Now that Health Reform has been passed, one needs to be wary when shopping for Health Insurance. Yes it is now mandatory just like Car Insurance for drivers. I'll leave the debate about the constitutional legalities for another day. The fact is you will need to get it if you are not covered by your employer, or one of your family members. But be wary, very wary when researching Health Insurance companies. Just like the Auto Insurance Industry, there are a lot of fraudulent companies out to make a quick buck out of you and your needs.
Everyone knows that the health insurance industry is continually raising monthly premiums, and many feel this is unjust to you as the consumer. However, the health insurance industry has had to fight increasing health insurance fraud. The amount of money spent on investigating and prosecuting fraud is then passed on to policyholders. Many people do not understand what health insurance fraud entails, though. With reports estimating health insurance fraud is a $30 billion to over $100 billion industry per year, the topic should not be taken lightly. Every health insurance policyholder should understand what health insurance fraud is and its consequences. By doing so, you are more able to recognize and fight fraud.
Health insurance fraud is typically defined as intentionally deceiving, misrepresenting, or concealing information to receive benefits from the insurance company. Essentially this means that you assert that you paid for certain medical procedures or expenses out-of-pocket which you have not actually received, and you are submitting claims to the insurance company to receive reimbursement. Another example of member fraud is to conceal pre-existing conditions or to alter medical documents so that non-policyholders or ineligible members receive medical benefits under your policy. Perhaps your sister does not have insurance and needs medical attention. Having her use your name and policy to cover the expenses is health insurance fraud. While you may think that this is a small issue in comparison to your sister receiving treatment, it is actually very serious to your health insurance company and industry, and will result in fines and possible imprisonment if your are caught.
Not only policyholders commit fraud, but providers (physicians, hospitals, etc.) do as well. Since physicians and hospitals bill the insurance company for services they provide for you, they are also receiving reimbursement from the insurance company. When providers commit fraud, they may be billing the insurance company at higher rates for services rendered or they may bill for services you never received. In these cases, you will probably be asked to cooperate in the insurance company's investigation.
Another type of health insurance fraud that has developed recently targets the policyholder more than the insurance company. Schemes have developed where fake insurance companies or agents sign unsuspecting customers for coverage at surprisingly low premium rates. They often act much like a regular insurance company for the first few months, paying for smaller medical claims like physicians visits. But once you have a more serious medical condition that needs treatment, the insurance company will disappear - along with the money you have been paying in premiums.
The rule with health insurance fraud is much like that of any other scam: if a deal seems too good to be true, just remember - it probably is. Remember to be honest in your dealings with health insurance companies and expect the same in the return from these companies, as well as your health care providers. Stay legal to avoid fines and prison and to continue receiving health insurance coverage.
Come back next time for more tips. Tricks and techniques to assist you in Living the Champagne Life on a Beer Budget. Remember we're all in this together and I'm pulling for you.
Mahalo.
******************************************************************
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Showing posts with label health care costs. Show all posts
Showing posts with label health care costs. Show all posts
Tuesday, March 23, 2010
Monday, June 15, 2009
Choosing the Best Health Insurance Coverage
The news has been agog over Health Insurance again as the government has decided to distract us with this issue once again. Let's face it there are those who won't get insurance n matter what. Others are jsut confused as what to do about it and why do they need it. If you are in the latter here's some help in choosing the right coverage.
With so many different types of health insurance plans and restrictions out there, it can be difficult finding the best health insurance for you. However, this process is not impossible to do well with a little research. There are a few items to look for when deciding on health insurance plans, and by considering them all you can make a good decision for yourself and your family about health insurance.
The most important thing to look for is coverage. More often than not, insurance will cover physician visits and fees. Your health insurance should also cover hospital expenses such as room and board in case you are kept overnight or longer for observation or treatment. Good health insurance should also cover surgeries and any expenses associated with surgical treatment. Beyond these typical items of coverage, health insurance plans can diverge greatly. To really understand what coverage you would utilize and which plan would save you the most money, you will need to make a list of items that you want covered in an insurance plan. For instance, do you have glasses or contacts? Then you may be more interested in a plan that covers vision - either paying for your eye exam and/or partially paying for your glasses or contacts. Though many people think that health insurance covers prescriptions, prescription coverage is actually an optional benefit. If you know that you often have prescription drugs to fill, finding insurance that offers prescription coverage may be a must. If you are a woman and plan on having or want to have children, maternity care or family planning services are also optional benefits that you may want to consider. Once you make this must-have list of optional coverage, you can begin looking for health insurance plans that give you the opportunity to add these optional benefits.
Another item you should definitely consider is if your current physicians or specialists are included in the health insurance company's preferred provider network or if you have the opportunity to choose any physician (often the case only with indemnity or traditional health insurance plans). If you would like the freedom to choose your own doctor, traditional health insurance plans or preferred provider organizations may offer more attractive plans - though these also cost a little more.
