Posts Tagged ‘Health Insurance Policies’

Benefits of Travel Insurance for a Domestic Vacation

Sunday, March 28th, 2010
travel insurance pregnancy
Travel insurance is often purchased for trips abroad, but many vacationers do not see the point in spending the money on a policy when they are staying in the United States. While travel in the United States might be safer and easier than travel in a foreign country, there are still things that could go wrong. When these things happen, travel insurance can ensure that the problem is solved as quickly as possible. Otherwise, you might be forced to spend money out of pocket and cancel the rest of your vacation. Here are the top benefits of buying travel insurance, even if you are traveling domestically:

Benefit #1: You can get medical treatment no matter where you travel.

Even if you already have health insurance, you might find yourself deep in debt if you get sick or injured while on vacation. Unfortunately, more health insurance policies restrict the network of doctors you can see, and those doctors typically all live in an area near you home. So, if you go on vacation to Miami, but you live in California, all of the doctors you are “allowed” to see under your policy live thousands of miles away. Of course, you can legally see whomever you want, and emergency care is usually covered no matter where you are in the United States, but if you get help from a doctor not in your network, you might have to pay for it yourself.

While the medical benefits of a travel insurance policy are important, keep in mind that not everything is covered with every policy. For example, many travel insurance policies do not cover injuries due to extreme sports or other high-risk activities like scuba diving or touring through a war zone. In most cases, pre-existing conditions and pregnancy are also not covered. Read your policy carefully.

Benefit #2: You’ll get your money back if your trip is cancelled.

Not every vacation goes off without a hitch. A vacation can be cancelled for a variety of reasons. Most of the time, if it is the tour company’s fault (for example, they did not have enough people sign up for the trip), they will give you a full refund of your money, but in other cases, you may be out of luck. For example, if you miss your vacation because your flight was cancelled, you might be able to get your money back from the airport for the flights, but you may still have to pay for the hotel room and other activities that you scheduled, even though you did not go.

Make sure, once again, that you read you policy carefully. You might be covered if someone else cancelled your vacation, but you might forfeit your money if you simply decide not to go on the trip. It depends on your policy.

Benefit #3: If your luggage is delayed, lost, stolen, or damaged, you’ll have money to replace it quickly.

You might not think that it’s a big deal if your luggage gets put on the wrong plane and sent a day late. It’s just one day, right? Well, yes, but you should still consider packing a carry-on bag with all the necessities you will need should your luggage be lost. Be sure to pack items like a set of clothing and all your necessary toiletries, unless you don’t mind paying the inflated airport prices. However, we all can forget things sometimes so it’s always wise to check your travel insurance plan to see if you get an allowance to purchase such necessities should you lose your luggage and find that you didn’t pack anything in your carry-on. Make sure to document it if you carry with you any expensive jewelry, cameras, or other items so that these items can be replaced. Better yet, don’t carry these items at all, and always make sure that you understand the exclusions. Sometimes there are limits as to what your insurance company will replace.

Benefit #4: They’ll help you make plans if you have problems.

One of the biggest benefits to an insurance policy while you travel is that you won’t get bogged down trying to figure out what to do. Look for a company with 24 hours a day, 7 days a week concierge service. You don’t have to be out of the country to panic because you aren’t sure how to fix a problem. If you miss a connecting flight, you insurance company can help to get you on another flight. If you lose your ID, your insurance company can help you get a new one. When you travel, it can be difficult to know who to call or where to go, and time is often of the essence. Your travel insurance representative will take care of things for you, letting you get back to enjoying your vacation.



By: Suzanne Bradley

Exclusions to Visitors Insurance

Wednesday, March 17th, 2010
All health insurance companies specify exclusions for coverage. This is to protect the company from claims which may be false or unfair to the provider. Visitors health insurance is no different, in that some exclusions are present in all plans.

Most visitors health insurance policies usually carry an exclusion of illnesses caused by pre-existing conditions. For example, if a customer has a condition which causes seizures, the policy will not pay for medical bills involving a seizure incident. This is simply a way of ensuring that the visitor medical insurance provider is not paying for continuous problems and issues for a customer that are caused by a condition which was already present at time of plan purchase.

