Showing posts with label insurance. Show all posts
Showing posts with label insurance. Show all posts

Sunday, March 11, 2007

Buying Life Insurance: A Checklist

Life insurance can be an effective tool to make certain and protect your family’s financial future. It has been acknowledged universally as a method by which the breadwinner can substitute risk and uncertainty with timely aid for the family in case of their unfortunate death.

Since a life insurance policy will replace your lost income after your death, it is important to choose the right kind of policy. Hence, it is essential to find a company that will cover your insurance with the right amount, and at a reasonable price.

Need for a life insurance policy:

There are several reasons for an individual, specifically a breadwinner, to make out a life insurance policy. To assuage your concern for your family in case of your death, most life insurance policies offer various death benefits that take care of your family after your death:

1. For example, a member of your family may have some special needs. You can buy a life insurance policy that will act as an emergency fund in the event of your untimely death.

2. If you want to make sure that your child gets quality education even after your death, a life insurance can also work as a fund for your child’s education.

3. An insurance policy will ensure the maintenance of your family’s standard of living.

4. Your family can also use it to clear personal and business debts, after your death.

Duration of insurance coverage:

Before buying a policy it is advisable to ensure the duration for which you want life insurance coverage. You can take online help to decide the coverage duration.

Need for a checklist

After you decide on your specific need, and the duration of your life insurance policy, you can begin looking for a suitable policy. It is prudent to prepare a checklist before buying, as this will ensure that you end up purchasing the right policy.

The checklist must include various factors on which you can assess insurance companies, which includes various criteria set by insurance companies too. Here are a few pointers:

1. Before buying a life insurance policy, it is advisable to ensure that you have all medical information regarding your health, because most companies expect that, depending on your age and the duration of insurance coverage.

2. It’s a good idea to compare various life insurance companies on the basis of quotes that they have to offer. You can take the help of the Internet to compare the quotes based on your choice of insurance product and your age.

3. You can also take help from a broker through the telephone or the Internet and clear all your queries.

4. Once you decide on a particular insurance company, it is important to ascertain the company’s financial strength and stability.

5. It is also advisable to gather information about the options for renewal that various insurance companies offer, because some companies charge high premiums if you renew your policy.

6. Some insurance companies charge a penalty if you cancel your policy, so make sure that the company you choose does not demand a penalty on cancellation of policy.

7. You may also want to make some changes in your policy in due time, as your insurance needs can change with time. So, when you purchase your insurance policy find out if there is an age limitation for any kind of conversion of your policy, and whether the option of moving into a better policy is there.

About The Author
Joe Kenny writes for the UK personal finance sites http://www.ukpersonalloanstore.co.uk and also http://www.cardguide.co.uk.

Thursday, March 1, 2007

Health Insurance and health care

Health insurance is something that everyone needs today. The rising cost of visiting a health care provider or a hospital stay makes it imperative that everyone have some type of health care coverage. Government statistics estimate that over 40 million people in America are not covered by any type of health insurance on any given day. That's an enormous number of people who really are taking a financial risk.


Even if you're on a tight, limited budget, it's very important that you pick up some kind of affordable health insurance. Even if you only have a plan that covers unexpected hospitalization, your peace of mind will be greatly enhanced. Keep in mind that a catastrophic health insurance policy can come with a high deductible before their coverage kicks in. They don't pick up the cost of preventive physician visits or emergency room visits to get a few stitches.


Some questions to ask when considering affordable health insurance.

1) Can your and/or your family afford to pay ALL your medical expenses if you're sick or injured?

2) How much is the deductible?

3) How much are the premiums?


With a little searching and comparison shopping you find the best rate for your personal affordable health insurance.



About the author:
Mike Yeager
Author/Publisher
http://www.a1-healthinsurance-4u.com/


Circulated by Article Emporium

Sunday, February 25, 2007

Health Insurance - Are You Covered?

With the ever-increasing cost of health care, procedures and medicines, it's no wonder that the cost of health insurance has also dramatically risen over the past few years. But as that's happened, insurance companies and the government have seen the potential negative impact of families and individuals without insurance. There are some things you can do if you don't have health insurance.

A federal mandate requires that all 50 states have a health insurance program for children. Each state was allowed to create a plan tailored to the needs of children in that state, but there are some things that are the same from one state to the next. The first is eligibility.

Government funded health programs typically have very stringent income guidelines. These health insurance programs have income requirements, but the criteria allow higher income than most programs.