Lastly, consider price. After researching different coverage plans and physician requirements, compare deductibles and monthly premiums to find the best deal. Often, you can get group rates through your employer, or you may find that artist organizations (for freelance artists) offer health care plans. By researching price, as well as other health insurance options, you can make the best choices for your family.
Having the right Health Insurance can mean the difference between living a good and healthy life and being in debt forever after a minor procedure. Without your health you have nothing so make sure you get eh best you can afford. Come back next week for more tips, tricks and techniques to living the champagne life on a beer budget.
Mahalo.
======================================================
It's your right to get assistance from Your Government!
Yes the government gives away billions of dollars each year to assist people like you and me for just about anything. Starting a business? Yes there is money for you. Need help with your house or health?
Yes money is available. Who is on your side? Who can guide you?
"The Inquisitive Explorer's Guide To Free Government Money Programs", That's who.
Get your share and let Uncle Sam help you. Check it out at:
http://www.renspubhouse.netii.net/marketing/govmoney.html
================================================================
With so many different types of health insurance plans and restrictions out there, it can be difficult finding the best health insurance for you. However, this process is not impossible to do well with a little research. There are a few items to look for when deciding on health insurance plans, and by considering them all you can make a good decision for yourself and your family about health insurance.
The most important thing to look for is coverage. More often than not, insurance will cover physician visits and fees. Your health insurance should also cover hospital expenses such as room and board in case you are kept overnight or longer for observation or treatment. Good health insurance should also cover surgeries and any expenses associated with surgical treatment. Beyond these typical items of coverage, health insurance plans can diverge greatly. To really understand what coverage you would utilize and which plan would save you the most money, you will need to make a list of items that you want covered in an insurance plan. For instance, do you have glasses or contacts? Then you may be more interested in a plan that covers vision - either paying for your eye exam and/or partially paying for your glasses or contacts. Though many people think that health insurance covers prescriptions, prescription coverage is actually an optional benefit. If you know that you often have prescription drugs to fill, finding insurance that offers prescription coverage may be a must. If you are a woman and plan on having or want to have children, maternity care or family planning services are also optional benefits that you may want to consider. Once you make this must-have list of optional coverage, you can begin looking for health insurance plans that give you the opportunity to add these optional benefits.
Another item you should definitely consider is if your current physicians or specialists are included in the health insurance company's preferred provider network or if you have the opportunity to choose any physician (often the case only with indemnity or traditional health insurance plans). If you would like the freedom to choose your own doctor, traditional health insurance plans or preferred provider organizations may offer more attractive plans - though these also cost a little more.
Lastly, consider price. After researching different coverage plans and physician requirements, compare deductibles and monthly premiums to find the best deal. Often, you can get group rates through your employer, or you may find that artist organizations (for freelance artists) offer health care plans. By researching price, as well as other health insurance options, you can make the best choices for your family.
Having the right Health Insurance can mean the difference between living a good and healthy life and being in debt forever after a minor procedure. Without your health you have nothing so make sure you get eh best you can afford. Come back next week for more tips, tricks and techniques to living the champagne life on a beer budget.
Mahalo.
======================================================
It's your right to get assistance from Your Government!
Yes the government gives away billions of dollars each year to assist people like you and me for just about anything. Starting a business? Yes there is money for you. Need help with your house or health?
Yes money is available. Who is on your side? Who can guide you?
"The Inquisitive Explorer's Guide To Free Government Money Programs", That's who.
Get your share and let Uncle Sam help you. Check it out at:
http://www.renspubhouse.netii.net/marketing/govmoney.html
================================================================
Monday, January 12, 2009
Health Insurance Coverage Explained
Health insurance coverage is very important because it gives one the security that should anything happen to him, he and his family would not need to worry. Health insurance coverage usually includes medication, consultations with doctors, hospitalization and hospital stays. Some health insurance coverage even include diagnostic and treatment procedures costs. Health insurance coverage gives one peace of mind. If you have health insurance coverage and become sick, you can relax and worry less knowing that your health insurance coverage will take care of the cost.
There is a variety of health insurance coverage plans to choose from. One of them is the managed care plan, in which the insurance companies offer their own doctors and hospital affiliations which would readily provide health care to their members should they need it. However, the disadvantage of this health insurance coverage is, should you prefer to visit your own doctor or be admitted in the hospital of your choice, this health insurance coverage plan would require that you would pay a certain amount.
A Fee-of-Service plan is a health insurance coverage plan in which the company splits with the insured the cost of the doctors and hospital bills. The insured usually pays the company monthly. Two kinds of fee-of-service plans exist. One of them is the basic health insurance coverage with pays the room and care during confinement, the cost of surgery, along with some diagnostic procedures and the medications. The other fee-of-service health care coverage plan pays the cost of long-term illnesses or injuries.