Another common exclusion of visitor insurance is against visitors who travel to another country for the purpose of seeking treatment for an illness. This is obviously unfair to the visitors medical insurance provider. Similarly unfair is when visitors travel against the advice of their primary care physicians.

Many types of cosmetic surgery are not covered by visitor health insurance. The types which can be covered are some reconstructive surgeries which are necessary because of an injury or illness which took place while on the trip.

Insurance for visitors rarely will cover accidents and injuries which occur because of participation in dangerous activities. This can apply to horse, car, snowmobile and motorcycle racing. Scuba diving injuries are generally not covered either unless special optional coverage riders are purchased.

Participation in riots or civil disobedience and/or the committing of a felony will waive one’s rights to visitor health insurance. Obviously if one is going to take part in criminal or inappropriate behavior, a visitor insurance policy is not going to cover one’s resulting injuries.

Pregnancy and sexually transmitted diseases are not covered by most visitor insurance policies. If one is going to travel abroad and perform unsafe sexual practices, the visitor insurance company should not be required to cover it. One can receive treatment from their primary insurance provider upon returning home.

Visitor insurance carries quite a few exclusions, but the illnesses and injuries which are covered more than make up for the exclusions. Most people rarely encounter situations which void payment of a claim. Travelling abroad without visitors insurance is simply unsafe.



By: Nellie Robinson

Tax Planning? Buy Health Insurance

Friday, March 5th, 2010
health insurance maternity benefits
Insurance today has become a necessity. Life can give any kind of surprises- pleasant and unpleasant. Health and medical contingencies never comes with a warning. Besides, it is not possible to control what is imminent. The best we can do is to prepare ourselves against such contingencies. With rising costs of health care, it is recommended that we get adequate mediclaim coverage. Insurance provides a shield to your family in case something untoward happens. It is a good investment option. It enhances your savings and finally it does offer tax benefits.

Mediclaim health policy covers unexpected health contingencies like cost of medication and hospitalization expenses, for e.g., the cost of the room and services while being hospitalized. Surgical expenses and physician’s fees during office visits are also covered. Other things that a health care insurance insures are prescription drugs, mental health benefits and maternity care. It is not very often that a person visits a doctor for a regular check-up. We believe that there is less likelihood that we would encounter risk. True, the thought of death is an unhealthy idea but this does not mean that we do should refrain from getting ourselves protected. Added to this is the fact that investing in health insurance saves you from tax obligations.

Under Sec 80(D) of Income Tax Act an individuals gets a deduction for up to Rs. 15,000 p.a.. when he buys a general insurance. The rebate is Rs.20,000 for senior citizens. The premium you pay is directly deducted from salaried income, thus reducing the taxable income to that extent.

The amount you save is your bonus which you can treat as an investment return. Among different general insurance, health insurance is the only kind which provides such rebate. Hence, buying mediclaim health insurance not only gives a protection for yourself and your family but also saves you from fund liquidation in the form of tax.

Nowadays hosts of mediclaim health insurance policies ranging from critical care insurance, family health insurance, personal accident insurance, etc.available that offers protection in case of medical emergencies, hospitalization, and other costs incurred. You can choose from multiple plans as suited to your needs and situations.

Whether you buy Individual Health Insurance policy or a Family Health Policy, you get tax rebate, under Sec 80(D). You can get additional tax benefit for up to Rs.15,000 when you buy mediclaim health insurance policy for your parents. If your parents are senior citizens, the benefit is up to Rs.20,000. This is exclusive of tax benefit for up to Rs. 15,000 for self and dependent family. That means that an individual can now avail a rebate for up to Rs. 35,000. Click here to calculate your tax-savings now.

You adore your parents and want to show that you care. Health care Insurance policies offers you a way that can help you show your affections to your parents. Gift your parents mediclaim health insurance policies that takes care of your parents in the same way as you do. You can also reap benefits of tax under Sec. 80(D) as mentioned above.

