Monthly Archives: November 2017

Health Insurance Basics

Choosing a health insurance plan that is right for your family can be a bit daunting…but it doesn’t have to be. Becoming familiar with the different health insurance plans that are available both for individuals and families will help you navigate the health care insurance field and make an better informed decision concerning health insurance. Read on to learn some of the health insurance basics.


First, determine if short term or long term health insurance is what you need. If you are unemployed, yet hope to be hired in a few months with a company that offers group insurance, than perhaps short term health insurance is for you. Also some companies require a new employee to work for three to six months before they are eligible for health benefits. Short term could offer the temporary coverage you need. Next, decide if basic health-care coverage or comprehensive health care coverage will better meet your needs.


This plans covers inpatient hospitalization and out-patient surgery in case of a major accident or illness. The monthly health premiums are lower and are generally the choice for those who are primarily interested in coverage in case of severe accident or illness.


This plan covers preventative care, Dr’s visits, prescriptions, along with hospitalizations and out-patient surgery. Comprehensive health care coverage has a higher monthly premium, and it generally has a low co-pay at the time of a Dr’s appointment. This plan may be the better choice appropriate for those who have reoccurring medical expenses.


Health care plans usually fall into two categories, indemnity or managed-care plans. They differ in regard to how bills are paid, ability to choose health care providers and out-of pocket expenses. Generally, you’ll have a broader choice of health care providers with indemnity health-care plans and less out-of -pocket expenses and less paperwork with a managed-care health insurance plan.


HMO’s (Health Maintenance Organizations), PPO’s
(Preferred Provider Organizations), and POS’s (Point of Service Plans) are all managed health-care insurance plans.


Under this plan, insurance companies pay their share of the cost for services after they receive a bill. This may mean that you will have to pay your bill for medical care at the time of service and then seek reimbursement from your health insurance company.


– Lower out of the pocket expenses

– Fewer choices in regard to physicians and hospitals than other health insurance plans

– A PCP (Primary Care Physician) is required and will meet most of your health-care needs

– A referral is needed from your PCP before seeing a specialist


– Health insurance companies offer a network of preferred doctors and hospitals

– These health care providers offer the members services at discounted rates

– Usually an annual individual or family deductible must be paid before the health insurance companies begins to pay out money for medical bills.


– Combines features of both the HMO and PPO plans

– Members are usually required to choose a Primary Care Physician (PCP)

– PCP services are not usually subject to a deductible

– Preventative care visits are generally covered


As with any genre, health care insurance is filled with jargon exclusive to its field. The following is a list of terms and their meanings that will hopefully give you good grasp of health insurance terms.


The percentage of medical costs you have to paying after meeting the deductible amount that is attached to your plan.


This occurs under an HMO plan and requires a specified dollar amount be paid to the health insurance provider on each visit.


A covered benefit must always be a medical necessity. The determination of whether something is a medical necessity or not is made by the health insurance company.


The amount you must pay in medical expenses before your insurance company will begin to cover your medical bills.


A dependent is someone other than yourself who is covered under your health insurance plan. This could include a spouse, child, unmarried partner. For children there are age limits at which they are no longer covered under a parent’s health policy.


In the event that you are unable to work for an extended period of time due to an injury or a medical condition, disability insurance provides funds to cover your living expenses in a specified amount.


Another title for your Primary Care Provider (PCP)


Employers often offer group insurance plans. Under group insurance an employee can generally obtain a much more affordable plan.


In network refers to those physicians who have been contracted under a health care plan to provide services to their members. Staying in network allows lower charges and a smaller percentage of out of pocket expenses. Conversely, going out of network generally means charges are higher and you will have to pay a greater percentage of out of pocket expenses.


This is a specified period past the due date of a premium during which coverage may not be canceled. This prevents health insurance companies from canceling your policy if payment should arrive a few days late.


Generally, this is a once-a-year period of time that allows you to make changes to your existing health insurance coverage. (A change in marriage status or the birth of a child also allows you to modify your health insurance plan.


Before surgery or hospitalization, the insurance company must be contacted to get approval for a medical service to take place. Failure to do so typically means the insurance company will NOT pay for the service. This does not apply in an emergency situation, although the insurance company should be contacted as soon as possible.