Another criteria for participation is that the child isn't covered by any other health insurance. That differs from most programs in a very important way. Most programs say that if the family has access to insurance, they aren't eligible. That means that parents who have employer-based insurance don't qualify. But many of the employer-based plans are too expensive, and workers sometimes simply can't afford the premiums. This program is designed to help fill that gap.

These programs don't cover families - only children. But there are some great benefits for those who qualify. Some states offer mental health benefits, transportation to and from appointments and dental/vision benefits.

If your children don't qualify for this program, or if you're in the market for individual health insurance for an adult or private insurance for a family, you have some options. Even though insurance is typically very expensive, you can take some steps to control costs.

You can eliminate extras such as vision and dental coverage, and increase deductibles to lower the cost of your insurance premiums. Look for policies that don't include maternity benefits and cancer plans as more affordable general health insurance plans. Basic coverage will likely be less expensive than an all-inclusive health insurance program.

Finally, shop before you make a decision. Even if you're offered employer-based insurance, you might find a better deal elsewhere (depending on the amount of employer participation). Look to professional groups for discounts and advice.


About the author:
Jeff Lakie is the founder of Insurance Resources a website providing information on Insurance


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Tuesday, February 20, 2007

What to look for in good Health Insurance

Health insurance is a kind of protection that provides payment of benefits for covered sickness or injury. Included in health insurance are various types of insurance such as accident insurance, disability income insurance, medical expense insurance, and accidental death and dismemberment insurance.

Before sign the health insurance policy make sure that you have read thoroughly the benefit’s section. Take note of any health care service that is not covered by your health insurance policy. Also, pay specific attention to how the health insurance policy is worded. Sometimes, health insurance companies hide the health insurance coverage exclusions within the definitions of words.

For instance, a health insurance company may define the term ‘emergency’ as anything that is life threatening condition that cannot be reasonably treated by a primary care physician. Whereas, your definition of ‘emergency’ may be anything that requires quick medical attention.

Clearly, there is conflict for the two definitions. If you find yourself in an emergency situation where you incur a broker arm, for instance, your insurance company may deny coverage for emergency room treatment of a broken arm for the reason that the broken arm does not fall under the life threatening category.

Therefore, you should read over carefully the health insurance policy definitions, paying close attention to the seven key words:

medical emergency
medically necessary
accidental injury
experimental or investigational
pre certification
pre-existing condition, and
reasonable and customary


These words and any words that are open to interpretation should be regarded with wariness. Find out how your health insurance company defines each of these.

Finally, find the section describing the procedures you must follow in order for your insurance company to reimburse you. These policy conditions or prerequisites are typically worded in a positive tone. Read through each condition carefully, make notes and call your health insurance company with any questions.

You should also compare health insurance contracts before you sign one. In order to compare exclusions, take two policy contracts and find the exclusions sections. If you want to compare a number of health insurance contracts then you could use an online service.

After you obtain your free quote for the health coverage you desire, apply for it online, and you'll obtain all the information that you'll need to compare exclusions of each health insurance policy (though sometimes this will require more research.)

About the author:
Mike Spencer recently became unemployed and moved into self employment. He was forced to find his own health insurance plan to protect his family. It wasn't as easy as he first thought. Here he shares the pitfalls of various plans and what you need to look out for when picking a good plan for you: http://www.1st-for-health-insurance.com/articles/what-is-health-insurance.html

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Thursday, February 15, 2007

How to Find Affordable Health Insurance

Affordable health insurance - it seems, especially today, those words just don't belong together in the same sentence. Health insurance monthly premiums have become the biggest single expense in our lives - surpassing even mortgage payments. In fact, if you have any permanent health problems, such as diabetes, or have had cancer at one time in your family history, your monthly cost could easily be more than the house and car payment combined.

Shopping for affordable health insurance can certainly be an eye-opener. If you have always had a health insurance benefit where you work - especially a state or federal employee - and now have to buy your own, you may not be able to afford the level of health insurance coverage you have become used to.

Affordable health insurance, however, is definitely available -if you know how and where to look.

When you are looking for affordable health insurance, you want the lowest cost per year that will fit your budget, of course. But, even more importantly, you want a company that has a good record for paying without fighting with you on every detail. Just as there is a car for just about any budget, there is also affordable health insurance. You may not be able to afford a "Cadillac" policy - but then you probably don't need all the frills anyway.

Shopping for health insurance on the internet is the easiest and best way to find affordable health insurance. Here are five reasons why.

1. You don't need a local agent to help you submit the claims for health insurance. The medical provider does it for you. You save money because the health insurance company saves money by not paying the agent commission. This could amount to an 8% to 12% savings to you.