Now you can also buy mediclaim health insurance policy online. Wherever you are, you can buy policy 24×7. Its hassle-free, instant policy as it does not involve any paperwork or third person. Be online, assess the policy wordings, get health insurance quotes and judge on your own. It takes few minutes and you are done with the process of buying online. The next time you think of buying mediclaim insurance policy, do consider this facility and reap benefits to the fullest.



By: Laxmi Wadhwa

Health Insurance for the Self-Employed … 5 Tips to Consider

Tuesday, March 2nd, 2010
best health insurance for pregnancy
First of all, it is not only possible to buy health insurance when you’re self-employed, it’s absolutely critical … afterall, your health is one of your most important business assets.

Here are a couple of things to keep in mind as you shop for your best health insurance plan. And remember, when it comes to health insurance, there is no one-size-fits-all policy. You’ll need to consider your individual circumstances as you compare options.

1. If you’re relatively healthy, consider a high-deductible policy that covers only catastrophic events, such as surgeries and major injuries. The premiums are much lower than traditional health insurance policies, but that means you’ll be paying out of pocket for check-ups and minor medical care.

2. Take advantage of the HSA (Health Savings Account) that allows you to put pre-tax dollars into a bank account and use the money later to pay for your medical care. An HSA can either be a stand-alone insurance plan, or you can combine it with a catastrophic policy and use your HSA funds to pay for the medical care not covered by your insurer. (Remember, you don’t buy an HSA from an insurer, you set one up yourself with the help of your accountant.)

3. If you want more coverage than the catastrophic policy offers, consider a comprehensive policy and then choose the highest possible deductible that you can afford, even if that deductible would be a financial stretch. The dollars you save on the premiums will likely exceed the deductible in the long run.

4. If you choose to go with a comprehensive policy, make sure it doesn’t include coverage you don’t need like: pregnancy, mental health, chiropractic or unnecessary prescription drug coverage. On the other hand, if any of those coverages are important to you, ask your insurer to include them in your policy.

5. Consider a supplemental insurance policy to help cover your deductibles and out-of-pocket medical expenses that aren’t covered by your primary insurance policy. This type of policy can even pay a cash benefit is you are unable to work because of illness or injury, an important feature for the self-employed.

By deciding up-front what type of insurance is best for your situation, you’ll feel more confident as you shop for the best policy.

If you would like to receive multiple quotes for health insurance for the self-employed, please visit the website recommended below.



By: Barb Dearing

Important Components of Cobra Health Insurance

Wednesday, February 3rd, 2010
maternity insurance coverage
In today’s economy, there is very little job security meaning jobs are being lost left and right. Unfortunately, one of the secondary effects of losing your job is that you lose your health coverage as well. Thankfully there are programs in place that can extend your health coverage for up to 18 months following a termination, career change, or even retirement.

COBRA insurance was enacted into a law to protect you from losing your healthcare in scenarios such as getting fired or laid off. Officially known as the Consolidation Omnibus Budget Reconciliation Act, it is designed to provide medical insurance coverage for employees and their families even after they severed ties with their employer. People must also understand that COBRA is a law, not an insurance package.

Before COBRA medical insurance was enacted to cover medical needs of terminated employees, the group health plans of terminated workers and those who changed employers were immediately cancelled. With the advent of COBRA insurance, employees who have been fired or laid off will receive 18 months of medical coverage of the same health insurance policies their employers gave them.

However, the benefits of COBRA medical insurance are available only as a group plan and not as individual health coverage. You need to be a part of a health plan group of 20 or more employees for you to be eligible to apply for COBRA medical insurance policies.

The Price of COBRA Health Insurance

The price of a COBRA policy is also significantly higher than the total price of the medical insurance policy bought by your employer. The total cost of a COBRA insurance package is the total amount of your group healthcare plan plus 2% administrative fees. COBRA is more expensive than other group plans, but also provides peace of mind knowing that your family or individual health coverage plan is extended to cover you or your family in case of emergencies or severe health issues.

What makes COBRA unique from other forms of medical and health insurance plans is that COBRA will continue to cover any pre-existing medical conditions that were approved and covered by your original health plan. If you happen to be afflicted with a medical condition, COBRA will cover the said condition. Other health insurance providers do not cover pre-existing conditions and will not hold them true if you apply for a new policy.

