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Posts Tagged ‘Health insurance in the United States’

Pre-Existing Condition Insurance Plan Kicks In

July 15th, 10

The Pre-Existing Condition Insurance Plan is kicking into gear. President Obama signed the Affordable Care Act into law back in March, which included the creation of the PCIP which makes health insurance available to those who aren’t able to get it because of a pre-existing condition. There are some requirements you must meet in order to be eligible for this government insurance.

  • You must have been uninsured for at least six months.
  • You must have a pre-existing condition or have been denied health coverage because of your health condition.
  • You must be a US citizen or be residing here legally.

This program is only temporary and will only be in affect until 2014 when access to affordable health insurance becomes mandatory. The programs are run differently in each state so you’ll need to research your state’s PCIP. However, funds are limited so many states are offering the program first come first served.

But if you are able to secure a place in the program you will receive benefits such as:

  • Coverage for primary, specialty and hospital care as well as prescription drug coverage.
  • Fair premiums that aren’t based on your existing condition.
  • Premiums that aren’t based on income level.
 

Study: Individual Insurance Plans Increasing Over Last Year

June 22nd, 10

A new study released by the Kaiser Health Foundation found that millions of people who pay for their own insurance are facing big increases in premium costs. The study says that most people in the US get health insurance through an employer, but there are 14 million under the age of 65 who purchase it through the individual market. And three out of four of those people have recently been told their rates were on the rise.

The study found that the average recent rate increase was 20 percent. Most are paying the increase, but some are switching plans or changing to a different company. “With people in the individual market being hit with average increases of 20%, the survey shows that the steep increases we have been reading about over the last several months are not just extreme cases,” Kaiser Family Foundation President and CEO Drew Altman said in a news release.

The survey found that the average annual premium for someone paying for their own insurance is $3,606 while those with employer-sponsored coverage have annual premiums that are $4,824 on average. Typically older people say they’re paying higher premiums than younger people.  The survey questioned 1,038 people between the ages of 18-64 who pay for their own health insurance coverage.

 

New York Stops Unauthorized Health Insurance Premium Increases

June 11th, 10

New laws in New York make it harder for insurance companies to raise premiums. The governor signed into law the Governor’s Program Bill No. 278 which gives the New York State Insurance Department authority to review and approve insurance premiums before they are issued. It passed with overwhelming support in a 111-17 vote.  Before this new law the insurance industry was pretty much self-regulated, according to a report by dotmed.com. “Deregulation of health insurance premiums is a failed experiment leading to unjustified premium increases and more people losing their health insurance coverage,” Governor Paterson said in prepared remarks.

Now, if insurance companies want to raise rates, they have to apply for approval first. “Before, health insurance companies could raise premiums as much as they wanted, and all we could do is check long afterward if, in fact, they were overcharging,” David Neustadt, spokesman for the New York State Insurance Department, told DOTmed News. “The current rates are increasing at a much faster rate than before [the file and use law].” This way governing bodies can make sure any increases are justified, and not just created by insurance companies so they can increase bottom lines.

The law will impact any rate increases set to take effect on or after October 1, 2011. “I applaud New York on its bold move to hold insurance companies accountable and prevent the kind of unreasonable rate increases that have made health insurance unaffordable for many American families,” said U.S. Health and Human Services Secretary Kathleen Sebelius in a statement, according to dotmed.com. “This is the kind of action that, together with the Affordable Care Act, is shifting power back to consumers.”

 

Another Sting Of Job Loss: No Help With COBRA Insurance

June 7th, 10

People who get laid off on or after June 1 can no longer turn to the government for help to cover 65% of their premium costs for COBRA health coverage. COBRA lets workers stay on their former employer’s group health plan for a period of three months. This assistance that once came from the government expired on June 1, and it does not appear that lawmakers will continue it according to the Wall Street Journal.

A new jobs bill once held an extension of the COBRA payment plan, but it was removed. The bill is now in the Senate. Those who lost their jobs between September 2008 and May 31, 2010 could still apply for insurance assistance for up to 15 months. Their former employer would be responsible for paying health insurance costs plus a two percent administrative fee. Under subsidies provided by the economic stimulus package, premiums run $387 on average. Without the assistance, family premiums jump to over $1100 a month. For those who lose their jobs after June 1, the government will no longer pick up that $720 difference.

Families USA found that those laid off after June 1 would have to spend 84% of their monthly unemployment insurance checks on COBRA premiums in order to keep their families covered. Unemployment checks are about $1,313 on average. However in 11 states unemployment income actually would not be enough to cover insurance costs. ”It’s ironic that in a little over two months after health reform passed and is designed to achieve significant coverage improvement, in the short term we will go backwards,” said Ron Pollack, executive director of Families USA, in a Wall Street Journal report.