2. All the top health insurance companies are at your fingertips on the internet. Most local agents can only quote you from the few companies that they represent. They may not offer you what is best for you financially or health-wise but only what they happen to have available.

3. Health insurance companies have to be extremely competitive because it is so quick and easy to compare them with their competitors on the internet today. In the past you would have had to visit physically eight to ten agents to do a similar comparison. Most folks just didn't have the time or desire for that.

4. You can change your coverage, deductibles, and payment options with just a few clicks rather than going through the paperwork delay with a local agent (and then finding out he/she made a mistake - more delay).

5. Charging to a credit card means you aren't going to forget a payment and be without insurance. Also, it gives you another 30 days before you actually have to pay. Also, many companies today give an additional discount for "auto-pay".

The key, however, to finding affordable health insurance is realizing that the purpose of any health insurance is to protect you from a major financial loss - not to protect you from spending small money on clinic visits and sliver removal. These small expenses may be cumbersome but they generally will not hurt you. It's the $100,000 heart operation that will break you. That's the financial disaster health insurance was originally designed to prevent.

Also, keep this in mind. Health insurance, as with any insurance, is a gamble. You are gambling that you will draw out more than you pay in. Your health insurance company is gambling they will pay out less. The odds are in their favor for two reasons. They have all the facts for millions of families to average out, so they know the risk in advance. Also, they get to set the rules and the prices. The higher you set your deductible, the more risk you take. This is not a bad thing at all. You will most likely be the winner in the long run.

Yes, finding affordable health insurance is much easier than most people think.

Taking more of the risk with higher deductibles, spending a little time on the internet comparing eight to ten different companies, and deleting coverage that you will not likely need (such as maternity for many folks) will make it very possible to find your own affordable health insurance.

written by Dr. Deepak Dutt

Sunday, February 4, 2007

Your Life Insurance May Be Worth More Than You Think

Many seniors own life insurance policies that they no longer need or want, or that they can no longer afford. Often, they allow their policies to lapse or cash them into the insurance company for the surrender value. What many seniors don’t realize is that their unwanted life insurance may be worth much more if sold to an investor in a life settlement. A Life Settlement is the sale of a life insurance policy by the policyowner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy, but in excess of the cash surrender value, provides the seller an immediate cash settlement.

Life Settlement History

Life Settlement industry evolved out of Viatical Settlements.

In the mid-80’s AIDS became an epidemic, A number of AIDS patients were told that they only had a limited time to live. Many of these patients owned life insurance policies. They knew that when they died, their family would receive the death benefit but they needed money today to pay medical bills or enjoy the rest of their lives. In stepped Viatical Settlement companies. These companies purchased policies on terminal patients and sold them as retail investments to individual investors. The AIDS patients got money they needed today and the investors got the promise that when the patient died they would get the death benefit.

The Life Settlement Market

In the 90’s the Life Settlement market was born as companies and investors turned towards buying unwanted life insurance policies from seniors. According to Sanford Bernstein, the industry grew from $0 in the mid 1990’s to approximately $13 billion in 2005. Bernstein estimates the life settlement market will reach $160 billion over the next several years. The penetration rate is expected to exceed 20% as awareness and the size of the market is increased over the next 20 years.

Life Settlement Case Studies

Below are some real life case studies that illustrate ways that others have used life settlements to increase their net worth:

Case 1:

Settlement Frees up $966,000 in Cash for Annuity purchase

 This case involved an 82 year old female who owned several policies totaling $4.6 million. She no longer wanted to pay premiums for the insurance and was going to accept the cash surrender value of $236,548. Her intent was to use the policies’ cash value to help fund the cost of an assisted living facility.

 Her advisor recommended a life settlement for each policy, and she agreed. Ultimately she received a settlement of $966,000 – more than 400% greater than the cash surrender value – and used those funds to purchase an annuity. The annuity payments now help cover the costs of the assisted living facility.

Case 2:

Settlement Proceeds Stabilizes Trust

 This case involved an 81 year old female, owner of a $5 million life insurance policy with a surrender value of $196,866. Since the insured had lost interest in maintaining the policy and no longer wished to make gifts to the trust for premium payments, the cash surrender value was rapidly depleting as premiums were being deducted from the cash value. Working with her financial advisor they conducted a review to determine whether the policy should be surrendered or whether a Life Settlement would be more advantageous. The advisor provided an offer of $556,000 – over three times the cash surrender value.