Why COBRA is a Wise Choice

There are a lot of reasons why applying for COBRA is a wise move. Apart from the fact that you are medically insured and covered for a period of 18 months after leaving your job, you continue to receive all the benefits you once got from the same health plan insurer you had before you left your job. As mentioned before, COBRA covers any pre-existing or recent medical problems, which is not present in health insurance plans offered by other health insurance providers.

If you lose your job and rely heavily on your health insurance plan for sharing the cost of expensive medications, applying for a COBRA policy is an excellent choice. COBRA covers the cost of prescription drugs, as well as other services such as maternity benefits and accident insurance.

COBRA also offers an alternative policy for those who could not afford the COBRA option offered by their employers. The COBRA alternative is designed for people who are in good health and with no pre-existing medical condition and do not need to take expensive medication.

While COBRA provides an opportunity for individuals to retain health care insurance, individual health coverage plans are much more reasonable as it pertains to cost.



By: Jennifer Hrycyk

Health Insurance

Saturday, January 9th, 2010
health insurance maternity coverage
This insurance policy is very popular all over in the world. Health insurance is very essential due to increasing cost of medical care and treatment, its reduce the risk of financial problem in the time of critical illness and hospitalization.

This is legal agreement of customer and company agree to share the risk. Policy holder pays monthly regular amount for health plan to purchase the policy. This policy covers hospital charges, surgery charges,medicine charges and all other related expenses during the period of policy holders illness.

There are basically two different types of health insurance.

1)Fee for Service:

Under this type of health insurance you have complete choice to choose hospitals,doctors and other health care facility. But there are certain limits against this policy where how often customer visits their private health care.

Long time ago, there were problem with senior citizens where customer would constantly visit to the doctors where it was necessary. Under this policy rule, they were not required to pay for any other private medical charges because everything was paid under this policy.

Now people are buying this insurance plan under the fee for service policy which helps to getting the fees for every visits.

There are two plans under this policy: basic health plan and major health plan.

Basic health plan: It pays for the cost of hospital room, hospital care and other hospital services.

Major health plan: It pays for the cost of surgery, doctors visit and high cost of pathology.

Some plans are offered combine both basic and major into one single plan. This plan is known as comprehensive plan.

2)Managed care health insurance plan:

This is the first insurance policy in the world, in 1929.This service is very popular in the united states. Most of 60%people are opted by this policy.

This is the simplest way for policy holder to help control cost of medical expenses. There are different types of managed care health insurance policies working differently and providing comprehensive service to the customers and offers financial incentives to insured patient.

Now womens are buying health insurance plans and they pay more than men of the same age to protecting identical coverage. Basically womens costs are more than men because they use more health care during maternity period.



By: Habibulla Antule

Health Insurance

Friday, December 11th, 2009
health insurance maternity benefits




JLBG is the largest provider of health insurance and employee benefit plans, and because the company is fully aware that health insurance is a complex subject, it offers free advice, quotes, and news from a licensed professional for individuals, employees, and students. The company was founded in 1972 by Jeffrey L. Barnes, who is a top provider for Time Insurance Company (Assurant Health). Mr. Barnes qualified for the highly contested and coveted Ring of Honor more than any other agent in the Time Insurance Company’s one 116 year old history.

Currently, JLBG is a pioneer in the burgeoning, consumer-driven health care marketplace through its industry leadership and in its offering of customized and affordable Assurant Health solutions. JLBG is the largest premium volume MGA for Assurant Health, and is most certainly on the rise with other health insurance carriers. The Assurant Health plan company is exclusively endorsed by the National Federation of Independent Business with over 600 thousand small business members. JLBG currently serves over three million association members, 150 thousand individual members, and 1,300 brokers nationwide. JLBG has been specializing in Assurant Health plans for more than thirty years and is licensed in forty-six states and recognized nationally as a leader in the health insurance marketplace.

The Assurant Health plan company of JLBG pioneered the FPP™ (the Fortis Protector Program) in 1993, by offering personalized individual health insurance benefit plans to the staffing industry. The Fortis Protector Program platform has evolved into a full-scale health insurance delivery model with extensive brokerage community backed by an internal call center, back-office support, and high-end proprietary software platforms able to serve a multitude of health insurance solutions to all facilities in the marketplace.