A medical condition that existed before an insurance policy became effective. Most insurance companies require a three month to one year waiting period before a pre-existing condition can be covered under their plan.


Monthly payments for insurance coverage. Monthly payments can easily reach $100 for singles and two to three times that amount for a family.


A written form from your Primary Care Provider to another Dr. (usually a specialist) giving consent for you to go to them for medical services.


On occasion an insurance company will ask you to be seen by a second Dr. to determine if the recommended procedure is necessary or if an alternate method could accomplish the same result.

URC (Usual, reasonable, and customary)

URC refers to the dollar amount an insurer will usually pay for a service or procedure based on what is customary for the area in which you live. An insurance company will not pay $800 for a procedure that costs only $300.

Secrets to Finding Health Insurance Deals

It is easy to find health insurance deals across the Unites States presently, because many health insurance providers offer buyers an affordable and beneficial health insurance deals.

It is necessary for people to have health insurance coverage, as the future is unpredictable. Hence, if people have a health insurance, it would help them prepare for all the uncertainties. Currently, health issues are major problems in the United States. This is why the American government insists that people buy health insurance.

People may wonder about how and where they can find deals. Here are several helpful resources that can help health insurance buyers zero in on the right insurance plan for his needs. If buyers wish to have affordable and beneficial health insurance deals, they may take the help of local insurance dealers, who address such health insurance coverage. The other alternative for people is to just sit at home and find health insurance deals to suit them.

Yes, this is possible. Many health insurance dealers have set up their web sites on the Internet to offer comfortable and convenient service to the insurance buyers. Therefore, individuals can simply browse the Internet and find deals, which suit their financial needs.

How To Find Health Insurance Deals:

Discussed below are a few resources to find the most economical and useful health insurance deals:

  1. Contact the State Department of Insurance: There are people who offer customer service on these bureaus. They have a good knowledge of the different kinds of insurance products in their state. Thus, they can steer an insurance buyer to the best-suited companies and products that meet their exact requirements.
  2. Work with a broker or an insurance agent: Agents or brokers are the best resources to know the available health insurance products in the market. They help insurance buyers in finding cost effective health insurance deals. They help to find favorable deals on health insurance with low insurance premium.
  3. Check out Professional/Trade Organizations: Such trade organizations may offer health insurance coverage to insurance buyers at an affordable rate. Since every province has its own health insurance terms and conditions, the coverage offered by the Chamber in Bozeman, Mont may not be same as the Chamber in Tulsa, Oklahoma. Hence, it is necessary to review the insurance terms of such organizations carefully before purchasing insurance.

Things to Remember:

Before signing on the dotted line, find out the insurance company’s ratings issued by Dun and Bradsheet. Ratings by Dun and Bradsheet depict the company’s financial stability and its claim-paying history. Hence, it is best to choose a highly rated company to secure a good health insurance deal.

The Scary Truth Behind Health Insurance

In present times, insurance buyers may easily obtain health insurance applications. As many health insurance companies and brokers have established their own official web sites over the Internet, it is possible to get health insurance applications with a single mouse click. Alternatively, insurance buyers can get the health insurance applications offline, as well.

Insurance buyers may wonder how and where to apply for health insurance coverage, but be cautious, as an application is a later stage in the approval process of health insurance.

Before sitting down to fill up health insurance applications, insurance buyers need to collect information that is likely to help in filling up health insurance applications. These include names and residential address of physicians, dates of recent visits, and some details of recent insurance coverage.

How to apply for health Insurance Coverage:

It is wise to apply through an employer. If insurance buyers apply through their employer for health insurance coverage, they certainly do not need to submit a medical report. However, they have to wait for the firm’s next enrollment period before applying. For a new employee, it may take a long time for approval.

The application process to join a group health coverage is simple, since most insurance coverage may sign up everyone irrespective of previous and present health state.

For instant approval of health insurance coverage, people need to fill up the application form with certain information. This includes information such as name, residential address, social security number, description of the insured and dependents (together with names, date of birth, age, social security number of all dependents), and employment details such as date of appointment and kind of intended health insurance plan. At times, health insurance companies may ask for any previous health insurance policies, including policy numbers and insurers.