Case 3:

Settlement Allows Policyowner To Purchase Paid-Up Policy

 A 78 year old male decided to allow his $1,250,000 policy to lapse. He had significant medical expenses and could no longer justify the $39,536 annual premium. After reviewing the available options with his advisor they decided to pursue a Life Settlement. He was able to secure an offer of $490,000. The policyowner and advisor decided to use some of the proceeds to purchase a paid-up $500,000 policy and the remainder helped to ease the burden of the policyowner’s medical costs.

Case 4:

Policyowner Makes $797,000

• A 74 year old in good health purchased a $10mm Life Insurance Policy. He paid-$536k for two years of premiums. After the policy is two years old, he sold the policy for $1,333,333 in the secondary market representing a $797,000 profit on his investment.

If you are 70 and over, and have an insurance policy that you were going to get rid of anyway, you owe it to yourself to explore whether a life settlement might be a better option.

About The Author
Matthew Tuttle, CFP®, MBA, is President of Tuttle Wealth Management, LLC, in Stamford Connecticut. He is also the author of “Financial Secrets of my Wealthy Grandparents”. For more information, or to sign up for his free newsletter please visit http://www.matthewtuttle.com.
Certified Financial Planner Board of Standards, Inc. owns the certification marks CFP®, Certified Financial Planner™ and federally registered CFP (with flame logo) in the U.S., which it awards to individuals who successfully complete CFP Board’s initial and ongoing certification requirements.

Friday, February 2, 2007

More Than Just Life Insurances

Insurance, as we all know is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care.

When we think of taking insurance what immediately strikes our mind are the life insurances. Families often consider life insurance as necessary as a sound roof when it comes to protecting them from the harsh winds of fate, especially when children are small. Primary bread earners want assurance that even if worst things happen, the house will be paid for and the youngsters can continue to go to college. But there are many worst things which can happen within once life period like a disability that could knock the family provider out of the workplace. While industry studies show that workers are three to five times more likely to be disabled than die early, disability insurance is often neglected. What is the point of having a life insurance if you are disabled? While premature death tends to have a bigger emotional impact, disability can be equally, if not more, devastating to a family financial stability. Disability can be long term or short term and can be broken down into a number of broad sub categories.

Physical impairments affecting movement.

Lack of amputation of limbs or other body parts.

Sensory impairments, such as visual or hearing impairments

Neurological impairments.

Cognitive impairments.

Psychiatric conditions

The often heard "It won't happen to me" has become a joke as daily someone or the other living in this world is diagnosed with some kind of a disease or other.For example Diabetics is one such kind of a disease that is common among youngsters today.Shocking to hear!!! But true facts are sometimes difficult to accept.With such a situation in hand, there is a high demand not only for life insurances but also disability insurances.

Disability insurances are of two types;

Long Term Disability

Short Term Disability

Based on the type of disability, there are various different policies to suit you need and requirement.

Short-Term Disability policies

Have a waiting period of 0 to 14 days with a maximum benefit period of no longer than two years

Long-Term Disability policies

Have a waiting period of several weeks to several months with a maximum benefit period ranging from a few years to the rest of your life.

Disability policies have two different protection features that are important to understand.

1. No-cancelable means the policy cannot be canceled by the insurance company, except for nonpayment of premiums. This gives you the right to renew the policy every year without an increase in the premium or a reduction in benefits.

2. Guaranteed renewable gives you the right to renew the policy with the same benefits and not have the policy canceled by the company. However, your insurer has the right to increase your premiums as long as it does so for all other policyholders in the same rating class as you.

In addition to the traditional disability policies, there are several options you should consider when purchasing a policy:

Additional purchase options

Your insurance company gives you the right to buy additional insurance at a later time.

Coordination of benefits

The amount of benefits you receive from your insurance company is dependent on other benefits you receive because of your disability. Your policy specifies a target amount you will receive from all the policies combined, so this policy will make up the difference not paid by other policies.

Cost of living adjustment(COLA)

The COLA increases your disability benefits over time based on the increased cost of living measured by the Consumer Price Index. You will pay a higher premium if you select the COLA.

Residual or partial disability rider

This provision allows you to return to work part-time, collect part of your salary and receive a partial disability payment if you are still partially disabled.

Return of premium

This provision requires the insurance company to refund part of your premium if no claims are made for a specific period of time declared in the policy.

Waiver of premium provision

This clause means that you do not have to pay premiums on the policy after you're disabled for 90 days.

If you decide to buy a private disability insurance policy, remember that policies are legal contracts.

Read and compare the policies and understand the provisions before you sign.

In comparing policies, you might want to consider:

Is disability defined as your inability to perform your own job or any job?