Individuals, such as those who are self-employed, students, and retired persons, need Assurant Health insurance policies in place to have peace of mind in the knowledge that in unforeseen circumstances they can seek and receive medical treatment at any time. An Assurant Health insurance plan should be a major element of any financial plan. JLBG advises clients that unexpected medical expenses for those who are not covered by a plan leaves them vulnerable to financial risk, and in some cases, even financial ruin. One of the biggest causes of bankruptcy is the unexpected medical expenses incurred by illness or accidents.

JLBG can offer a range of individual Assurant Health policies to suit lifestyles, needs, and budgets. Individual Assurant Health policies offer greater flexibility than group policies because only those specific benefits required for the client and/or wife and family are purchased. A group policy may require an employee to pay for maternity benefits when these are never going to be used. Individual Assurant Health plan clients are able to keep their policies when they change jobs or retire for as long as they choose to keep paying their premiums. An additional benefit is that self-employed individuals or students are permitted to deduct 100 percent of their health insurance premiums from their taxes.

Expert health insurance advice , learn about health insurance. Online health insurance quote , Affordable health insurance .



By: jlbghealth

More Small Business Health Insurance Basics In Texas

Saturday, November 28th, 2009
health insurance maternity coverage
Because premiums, deductibles, copayments, and coinsurance levels for small business group health insurance policies in Texas can vary widely from plan to plan, it pays to shop around.

Have a good understanding of your employees’ healthcare needs before you start shopping. Do they require frequent medical care or do they rarely see the doctor? Are they more concerned about preventive checkups or coverage in case of emergency? Are prescription or maternity benefits important to them? This is an essential first step. You want to purchase a plan that offers the medical benefits your employees need, without a bunch of “extras” your employees won’t take advantage of. You’ll pay for these “extras” in the form of higher premiums.

When shopping for coverage, the Texas Department of Insurance recommends keeping these guidelines in mind:

- Be sure you understand the full extent of each plan’s coverage when comparing plans and rates. If you decide to go with a consumer choice health benefit plan over one with all the state-mandated benefits, the carrier or agent is required to explain in writing which coverages you don’t have.

- Plans with higher deductibles, copayments, and employee share of coinsurance generally will have lower premiums. Keep in mind, however, that your employees will also have to pay more out of pocket when they access services or benefits.

- Consider factors other than cost, such as a company’s financial strength and complaint record. These are indicators of the service you can expect. You can learn a company’s financial rating, as determined by an independent rating organization, by calling the Texas Department of Insurance (TDI) Consumer Help Line. You can also learn information about the frequency of consumer complaints filed against specific companies by calling the Consumer Help Line: 1-800-252-3439/463-5515 in Austin.

- Look into purchasing cooperatives. These are groups of small employers with similar health care needs who join together to negotiate discounted rates for shared plans. For a list of registered purchasing cooperatives in Texas, call the Consumer Help Line.

- Buy only from licensed insurance companies. Selling unlicensed coverage is illegal in Texas. If you buy from an unlicensed carrier, your employees’ claims could go unpaid and you could be held liable for the full amount of your employees’ claims and losses. Guaranty associations pay the claims of licensed carriers that become insolvent. You can learn whether a company is licensed by calling the Consumer Help Line.

- Understand that employee health coverage is different from workers’ compensation insurance, which covers only job-related injuries and illnesses. Although workers’ compensation insurance is not required in Texas, it protects you from high damage awards in the case of workplace accidents. Providing regular health coverage to your employees is not a legal alternative to providing workers’ compensation insurance.

Who Pays and How Much?

The law doesn’t require employers to contribute toward health benefit plan premiums. However, many carriers require employers to pay at least 50 percent of the plan’s premiums. Employers may choose to pay a higher percentage than the carrier requires.

The carrier must offer dependent coverage to all eligible employees. Generally, employers are not required to contribute toward the cost of dependent coverage. If the employer doesn’t contribute, employees may have to pay all of these costs themselves.