Another option would be finding individual coverage which could be cheaper, as long as there are no preexisting conditions. “Cobra coverage is so expensive, but the alternatives are either going without coverage or having to go to the individual market,” Park said to the Wall Street Journal. “As long as there’s not a gap of 63 days or more in coverage, you’re guaranteed access to the individual market so insurers can’t deny you. But it may not provide the same comprehensive benefits.”

 

Health Insurance May Be Easier To Get For Restaurant Workers

May 21st, 10

A new initiative could help four to six million uninsured restaurant employees get coverage. According to the Chicago Tribune, the National Restaurant Association along with UnitedHealth Group Inc teamed up to make health insurance coverage easier for restaurant workers to get. The move comes three years before the US government will require everyone to have health insurance and will help roughly ten percent of the uninsured workforce.

An array of insurance plans geared toward the restaurant industry will be unveiled by officials. Plans will be released first in Pennsylvania and Colorado, then expanded to California, Florida, Illinois, Texas and other states within the upcoming year. Eventually the plan will encompass the whole year. “Because of the narrow profit margins of the restaurant business, it has been an ongoing real challenge for our industry to find affordable [insurance] products they could offer to employees,” said Dawn Sweeney, chief executive of the influential restaurant group, which represents about 380,000 employers nationwide, according to the Chicago Tribune.

Officials from UnitedHealthcare say they’ve been working on the program for two years. “We hope that by working together, we can make inroads in covering the people who don’t have insurance,” said Austin Pitman, chief growth officer for UnitedHealthcare, according to the Nation’s Restaurant News. He says the program will also offer a 24-hour health care hotline and wellness programs. The NRA’s chairman of the board, Mike Gibbons believes that health care reform will put a huge burden on the restaurant industry, but this plan may alleviate some of that. “The cost of health care reform could be potentially devastating,” he said. “The alliance will give lower cost health care alternatives.”

The restaurant industry employs nearly 13 million people around the country, but has one of the lowest levels of health care coverage. Sweeney says that’s why identifying health care was identified as a top concern of the association. So what’s included in the plan? According to reports restaurant owners and employees will have a web portal dedicated to them to shop for UnitedHealth insurance products. Restaurant owners could use the site to find plans for their employees, and the site would also offer individual plans for workers whose workplace doesn’t offer the benefit of health insurance. A variety of employer-sponsored plans would be available including plans that offer coverage for preventative care, routine medical visits, catastrophic events and more.

 

Family Insurance Premiums Could Double To $24,000 By 2020

March 15th, 10

The health care debate is heating up and even though there are lots of angles to argue– no one can deny that insurance is expensive. According to the Commonwealth Fund it’s going to keep increasing. In the past decade the average annual family premium plan doubled in cost, jumping from $6,958 to $13,436. And some say it could double again in the next ten years, reaching a whopping $24,000 by 2020.

Soaring premiums have forced some healthier Americans to forgo insurance coverage altogether. Delaware’s Daily Times says that’s the case for resident Dequilla Hurt who canceled her insurance and won’t have any coverage until her probationary period ends at her new job. They interviewed Hurt for a recent report on the state’s rising health care costs. “I have this window of time where I have no health insurance. If something happens to me, if I go to the emergency room now, the total cost will be on me. Will I be able to afford the cost of an emergency room visit? That worries me,” said Hurt.

A Gallup poll found that the salary you bring in greatly impacts the likelihood of having insurance. Of young adults making more than $48,000 a year, 86 percent have insurance. But of those who bring in half that annually, less than $24,000, only 58 percent spring for a health plan.

Some are pointing to the insurance industry’s lack of competition as the reason why costs are increasing at such a fast rate. In just over a dozen years the industry has experienced more than 400 mergers and the number of choices for consumers has dropped by 20 percent which means fewer options for employers looking for the best deal. The Government Accountability Office says that the five largest providers of small group insurance control 75 percent or more of the market share in 34 states. In fact, one out of every nine Americans has insurance with WellPoint, which is the parent company of Blue Cross Blue Shield and Anthem.

Some say that while insurance companies can carry part of the blame for rising premiums, there are other sectors of the health care industry that are driving up costs for Americans. The Journal Sentinel in Wisconsin talked to a Harvard professor who believes part of the problem lies with consumers themselves. “The primary reason that health care costs and health insurance premiums are rising so rapidly is the amount of health care that we consume,” said Katherine Baicker, a professor of health economics at the Harvard School of Public Health. “Now, that is not to say there are no problems with the insurance industry.”

 

The Best Path To Health Insurance For The Newly Self-Employed

January 27th, 10

Health insurance for the self-employed is always a dicey topic. How do you get good health insurance when you are self-employed? How do you get good health insurance and still be able to afford it?

 

What Are The Benefits Of Life Insurance?

January 18th, 10

Everyone should have life insurance. This has become one of those widely held beliefs that is not even thought to need any additional reasoning behind it. You should just know why life insurance is an essential part of life. But life insurance has many benefits of which you may not be aware.

A second look at the benefits of life insurance may show you why everyone says you need to have it.