Does the policy cover accidents and illness?

Are benefits paid for partial or recurring disabilities?

Are full benefits paid after loss of sight, speech, hearing or use of limbs?

Is the policy no cancelable, guaranteed renewable or conditionally renewable?

How long must the worker be disabled before premiums are waived?

Is there an option to buy additional coverage, without evidence of medical insurability, at a later date?

Does the policy offer an inflation adjustment?

There are many disability insurance companies and agents all around the world to offer their services.

Based on once necessities, he or she can choose the best disability insurance to suit their needs.

About The Author
Sam Rosy is an expert in analyzing the insurance types especially in California and has produced lot of articles regarding the insurance types and its application. Read Rosy articles, and for further more details regarding the Health insurance California and quotes views the site http://www.goodhealthquotes.com. To Contact Sam Rosy its samrosy@gmail.com

Friday, January 19, 2007

Will Health Insurance Really Save Money?

Health insurance is a type of an insurance whereby the insurer pays the medical costs of the insured, if the insured becomes sick due to covered causes or due to accidents. A health insurance policy is a legal binding contract between the insurance company and the insured.

Health insurance benefits are many. Health insurance is termed also as accident insurance, sickness insurance and medical insurance. Health insurance is purchased generally, with no assurance of renewability and if renewable no guarantee that premium rates will not increase.

Before getting the health insurance a person who wants to insure, may ask to fill a comprehensive medical history. In that they came to know about whether the person suffered from any disease or he/she has some bad habits such like that. Regarding that the person can claim for insurance with some restrictions.

In our scheduled commitments it’s very essential to maintain our healthcare in the day-to-day life. You can save money for health insurance by joining in an association that allows members to get together in a local chamber of commerce for the insurance. The money we spent for health insurance will be affordable like our day to day expenses.

Health insurance costs rising in all the time. Many people feel that they cannot afford for health insurance. Some feel they don’t need it, because they are healthy and fit. But it’s wrong. If you think that you need health insurance, there are lots of ways to get affordable health insurance for yourself and to your family. It is a protection against the health problems that could happen in the future. It’s a precaution. We have to go by the proverb ‘Prevention Is Better Than Cure’.

Health insurance can be classified into two classes- indemnity plans and managed care plans. The basic difference between the two is that while in indemnity plan the insured has the right to approach any doctor and get indemnified of all or a part of the medical expenses; in managed care plans, the insurance company will restrict the insured’s choice of doctors and hospitals. The insurance company has entered into an arrangement with select doctors and hospitals for the health care needs.

Each health insurance company has its own set of policies and procedures. If you have a large claim, you will want to review the rules especially carefully. Many claims are denied over a simple technicality. Knowing the process is likely to help you make sure your claim does not get denied.

Remember, insurance companies are hoping that you will not need medical services. That is how they make their money. If you don't use your insurance, the insurance company just gets to keep it. You will notice that the bigger the claim, the more paperwork you will need to fill out and the more red tape you will need to wade through.

If you receive medical services that should be covered by your insurance, make sure that the doctor or hospital files the appropriate forms. Make sure that you file any forms that you need to in a timely manner. If you have any questions, call the insurance company directly and find out the answer. Make notes of whom you speak to and when.

Health insurance really saves your money. In case, if you met with an accident or you suffer from severe attack. That time you may not in the position to spend that much of amount. But if you applied for a health insurance, it may saves your money otherwise you can claim for the amount that you had spent. In some cases they may not take into account about insurance that time you may spend your money and later you can claim for the amount you spend by providing proper documents and you can reimburse the amount you spend on it, if it’s reasonable according to the instructions.

Insurances can be manage by both lower and higher level peoples. Every state has a Medicaid program but the requirements vary from state to state. All you have to do is to fill out the application and submit the documentation about your finances. This program covers the insurance needs of the entire family including dental care, eye care, doctor visits, emergency care, prescriptions and more.

Another option for cheap health insurance is to look on the internet. There are lot of companies that offers different type of health insurance plans. It is possible to find out the perfect for your family. The costs vary from one to other, so it’s in your hand to verify about it and choose a better company among others. Any way health insurance safeguards your family from the expenses that you spend for your health.

About The Author
Caroline Mercy is a SEO copywriter for California Health Online as well. She has involved herself in this field for more than 3 years. For further details related to the article you can visit the site http://www.californiahealthonline.com. You can contact her through mail at caroline.mercy@gmail.com

Saturday, January 13, 2007

Interesting Facts You May Not Know About Group Health Insurance Coverage

In an atmosphere of ever-growing health care and health insurance costs, group health insurance coverage is becoming critical for many employees. In fact, surveys consistently show that employees value health insurance benefits above all others.