Premiums may increase at each renewal term, largely due to rising health care costs and possibly as a result of employee claims experience. Texas law caps small-employer rate increases due to health factors at 15 percent per year.

Insurers cannot require businesses to purchase additional lines of insurance, such as life insurance or disability insurance, as a condition of the sale of a health plan.

Employee Signup and Waiting Period

New employees must be given at least 31 days from their start date to enroll in a plan. After this time, they may be required to wait up to one year for the next “open enrollment period” to join. Carriers must offer a 31-day open enrollment period annually.

You can choose to require your employees who enroll in a plan to wait up to 90 days before being eligible for benefits. During this period, the carrier may not charge you or the employee a premium.

Carriers may require participants to wait a certain amount of time before covering pre-existing medical conditions. In general, plans have different rules for pre-existing conditions. Plans using the open-enrollment requirement cannot make new members wait more than one year before covering their pre-existing conditions.

New enrollees who were covered in the year prior to joining a plan also receive credit toward the waiting period on a month-for-month basis. For example, an employee who was covered under creditable coverage for the entire year before joining a new plan would receive 12 months credit toward a one-year pre-existing condition wait — and would therefore experience no wait at all. For previous coverage to be considered creditable, there may not have been more than a 63-day break between the end of the previous coverage and the start of the new coverage.

A small business employer carrier cannot refuse to provide health coverage for employees on the grounds of employee illnesses or pre-existing conditions. Nor may carriers use health-related factors — such as employees’ prior claims experience or information on conditions arising from violent family situations — to decide whether to provide coverage.

How Small Employer Plan Premiums are Calculated

The rates for any given small employer plan are not solely determined by the benefits and deductibles of the plan itself. Certain objective “case characteristics,” along with any health status-related factors of employees, may also be components in determining the premium rate for the small employer group. Case characteristics consist of age, gender, group size, industry, and geography. Carriers can use some or all of these five objective criteria:

- Age of employees: Older people can reasonably be expected to have more expensive and more frequent health-related claims. Generally, the older your workforce, the more your plan will cost.

- Gender: Females generally incur higher medical costs than males at younger ages, particularly during childbearing years. The variance diminishes with age until medical costs for males begin to exceed those for females as they near ages 50 and 60. If you have a younger, proportionately more female workforce, or one that is older and proportionately more male, expect to pay higher premiums.

- Number of plan participants: Carriers often base rates on group size for two reasons. As size increases, administrative costs per insured decrease. Also, smaller groups tend to buy health coverage based on the targeted needs of participants, increasing the likelihood of claims for the benefits provided. As group size increases, this “custom-tailoring” becomes more difficult and premiums tend to decrease. However, the highest group size factor may not exceed the lowest group size factor by more than 20 percent.

- Industry: Some industries have higher medical claims costs than others because of working conditions and the prevalence of accidents. High employee turnover in some industries can also result in higher administrative costs for the carrier. However, the highest industry factor a carrier charges may not exceed the lowest factor by more than 15 percent.

- Geographic area: Health care costs vary by region due to differences in cost of living and medical practices, as well as the amount of medical competition in the area. Most plans vary rates by either county or ZIP code, using the employer’s business address to set rates.

The rating process for a small-employer group can be described as a two-step process. First, a carrier determines a premium rate based on case characteristics and plan design, without regard to health status-related factors. This produces the baseline price of the policy. Second, the carrier may adjust the rate to reflect health status-related factors of the group. This adjustment must apply uniformly to all members of the group and may not exceed 67 percent of the baseline price of the policy.

Group health insurance can be not affordable for many small businesses, not to mention an administrative headache. Another alternative to group health insurance plans is to offer individual health insurance options to your employees. By law, an employer is not allowed to contribute to these plans, or that would be treated as group insurance under Texas state law. But you can still help your employees become insured in a good plan and improve their health and well-being and also improve employee retention in the process. If you’re a small business owner who would like to offer affordable health insurance plans to your employees, but can’t afford group health insurance, you should consider offering your employees the revolutionary, comprehensive individual health insurance solutions created by companies specifically for young, healthy individuals.



By: Pat Carpenter
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