Once buyers fill up all necessary details, the completed application form goes to the insurer, where coordinators are present to process and approve it. Once coordinators feel that all details are up to par, they recommend approval of health issuance coverage for applicants. Hence, it is always best to fill up the application form with correct information.

If buyers wish to apply for group insurance coverage, procedures are similar. However, in such cases, applicants need to manage all paper work themselves. A few insurance companies send insurance agents to negotiate and help in the application process of health insurance approval. The agents help to gather all required documentation, organize an in-home medical test, and collect a pre-payment check.

Health Insurance Money Saving Strategies

How does anyone get the best value with health insurance? Answer: Combine Health Insurance Plans. To explore the principles at work, many people should understand how combining health insurance is a sound solution to a serious problem. It may appear obvious that combining insurance improves coverage, but few people truly understand how combining plans leads to thousands of dollars in potential savings over time. With so many health insurance plans available and over 1 million insurance agents actively licensed today, it leads one to question why no one knows how combining plans saves money.

Today, too many people are learning the hard way that they are under-insured when it comes to health insurance. This happens because competitive health insurance agents bid lower and lower amounts in an inflated market, leading to more gaps in coverage that less experienced agents often fail to comprehend well enough to explain. There is a simple truth to understand about the rising costs of health care.

Health Care Costs Will Continue to Rise When No Regulation is in Place conducted research on hospital charges nationwide. These charges were compared to those of Johns Hopkins Hospitals, one of the most respected health care institutions in the nation. What were the results?

The vast majority of hospital charges average between 300% and 400% above the institutions’ costs for treatment. Johns Hopkins Hospital’s average charges are 117% above its costs. For every $1 charged, Johns Hopkins pays $0.85, or earns a profit of $0.25 for every dollar charged.

The average U.S. hospital pays $0.27 for every dollar it charges. The average hospital is paying $25 Million in costs while charging $95 Million to patients. The average profit margin is around $70 Million annually. The greatest of these charges are credited to surgical supplies and the administration of anesthesia.

In an ever-inflating health care industry, a solution does exist. While politicians continue making promises to solve the health care crisis, individuals and families continue to expect more than the insurance market can bear. But many self-employed individuals and families can find comfort in knowing they can do something to secure assets by simply doing the legwork and becoming informed about health insurance.

The solution is based on a very simple principle of insurance. Insurance is an Agreement to Share the Financial Risk of Loss Between Individuals and Companies

This basic concept is more important for individuals to understand now than ever. Health insurance companies, like individuals, cannot afford the rising costs of health care on their own today. Many health insurance companies have developed their focus to specific areas where they can offer more competitive coverage at very affordable prices. This is where people can save significant amounts of money by adjusting to this trend. It is no longer the case that a single health plan can offer full, comprehensive coverage at a competitive price because health care costs are out of control.

Today it takes multiple health plans from multiple health insurance companies to have the best coverage at the lowest price. This follows the trends associated with investing in the economy. One creates greater risk for their financial performance in the market by investing all funds in one stock or trade. The safest, most secure investment is a diversified portfolio. Health insurance is no different today.

Why You Do Not Know

Is it surprising to learn that many insurance professionals have no idea how to give individuals and families the best coverage and the greatest savings on health insurance? The majority of health insurance agents today are captive to one company. This means that most insurance agents are only trained to present the products of the health insurance company they represent.

Independent agents are less restricted to one plan, but a large number of these professionals still have limited access to the competitive plans available to individuals and families. While this explanation is complicated, the simple answer is that most agencies earn the majority of their profits from the volume of product sales per company, not the volume of sales overall. Some general agency contracts offer higher incentives to the agency, which can influence what products agencies offer.

So, it comes down to the individual shopping for health insurance to find the policies that create the greatest coverage and savings.

A Well-Structured Health Insurance Portfolio is the Key to Having the Best Coverage for the Lowest Price

Combining health insurance plans is the best way to improve coverage save money on health insurance long term. Health Insurance Money Saving Strategies is a 10-week campaign to spread the word to self-employed individuals and their families looking for private health insurance. A well-structured Health Insurance Portfolio is the best way for people to protect their assets and be comfortable knowing their insurance adequately protects them from the worst medical situations. The benefit is knowing that this type of approach to health insurance saves people money.