Showing posts with label health coverage. Show all posts
Showing posts with label health coverage. Show all posts

Thursday, November 13, 2008

How To Get Cheap Health Insurance Online In Florida

Fortunately there are ways for you to stay insured or to get health insurance if you aren't insured now, even if you have little spare money each month. Approximately 17% of all Floridians can't afford health insurance of any kind.

it may be possible for you to get them very low cost state-sponsored health insurance through a program known as KidCare. even if one or more of them has a pre-existing condition ??? If you have children 19 years of age or younger who are not covered by any health insurance ???

Let 's start with your kids.


To see if your children qualify for KidCare health coverage simply go to: http://www.floridakidcare.org/

If your place of employment doesn't offer group health insurance then check around with any organizations that you belong to. Many times automobile clubs, fraternal organizations, even churches have some form of group health insurance that they can offer to members at a tremendous discount over individual health care.

Group health care has one other advantage ??? they often accept pre-existing conditions that individual health care does not.

If you own your own home-based business and you've been operating for at least six months there is a special Florida law that may allow you to get group health insurance even if you have no employees or if your only employee is your spouse who helps out on even a part-time basis. Check with your insurance agent to see if you qualify.

While you're talking with your insurance agent ask if you qualify for a multi-policy discount on your health insurance. If you have more than one insurance policy with the same company you may be entitled to a break on your monthly health care premiums.

Also, if you have been with the same insurance company for at least 5 years ask if you qualify for a long-term policy discount. Most insurance companies will give you one if you ask for it.

If you smoke or use any tobacco product ??? stop. Period. You will never get the cheapest health care available if you smoke, use chew or any other tobacco product.

Your weight also plays a role in how much you pay for health insurance. Losing weight is more difficult than quitting smoking for most people, but losing even a little weight can drop you into a lower weight and cost category and can save you hundreds of dollars each and every year in premium costs.

Don't participate in dangerous or extreme sports if you want to get cheap health insurance. Obviously if you go out of your way to put your health in jeopardy you're not going to get the cheapest rate available for your health insurance.

Consider carefully what the maximum percentage is that you can afford as a co-payment each time you see your doctor. If you can afford a 50% co-payment you'll get a good break on your monthly premium. This is an extremely good idea for people who do not see their doctor on a regular basis.

Another important question to ask is how large of a deductible can you afford to pay? Your deductible is cash that you have to pull out of your own pocket to pay for your own health care each year, so think about this carefully and be honest about how much you can really afford to pay. The more you can pay ??? the larger your deductible ??? then the less your insurance company will charge you each month in health insurance premiums.

Once you've done that then get online and find at least 3 different websites that let you make side-by-side comparisons of health insurance policies and their prices from different insurance companies. Now take everything you've learned in this article and create a health insurance policy that is designed to save you the most money possible.

Once you've done that then you can easily get cheap health insurance online in Florida and feel confident that you have gotten the very best price you can possibly find. Make comparisons of the same policy on at least 3 different sites.


Friday, September 5, 2008

A Quick Introduction To California Health Insurance And Pre-existing Conditions, Waiting Periods, And Exclusions

This is just an overview in layman 's terms. It 's important to look at a carrier 's policies and restrictions regarding pre-existing conditions, waiting periods and exclusions as they can differ from company to company.

The official definition reads as follows: First...what is a pre-existing condition.

Pre-existing Condition

Any illness or health condition for which you have received medical advice or treatment during the six months prior to obtaining health insurance. Group healthcare policies cover pre-existing conditions after you have been insured for six months, and individual policies cover pre-existing conditions after you have been insured for one year. Reference CIC Section 10198.7. Creditable coverage must be counted towards any pre-existing condition exclusion in either an individual or group policy.

Essentially, it is a medical condition, illness, or injury for which you just had treatment, are undergoing treatment, or have had treatment in the past. The context in which an insurance company will look at pre-existing conditions strongly depends on the type of insurance.

Individual and Family California health insurance.

This type of coverage is medically underwritten which means that you need to qualify based on health. Pre-existing conditions have the most impact here and it affects coverage in two ways.

First, you must qualify for coverage based on health so a carrier can increase your rates or decline/defer coverage altogether based on your pre-existing conditions. They typically have underwriting guidelines specifying how they may look at particular issues. Ultimately, the underwriter (person who decides to approve or decline health coverage) makes the final decision based on information found in the health application or medical records (if requested).

For some issues, the health insurance carrier may want a certain amount of time away from a give situation before offering coverage. A general rule of thumb is 6 months to one year for a more simple situation (simple broken bone, infection, etc). Some issues are deemed uninsurable for which they will not offer coverage ever.

If you are unable to qualify for individual - family health insurance in California, you can find options for the uninsured through the State such as MRMIP.

The second way pre-existing conditions can affect coverage for Individual Family California health insurance is after approval. If approved for coverage, there can be a waiting period for treatment (payment of) pre-existing conditions of up to 6 months if you did not have prior coverage or lapsed coverage for more than 62 days. Essentially, they will take into account time on a prior qualified plan (may be individual, small group, short term) towards a six month waiting period for pre-existing conditions.

Tier increase with Individual and Family coverage.

If a carrier does not decline coverage based on pre-existing conditions, they can increase rates. Tier 1 is the best rate and you can find this rate when you quote individual California health insurance. Tier 2 is typically 25% higher than this standard rate. Tier 3 is typically 50% higher and Tier 4 is typically 100% higher. Some carriers apply different increases. For example, Blue Shield of California has a Tier 5 which is much higher. This tier increase is not locked in stone and you may be able to have it removed or lowered in the future once time has passed from a given situation (assuming you are in otherwise, good health). We recommend submitting the required change of coverage form every 3-4 months until this tier increase can be increased.

California Small group health insurance and Pre-existing conditions.

Pre-existing conditions are treated differently for Small Group in some important ways. HMO 's are typically not subject to waiting periods for pre-existing conditions. Maternity in California is typically not subject to waiting periods for either HMO or PPO plans. Otherwise, the six month waiting period is the same as individual plans. Always submit all claims through the carrier regardless and let them make the decision on waiting periods.

Small Groups do not have tiers but by law, a carrier can go up or down 10% from the standard (Request Small Group California quote at www.calhealth.net) rate based on the health of the group. This is called the RAF (Risk Adjustment Factor). A 1.0 RAF is the standard rate. 1.1 would be 10% higher and .90 would be 10% lower. The larger your group, the more likely you will have a lower RAF. Some carriers automatically give small groups the extra 10% increase as there are fewer people to spread the risk among.

Exclusions of certain conditions

A plan 's summary and explanation of benefits will list their standard exclusions. maternity, brand name drugs) by design. Some plans will exclude certain coverages (i.e.

Keep in mind that this exclusion is only dealing with a specific person 's pre-existing condition. The downside is that a person might be unable to qualify for coverage altogether which defeats the purpose of banning exclusions to begin with...The law of unintended consequences. On one hand, a new enrollee does not need to worry about a condition re-occuring and having coverage declined during a period of time. This is a mixed blessing. California law prevents carriers from excluding conditions a specific applicant may have (if a covered benefit) upon approval as other states allow.


It 's important to look at a carrier 's policies and restrictions regarding pre-existing conditions, waiting periods and exclusions as they can differ from company to company.


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