Studies have shown that a solid majority (over 60%) of Americans receive their health insurance benefits through group health insurance coverage through their employer (or their spouse’s employer). Of course, from the employee’s point of view, this is the least expensive option for securing health insurance. Nevertheless, whether you are a business owner or employee, what follows is a discussion of some interesting aspects of the group health insurance market.

There are two main reasons that employers offer group health insurance coverage. The first is to attract talented employees. The second reason is related to the first: To reduce employee turnover. It’s not uncommon for employees to become “dependent” on their health insurance. That is, an employee who may otherwise leave their job to become self-employed may not do so because of health reasons. That is, he or she may not be eligible under an individual policy due to a preexisting condition. Preexisting conditions are typically not covered under individual health insurance plans.

The primary difference between individual and group health insurance is that group plans are “guaranteed issue”, while individual plans are not. “Guaranteed issue” means that an insurance company cannot deny coverage due to any preexisting medical conditions.

Some individual health insurance plans are issued to individuals with preexisting conditions, but usually only with what is called an “exclusionary rider.” This “exclusionary rider” will exclude coverage for treatment related to the preexisting condition. It’s interesting to note that in California, insurance companies are not allowed to practice this policy. As you might expect, the result is a much higher rate of declined applications for individuals, since insurance companies choose simply not to issue coverage for individuals with preexisting medical conditions.

For group health insurance coverage, premium cost sharing between employer and employee has pretty much become a common feature in today’s labor market. In the vast majority of cases, insurance companies require employees to pay a minimum of 50% of the premiums, although many choose to pay a higher percentage. In general, the larger the company, the greater the percentage paid by the company. Not all insurance companies require coverage for dependents, although again many businesses elect to offer this coverage as well.

There are tax incentives available to both employer and employee for qualifying group health insurance plans. Employers can typically deduct 100% of the premium costs, while employees can pay their portion of the monthly premiums with pretax dollars. Both practices can result in significant savings over the course of a year.

Lastly, group health insurance coverage is available as either an indemnity (fee-for-service) plan or managed care plan (HMO, PPO, or POS). Indemnity plans are the oldest, as well as the most expensive, type of health insurance. As a result of their high costs, indemnity plans have all but disappeared from the landscape, and been replaced by managed health care plans.

Managed group health insurance plans come in various forms: Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), or Point of Service (POS) plans. The HMO was the first alternative to traditional insurance (indemnity) and became popular for its ability to reduce costs for both employer and employee by creating networks of doctors and hospitals and thereby being able to apply cost saving measures.

The PPO plans have in recent years become the most popular type of group health insurance. PPO’s (as well as POS plans) combine many of the freedoms enjoyed with indemnity plans while still being able to implement many of the cost saving features of an HMO.

The struggle to offer employees affordable group health insurance coverage is an ongoing process for most employers in today’s health insurance market. Part of the process is education, from the standpoint of both the employee and employer. It’s important to understand that retaining affordable and quality group health insurance is vital to both sides of the labor market – employer and employee. Indeed, when done properly, this can be a win-win situation for all concerned.

About The Author
Jonathon James has been working in the health industry for nearly twenty years. To view additional articles and resources related to group health insurance coverage, please visit http://LearningAboutHealthInsurance.com.

Sunday, January 7, 2007

What To Look For When Shopping For A Health Insurance Plan

With all the Health Insurance options that are available to us it can be overwhelming finding right health insurance plans for ourselves. There are literally dozens of companies with hundreds of plans to choose from. We have to agree that the main reason for having Health Insurance is to protect ourselves from large unexpected medical bills. So when comparing medical plans that is the main thing we should be looking at. Since IRS says that number one cause of Bankruptcy in the United States is medical bills, specifically medical bills that are over $17,000. We will keep that in mind as we will looks all the factors of selecting right health plan.