Health Maintenance Organization plan or HMO plan provides for the doctor's consultation, confinement, surgery, and diagnostic tests. However, the insured in this health insurance coverage plan has no liberty to choose his own doctors or hospital. This type of health insurance coverage plan also offers immunizations, check-ups, mammograms, and other health care in order to prevent illness and minimize the cost. Those who are members of this health insurance coverage plan simply pay using their membership card. Choice of physicians is limited because the insured in this health insurance coverage should first consult the HMO doctor. The HMO physician is the one who would refer the insured to specialists if needed. Another kind of HMO health insurance coverage allows the insured to be referred to a specialist that is not a member of the HMO pool of physician.
There are diseases that last long and are very expensive to treat such as cancer that may take a long time to cure. People with cancer who bought health insurance coverage prior to acquiring the disease would have fewer worries regarding the medical cost of curing the disease. Nobody would like to get cancer because it is painful and sometimes,terminal. The physical and emotional burden is very hard on the patient, and having one less aspect to worry about makes this health insurance coverage an attractive option.
Diabetes is also a good reason to get health insurance coverage because this disease requires continuous treatment and expenses in order for the diabetic to maintain good health. Health insurance coverage is needed because of what the insured would need to spend on doctor's consultations, medications, and equipments such as blood sugar monitor.
Health care costs are the number one concern these days, so it is imperative you have good insurance coverage. We're all in this together and I'm pulling for you. Come back next week for more tips tricks and techniques on Living the Champagne life on a beer budget.
Mahalo.
******************************************************************
Need to learn how to get and stay out of debt and live debt free?
Tips and techniques outlined in our ebook “Debt Free Living”.
For more information:
http://www.renspubhouse.com/debtfree/debtfree.html
******************************************************************
Are you sick and tired of making just enough money to survive?
Well then check out these Must Have Finance Tools For 2009
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There is a variety of health insurance coverage plans to choose from. One of them is the managed care plan, in which the insurance companies offer their own doctors and hospital affiliations which would readily provide health care to their members should they need it. However, the disadvantage of this health insurance coverage is, should you prefer to visit your own doctor or be admitted in the hospital of your choice, this health insurance coverage plan would require that you would pay a certain amount.
A Fee-of-Service plan is a health insurance coverage plan in which the company splits with the insured the cost of the doctors and hospital bills. The insured usually pays the company monthly. Two kinds of fee-of-service plans exist. One of them is the basic health insurance coverage with pays the room and care during confinement, the cost of surgery, along with some diagnostic procedures and the medications. The other fee-of-service health care coverage plan pays the cost of long-term illnesses or injuries.
Health Maintenance Organization plan or HMO plan provides for the doctor's consultation, confinement, surgery, and diagnostic tests. However, the insured in this health insurance coverage plan has no liberty to choose his own doctors or hospital. This type of health insurance coverage plan also offers immunizations, check-ups, mammograms, and other health care in order to prevent illness and minimize the cost. Those who are members of this health insurance coverage plan simply pay using their membership card. Choice of physicians is limited because the insured in this health insurance coverage should first consult the HMO doctor. The HMO physician is the one who would refer the insured to specialists if needed. Another kind of HMO health insurance coverage allows the insured to be referred to a specialist that is not a member of the HMO pool of physician.
There are diseases that last long and are very expensive to treat such as cancer that may take a long time to cure. People with cancer who bought health insurance coverage prior to acquiring the disease would have fewer worries regarding the medical cost of curing the disease. Nobody would like to get cancer because it is painful and sometimes,terminal. The physical and emotional burden is very hard on the patient, and having one less aspect to worry about makes this health insurance coverage an attractive option.
Diabetes is also a good reason to get health insurance coverage because this disease requires continuous treatment and expenses in order for the diabetic to maintain good health. Health insurance coverage is needed because of what the insured would need to spend on doctor's consultations, medications, and equipments such as blood sugar monitor.
Health care costs are the number one concern these days, so it is imperative you have good insurance coverage. We're all in this together and I'm pulling for you. Come back next week for more tips tricks and techniques on Living the Champagne life on a beer budget.
Mahalo.
******************************************************************
Need to learn how to get and stay out of debt and live debt free?
Tips and techniques outlined in our ebook “Debt Free Living”.
For more information:
http://www.renspubhouse.com/debtfree/debtfree.html
******************************************************************
Are you sick and tired of making just enough money to survive?
Well then check out these Must Have Finance Tools For 2009
Personal Finance Tools - products that you can use to get your finances together and make
money even in down times.
http://www.renspubhouse.com/finance.html
**********************************************************************
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