December 15, 2010

A Beginner Guide To Group Health Insurance

Health is one major concern for many of us. Most of us don’t like to miss the working days because of illness. Also medical bills can add up pretty quickly to burn a hole in your pocket. Health insurance therefore is a requirement for us. But when it comes to buying health coverage in the market, individual health plans are often expensive and also hard to qualify for. Group health plans offered by employers therefore make a wiser decision for many. Following are the basics of employer provided group health plan.

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  • The name: As the name suggests, the employer in collaboration with a health insurance provided offers health plan to its employees. It’s offered to the employees irrespective of age, ethnicity and health condition.
  • Guaranteed issue: Unlike, private health plans, which have a stricter qualifying criteria based on pre-existing conditions, one can’t be denied of group health plan on it. Group health plan guarantees non-discrimination.
  • Guaranteed renew: Guaranteed renew means that the insurer can’t exclude you from the group plan or deny to renew the coverage, ensuring that you would remain covered as long as you continue working.
  • Cost effective: Group health insurance is cost effective. Its cheaper than private health plans. The premium of the health plan is divided amongst the participants of the group.
  • Employer funded: Many employers share the cost of the plan with its employees. Often employers make the larger contribution in the plan.
  • Include family members: Employees are often allowed to include their spouses and children in their group health plan.
  • Easy enrollment: Its is easy to enroll for the group health plan. Some employers and insurance providers offer free health checkups for the members of group health plan. It helps lowering the premium rate of the plan.

The group health plan however isn’t free from limitations. Often, healthy members of the group end up paying higher cost for the policy for the not-so-healthy members. Also, you can’t customize a group health plan to suit your needs best and have to accept what has been offered to you.

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