Before we get into comparing plans there are three main plan options to choose from: PPO (Proffered Provider Organization), HMO (Health Maintenance Organization) and HSA (Health Saving Account). The simple way to understand the differences is keep this in mind; PPO plans will give the greatest flexibility and ability to choose your own doctor usually from a extensive network of doctors. Most PPO plans have reasonable monthly premiums and usually have a hospital deductibles ranging from $500 to $5000. We will get in to deductible and how they work later on. The simplest way to explain how HMO plans work is to think of a gate keeper system. That means that you get assigned to a specific doctor or medical office (Primary Care Physician) that you have to go thorough to get authorization to get medical care. Most HMO plans comprehensive coverage, small co-pays to go see a doctor and low deductibles ranging from $0 to $1500. HMO plans tend to cost more that PPO plans. HSA plan is a relatively new concept and becoming extremely popular. HSA plans work similar to PPO plan in a context that you can choose your own doctor from extensive list of providers. HSA plan have great advantages when it comes to low monthly premiums and ability to save money tax free for the medical expenses, in similar way to 401k or IRA accounts. The reason for low monthly premiums is that HSA plans have large deductibles usually over $2400. For more information on how HSA plans work and if it is a right choice for you visit www.GuideToHealthInsurance.org

Number one thing we should be looking at is what is called “Maximum out of Pocket”, also might be called “Yearly Maximum out of Packet”. What that means is that amount is the maximum you can be out of pocket in any given year for ALL the medical expenses combined. Most of the time that amount will exclude prescription drug coverage deductibles and co-pays. When you are comparing health insurance plans it is important to find out if everything in the plan is applied towards the “Maximum out Of Pocket. Some plans that have attractive monthly premiums might have exclusions to where “Maximum out Of Pocket” is applied only for the hospital stays. Most of the PPO plans have “Maximum out of Pocket” range from $3000 to $9000. For HMO plans “Maximum out of Pocket” ranges from $1500 to $4500. Most HSA plans have where your deductible is your maximum out of pocket.

Second we should be looking for a plan from a known insurance company name. There are a lot of large well established insurance companies that you might never hear of. Reasons for staying with a large well known insurance company are that you know they will pay your bills and not going to disappear. The other reason is that chances are most doctors will accept the insurance plan that they offer. I would definitely stay away from 99.9% of Association plans and small insurance companies with less than 10 billion in Assets. You can find that our by going to www.Forbs.com. To date largest insurance company that provides Health Insurance is Fortis and their health insurance plans are called “Assurant Health” (www.AssurantHealthCoverage.com). Largest health insurance provider in the United States is Wellpoint (www.Wellpoint.com) serving approximately 34 million members nationwide. We all know them as Blue Cross and Blue Shield. Keep in mind that in some states Blue Cross and Blue Shield are owned by two completely different insurance companies.

Third we will be looking at the deductibles. There is a huge misconception with how deductibles work. The number one misconception with deductibles is that nothing is covered by the insurance company until this large deductible is met. The reality is that most plans cover most of the things before the deductible is met with small co-pay. In most cases deductible applies only for inpatient and out-patient hospital (surgeries, emergency room). Second misconception is that once deductible is met everything is covered 100% or in case of hospital stay all we will be responsible is the deductible. Although some plans do work that way, most health plans do not. Majority of health plans you are still responsible for, what’s called co-insurance. That meant that you are still paying percentage of the bill usually 30% up to you “Maximum out of Pocket” as me mentioned earlier. That is why “Maximum out of Pocket” is more important that the deductible. For example if you have a plan with a 2500 deductible and 30% hospital co-insurance, then you are responsible for 2500 plus 30% up to “Maximum out of Pocket”. There are some plan today available that have no deductible and they are relatively inexpensive. Chances are those are the plans that have high “Maximum out of Pocket” in most cases over 7500 per person. In case of a family of four in worst case scenario you could be responsible for $30,000. If there is no deductible it does not meat that everything is covered at 100%. The way plans with no deductible work is by having you pay a percentage of the bill starting with the first dollar. Percentage could range anywhere from 30% to 50%, again up to your “Maximum out of Pocket” amount. The larger deductible you choose the lower monthly premium you will pay. My recommendation will be that you choose deductibles over 2500 unless you are planning on being admitted to the hospital often.

Fourth we will be looking at the prescription drug coverage. The reason prescription drug coverage is very important, because drugs can be very expensive. In the event of major illness or accident drug cost could be in the hundreds even thousands of dollars every month. Most plans do cover prescription drugs. There are few things to consider. First check if the plan has limits on how much the insurance company willing to pay for your prescription drugs per year. Most plans cover prescription drugs up to your life time maximum which should range anywhere from 2 million to 8 million. Some plans offer option where they will cover only generic drugs. This in most cases is sufficient. About 90% off all the brand name drugs have equivalent generic drug available. By choosing a plan that covers generic drugs only you can be saving a lot of money every month on you health insurance premium. Next you should be looking at the deductibles for the prescription drugs. In most cases if plans covers generic and brand name drugs you will have a deductible for brand name drug before your co-pay begins. Most brand name drug deductibles range anywhere from $250 to $1000. Majority of the health plans cover generic prescription drugs right away.

