Archive for the ‘health insurance’ Category

Friday, July 16th, 2010

Florida health insurance: Attorney General Bill McCollum and Secretary Tom Arnold of the Florida Agency for Health Care Administration have submitted a formal request for a waiver from the federal government that, if granted, would launch a Florida pilot program for enhanced Medicaid fraud enforcement.

Illinois health insurance: Last week Governor Pat Quinn signed the package of budget proposals passed by lawmakers in May, leaving Illinois with one of the largest budget deficits in the country.

Michigan health insurance: Priority Health and the Physicians Health Plan of Mid-Michigan, both non-profit insurers and subsidiaries of large hospital systems, have applied to sell coverage to new Patient Protection and Affordable Choices Act (PPACA) high-risk pool enrollees.

Missouri health insurance: Lt. Gov. Peter Kinder has filed a legal challenge against the recently enacted federal health care reform law.

Pennsylvania health insurance: The Insurance Department is planning to file an application with HHS for a $1 million grant to buttress its rate review efforts.

Friday, May 21st, 2010

The Arizona Legislature convened its regular session in January. With the state facing a deficit of more than $4 billion in fiscal years 2010 and 2011, the budget overshadowed all other issues again this year. Lawmakers faced difficult decisions, including the elimination of critical state programs, in their effort to balance the budget. State agencies have been cut drastically.
Among the most severe budget cuts were the elimination of KidsCare and the reduction of over 300,000 AHCCCS enrollees. Although lawmakers initially approved these budget reductions, they are likely to restore these cuts as a result of the new federal health care reform law. Because the law prohibits states from changing eligibility for CHIP and Medicaid, Arizona risks losing billions of dollars in federal matching funds if KidsCare and AHCCCS enrollment reductions are not reinstated.

In an effort to increase revenues and lessen additional cuts to key programs, legislators referred a temporary one-cent sales tax to the ballot. If approved, the measure will generate approximately $1 billion that will fund education, health care and public safety. A special election on the temporary tax is scheduled for May 18.

On another topic, the Legislature passed a bill giving the Governor authority to sue the federal government over the recently passed health care reform law. Stating that the federal government is overstepping its constitutional authority by mandating that individuals have insurance, Arizona is joining a suit with 18 other states against the implementation of the law.

While the budget dominated the session, below is a description of some other bills of interest.

Health Insurance-related Bills

  • HB 2296 (law enforcement officer; spouse; insurance payment) – Allows the surviving spouse of a law enforcement officer killed in the line of duty to receive payments for health insurance premiums from the officer’s former employer for one year after the officer’s death. Status: Passed House, awaiting final vote in the Senate.
  • HB 2308 (insurance information; transfer of business) – Adds “transfer of business” to the definition of insurance transaction in the statutes governing insurance information and privacy protection. Status: Signed by Governor.
  • HB 2579 (insurance; continuing education; continuation) – Continues education requirements for insurance agents indefinitely. Status: Signed by Governor.

Health Care-related Bills

  • SB 1189 (admissibility of expert opinion testimony) – Changes the standard used in civil and criminal trials relating to admissibility of expert testimony from the Frye standard to the Daubert standard. Establishes criteria for expert testimony to be admissible in court. Legal experts expect this change will be particularly helpful in defending medical malpractice suits. Status: Passed Senate and House; awaiting Senate action on House amendments.

Other Legislation

  • SB 1070 (safe neighborhoods; immigration; law enforcement) – Makes changes to laws relating to the enforcement of immigration laws, failure to carry an alien registration document, day laborers and harboring or transporting illegal aliens. Amends the employer sanctions provisions of law in the following ways:
  • Provides employers with the affirmative defense for entrapment;
  • Requires employers to keep a record of the employment verification from E-verify for the duration of an employee’s employment, or three years, whichever is longer. Status: Awaiting action by the Governor.
  • HB 2250 (Arizona’s job recovery act) – Provides income and property tax reductions and incentives. Creates a new supplemental Arizona Job Training Program, the Arizona Opportunity Fund and the Arizona Quality Jobs Program. Restructures Enterprise Zones into a statewide Arizona Enterprise Development Program. Status: Passed the House; awaiting debate in the Senate.
Tuesday, May 4th, 2010