Fifth we will look at annual physical exam coverage. Most plans cover physical exams once a year. There are few things to consider. First if there a waiting period before you can get insurance company pay for your physical exam. Second what is the maximum that insurance company is willing to pay for your physical exam? Last is what your co-pay to get a physical exam is.

Sixth we will look at the doctor visit co-pays. That means what is the amount that you are responsible for after witch insurance company pays for everything at 100%. There are some options to consider. Doctor office visit co-pay could range anywhere from $10 to $50. Some plan might have you pay a percentage of the doctor’s office visit. After witch insurance company is willing to pay at 100%. Second thing to consider is if the co-pay included lab work and x-ray. Most of the time Lab work and x-rays is billed separately. Company like Assurant Health is willing to pay up to $100 for your lab work and x-rays as part of your co-pay. One of the main things that most people look for in a plan is, how much is their co-pay to go to a doctor? Even though no one in history ever went bankrupt because they could not pay for their doctor visit. If you were to going to pay out of pocket for your doctors visit it will probably cost you anywhere from $45 to $100. The only way it is going to be more than that is of you had sad lab work or minor out patient surgery done.

After reading this article you should have idea of what kind of plan you might want for your self and your family. The one additional thing that I would consider is how well your plan travels with you. For example if you decide to move to a different state or if you travel outside of the country. Most plans do not travel well and most don’t cover you if you are outside the country. I most cases if you can a plan in one state and you decide to move to a different state you have to cancel the plans in the state you are moving from and re-apply in the new state. Even if you had same insurance company in the state that you are moving from. If you want more information on the health insurance resource and information visit out online at http://www.GuideToHealthInsurance.org

About The Author
Dennis Alexander - leading consultant for employer group and individual/family health insurance. Marketing consultant for major health insurance resource websites and brokerage firms online. Some of the websites consultant and/or administrator http://www.HealthCoverageQuotes.com, http://www.GuideToHealthInsurance.org.

Friday, January 5, 2007

Understand Your Insurance Contract

All insurance contracts are governed by the concept of ‘offer and acceptance’. This requires you to fill the proposal form and send it to the insurance company. Sometimes you are also required to attach a check for the premium amount, with the proposal form.

Your filling the proposal form and sending it to the insurance company is the ‘offer’ and when the insurance company accepts your proposal it is the ‘acceptance’ part of the concept. The amount you pay as premium is considered as the ‘consideration’ part of the contract. The concept of ‘legal capacity’ also applies to insurance contracts. It requires both the parties to be legally capable of entering a contract. Your insurance contract is based on ‘legal purpose’, which means that the contact is not meant for encouraging illegal activities. The other legal principles that govern the contracts are:

Principle of Indemnity:

This principle requires the insurer to pay an amount, not more than the actual loss suffered, in case of loss. The amount paid as claim by the insurance company should not be more than the sum assured in the insurance contract. The aim is to provide a claim amount that will help the claimant to regain the lost financial position. In some indemnity contracts, the amount payable by the insurance company is subject to the amount of actual loss. Some indemnity contracts also have a provision for the claim to be paid only if the actual loss exceeds a certain amount. For example, in an auto insurance contract of 3000 dollars, you would be eligible for the claim amount only if your actual loss exceeds 3000 dollars. In case, the actual loss amount is below 3000 dollars, you would be liable to bear all the costs.

Insurable Interest

In this insurance cover, the insurance contract covers only those properties or events specified at the time of investment. For example, if you live in your uncle’s house and apply for a homeowners’ insurance, the insurance company will reject the claim, since you are not the owner of the property and do not suffer any personal financial loss in case the house gets damaged.

Principle of Subrogation

The principle of subrogation enables the insured to claim the amount from the third party responsible for the loss. It allows the insurer to pursue legal methods to recover the amount of loss, which the company has paid the insured via the insurance claim. For example, if you get injured in a road accident, due to reckless driving of a third party, the insurance company will compensate your loss and will also sue the third party to recover the money paid as claim.

Doctrine of utmost good faith

This means that both the parties are expected to disclose any information, important to the contract. For example, when applying for life insurance, it is your duty to disclose any permanent ailments that you might have. Likewise, your insurer also is expected to be clear on the illnesses that are not covered under the contract.

Once you become familiar with the principles, you will be able to understand the scope of your insurance contract. This makes you independent of the insurance advisor.

About The Author
Joe Kenny writes for the UK Personal Loan Store and offer more information on UK debt consolidation loans and other loan topics available on site.

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