While the underlying cost of health insurance services remains an under-reported issue, there are signs that this may be changing. The California legislature, for example, is beginning to turn its attention to rising hospital and provider costs, and not just the rising cost of premiums. Just in time, the U.S. Justice Department announced last week that California’s largest health care purchasers can proceed with an extensive study of the costs of care at more than 300 hospitals statewide. The California Hospital Association tried to block the project claiming antitrust concerns, but the Justice Department rejected the claim. Only by addressing costs throughout the health care system will the nation begin to slow the overall cost of health care and truly deliver on the promise of health care reform. Transparency remains a very important part of the equation.

Federal
In January, the U.S. Supreme Court ruled in the Citizens United case that the First Amendment protects the right of corporations, as citizens, to spend corporate funds on political advertising advocating the election or defeat of a particular candidate. In an effort to stave off an anticipated onslaught of corporate money infusion in this year’s elections, the Democratic majority introduced legislation last week to curb any such corporate activity. The core component of the legislation would require corporations (and unions) in the name of transparency to disclose their spending on political advertisement. This legislation is very likely to be a key subject of debate for the rest of the legislative year as Democrats seek to rally consumers and other groups in favor of the bill, and Republicans use the measure as a rallying cry against what they view as an infringement on the First Amendment.  It is not at all clear, at this stage, whether this bill has legs or whether corporations will even take advantage of the Supreme Court’s ruling. What is clear is that the issue will further drive a wedge between the two parties.

In response to WellPoint’s proposed rate increase in the California individual health insurance market in January (now rescinded), Senator Dianne Feinstein (D-CA) had proposed legislation to establish a Federal Rate Authority to both review “potentially unreasonable” increases in health insurance rates (in conjunction with the states) and to endow the federal government with new regulatory powers with respect to the Authority’s findings. Although this provision was not included in health care reform, Senator Feinstein now is poised to offer her bill as an amendment to other legislation moving through the Senate — starting with the financial regulatory reform measure currently before the Senate. The Feinstein proposal would further erode the traditional role of the states with respect to insurance matters and was opposed by Aetna and the insurance industry. Aetna will oppose this new tactic as well.

Wednesday, April 28th, 2010

The COBRA health insurance premium subsidy period was recently extended to May 31, 2010, thanks to the passing of the Continuing Extension Act of 2010. The COBRA subsidy is available for up to 15 months.

This act also provides that an individual who previously had a reduction in hours but did not elect (or elected and then discontinued) COBRA continuation coverage, will have a second opportunity to elect continuation coverage and qualify for the COBRA subsidy if the individual’s employment is subsequently involuntarily terminated between the dates of September 1, 2008, and May 31, 2010. The individual will be eligible for the COBRA subsidy as of the date the individual’s hours were reduced rather than when their employment ended.

Thursday, April 1st, 2010

While the majority of health insurance reform provisions go into effect in 2014, there are a number of provisions that take effect in 2010. Here’s an overview of the provisions that become effective this year:

Immediately at enactment

  • Grandfathering – Plans and individuals that “renew” their coverage are exempt from any provisions of the law. These “grandfathered plans” must comply, however, with the following provisions of the law: extend dependent coverage through age 26, prohibit rescissions, eliminate waiting periods greater than 90 days, and eliminate pre-existing condition exclusions for children
  • Small employer tax credits – provides premium subsidies for small groups with 25 or fewer employees and average salaries of $40K or less

Less than six months

  • High-risk pool program – establish a temporary national high-risk pool for individuals with pre-existing medical conditions. (effective 90 days post enactment through January 1, 2014)
  • Temporary reinsurance for employer retirees – Creates a temporary reinsurance for employers providing health insurance coverage to retirees over 55 who are not eligible for Medicare (effective 90 days post enactment through January 1, 2014)

Six months plus

  • No lifetime limits – Eliminates all lifetime limits on the dollar value of coverage (effective six months post enactment)
  • Restrictions on rescissions – Prohibits insurers from rescinding coverage except in the cases of fraud (effective six months post enactment)
  • No pre-existing conditions for children – Eliminate pre-existing condition exclusions for children under 19 (effective six months post enactment)
  • Dependent age 26 – Extends dependent coverage to age 26 (effective six months post enactment)
  • Preventive care with no cost sharing – Eliminates cost-sharing for certain preventive services (effective January 1, 2011)
  • Appeals process – Individuals  have access to an  internal and external appeals process to appeal decisions by their health insurance plan.
Thursday, March 11th, 2010

Some state are already making laws to object to Obama Care and health care reform. 36 states in fact have proposed and are working on new laws to outlaw forcing their residents to be forced to buy health insurance. They would like to have an open market like the one we have now, where residents cant search for health insurance quotes at their leisure on sites like Easy To Insure ME. Virginia has become the first state to outlaw Obama Care and many states are following in the foot steps.

In Arizona voters will be placing their opinions in November. This may ban any requirement from Obama that all citizens must buy individual health insurance. Bill McCollum of Florida is threatening to sue the federal government if an individual health insurance mandate is included in any health care reform bill.

Wednesday, March 3rd, 2010

After a divorce is a highly critical time to make many important decisions. One of them is your health insurance. Being that you and your ex-spouse no longer share certain things you may lose your health benefits due to the divorce. In addition, if your ex-spouse is moving to another state you will still be able to maintain good health insurance coverage by shopping online for a new plan. If you were originally on an HMO plan and are leaving the state in which you reside you will need to get a PPO plan.

An HMO is restrictive in the network. You are only allowed to visit certain doctors within the network and that is usually only in your state. However, a PPO will allow you to receive health insurance services anywhere in the country if you or your ex happen to move out of the state due to the divorce. COBRA may also be an option, but is not a permanent solution and is very expensive.

We know this is a hard time in your life and are here to help. Please feel free to use Easy To Insure ME to shop for your health insurance needs. We will also be here by the phone wating for your call to answer any questions that arise.

Wednesday, February 17th, 2010

Health insurance surrounds you with a number of terms, costs, deductibles, and coinsurances.  Because health insurance is about your well being you need some facts about what kind of coverage you really need.

Prescription Drug Coverage
Most Americans use at least one prescription and because of the high costs of prescription medications it is very helpful to have this cost be a low cost flat fee in your health insurance plan called a copay.

Vision Care Coverage.
Wearing glasses or contacts is expensive and including an eye exam you could be paying hundreds of dollars to keep good vision. A good vision plan is essential for this type of expense but is not necessary for people who have good eye sight.

Dental Coverage
Most illneses can be detected through the mouth first and if your teeth are not taken care of it could cost you big. A regular examination and periodic cleaning can keep you free of high price dental bills. Try to pick a plan with a good network, free cleaning, and exams. You shoud pay no more than thirty dollars per month for dental coverage.

Health Insurance Coverage
Over 60% of individuals and families file for bankruptcy because they are unable to pay for medical bills. Any health insurance plan can guard against this issue. Some are bette than others and have better features but they all the do the same thing. Insure individuals and families against banktruptcy from medical bills.

Sunday, February 14th, 2010

Health Insurance plans provide access to extensive networks of doctors, clinics, pharmacies, and hospitals across the United States. Therefore, if you live anywhere in the U.S., Texas, Florida, California you will be covered by a quality network of medical providers.

Four terms that can greatly affect what you pay for a health insurance plan you should be familiar with are:

  • Deductible: A deductible is what you pay before your insurance carrier begins to pay on an annual basis. The higher the deductible the lower the monthly premium.
  • Copay: The amount you are required to pay for doctor visits, prescriptions, emergency rooms, and annual exams. Copays are not subject to a deductible. They are a flat fee you will pay to the provider
  • Coinsurance: This is a cost sharing between you and the insurance carrier after your yearly deductible has been satisfied.
  • In-Network Providers: Doctors, clinics, pharmacies, and hospitals that provide health care at a discounted rate to members.

Most health insurance plans are flexible and can be made to fit the needs and budget of individuals and families. The best way to find affordable health insurance is to go to EasyToInsureME and get health insurance quotes comparing all carriers in seconds.  After you instantly receive your quotes, you can compare the different plans and see if one will work for you. It’s just that easy!