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What to Know About Your Insurance When You’re on Vacation

7 August 2018 By admin Leave a Comment

If you’re traveling in the U.S., where you go and what type of facility you seek care from will affect how big your bill is when you get home. Many places will be considered out-of-network, but you may be able to find in-network care if you plan ahead. When you’re abroad, things get a bit more complicated.

Here are some general tips when traveling:

  • Keep your insurance card in your wallet.
  • Bring a list of any medications you’re on.
  • Make sure you have a healthy supply of the medications you’re on. You may be able to ask your doctor for a “vacation override” to pick up your prescription ahead of time.
  • Know what your insurance covers, and check for in-network facilities where you’re traveling.
  • See if your doctor offers telehealth services, like a video consultation.

Beyond that, here’s what to keep in mind.

When You’re Traveling to a Different State

If you’re in the U.S. and you have a medical emergency, your insurance should cover your trip to the ER regardless of where you are, according to Consumer Reports. “Under the Affordable Care Act, if you need emergency care, your co-pay or co-insurance cannot be higher than your in-network rate, even at out-of-network hospitals,” CR reports.

That said, you should be careful—some insurers, like Anthem, have said they can deny claims that don’t match their definition of an “emergency.” And others levy expensive co-pays on ER visits, which could put you in trouble if you have a high-deductible health plan. And the ambulance ride to the hospital can also cost you big.

You’ll also want to be aware that many physicians in ERs are contractors, meaning even if you go to an in-network hospital, they could be considered out-of-network. Then you’ll have a huge bill to deal with. A non-emergency visit could end up costing you too, if it’s billed out-of-network. Walk-in clinics and urgent care centers could be viable alternatives, if you can find one—often, wait times are lower and you’ll pay a co-pay similar to a doctor’s visit.

By Alicia Adamczyk

See Full Story at twocents.lifehacker.com

Filed Under: Health Tagged With: insurance

Understanding Accidental Death and Injury Insurance

22 May 2018 By admin Leave a Comment

“Accidents are by their very nature are unexpected,” says Sonja Visser, CEO of long-term insurance provider African Unity Life (AUL). “No matter how cautious we are, they are simply beyond our control. This is exactly why having accidental death and injury cover, or a personal accident policy, is very important.”

How does accidental death and injury cover differ from medical aid?

Accidental death and injury insurance are significantly different from medical aid in that it is paid as a result of an ‘event’ (accident); whereas medical aid covers all costs related to a medical or dental condition.

“Although accidental death and injury cover offers policyholders financial support, it is not meant to replace a medical aid,” says Visser.

“Rather, it is a standalone product to help accident victims or their loved ones deal with the costs associated with the incapacitation or death of the policyholder due to an accident. In cases in which the insured has been injured and is left temporarily or permanently disabled, a cover is paid out according to a schedule for specific events or types of disability.”

Who should have accidental death and injury cover?

“That answer is simple,” says Visser. “Anyone who has a driving license or travels regularly – whether they are commuters or holidaymakers – should have this kind of insurance.”

Accidental death and injury cover should also be a critical consideration for anyone who supports a partner and children, as well as their parents. Visser suggests that this type of insurance can be added to a life policy as an added value benefit, making it very affordable and offering good value for money.

What is, and is not, covered under accidental death and injury insurance?

A personal accident policy provides invaluable cover if the insured is injured and admitted to the hospital, or is left disabled and/or passes away as a result of an accident. Most insurance plans include Hospitalisation, Total Permanent Disablement cover, and Death cover.

By CAIRA-LEE

See Full Story at www.womenonwheels.co.za

Filed Under: Health, Tips Tagged With: accidental death, injury insurance

6 tips to navigating the insurance game

12 September 2017 By admin Leave a Comment

One of the most frustrating and seemingly futile battles of starting your practice from scratch is getting the medical insurance game figured out.

The problem with this game is that the rules vary from company to company.

Here’s the guidance and tips/tricks that would have been helpful to you for navigating insurance game.

1. Do your research

There are some companies that are universally a good idea to join. There are other, specific regional carriers that you may want to join.

First, you must do your research. Start by knowing your vision for your practice and your patient demographic. Study your community. Who are the major employers? Who are the major insurers?

There is no shortcut to knowing this. Your practice is your priority. Your community is your priority. You must study your own community to know how to serve it.

2. Meticulousness is rewarded

When attempting to get on insurance panels, get ready to amass an arsenal of evidence. It is extremely helpful to take meticulous notes about every call made, online form submitted, email sent, and snail mail delivered.

Be prepared for a whole lot of “We don’t see your application,” or “We never received a package from you,” or “Please allow 60 days for processing.”

By Melanie Denton

See full story at optometrytimes.modernmedicine.com

Filed Under: Health Tagged With: insurance game

10 Tips For Buying Life Insurance

15 August 2017 By admin Leave a Comment

Of course you don’t want to think about leaving your loved ones behind…who does? But if your family depends upon your income, then it’s time to stop putting it off and start thinking life insurance.

10 tips for buying life insurance

  1. Compare side-by-side. Take the time to compare different types of coverage. Ask your agent for summaries of several plans, and review the advantages and disadvantages of each for your situation.
  2. Get comfortable. It’s important that you are confident in your final decision. There may be terms or parts of your policy that you don’t understand. Remember, you’re not the life insurance expert, your agent is, so don’t hesitate to have them explain every last detail to you. You shouldn’t purchase a policy if you are uncomfortable or have any doubts about the insurance company, your agent, or the actual insurance itself.
  3. Do a background check. Unfortunately not every insurance company is as reputable as they appear. Before you purchase your plan, contact your state insurance department and double check that the insurance company is licensed there. Your ideal life insurance company will have a good reputation, an excellent customer service record and a strong financial outlook. You can see how your prospective company stacks up through rating companies like A.M. Best, Standard & Poor’s, Fitch Ratings, and more.
  4. Don’t lie. You will be asked about your medical history when purchasing life insurance. It’s important that you are completely honest: intentionally misrepresenting any significant health conditions you have is considered insurance fraud. Take care to fill out your application correctly, and once completed, contact your agent immediately to let them know if you’ve made a mistake, or have additional information to add.
  5. Proper paperwork. When you buy your life insurance policy, don’t pay in cash, and make the check out to the insurance company that handles the policy, not the actual agent. It’s important to get a receipt for your records, as well as your own copies of all the paperwork.
  6. Keep an eye on the time. You can expect your policy to show up within 60 days. If it doesn’t, call your agent right away.
  7. Take a good look. Many insurers offer policyholders a ‘free look’ period. The length of your free look can vary, but you typically have 10 days from when you received your policy to decide whether or not to keep it. Take advantage of your free look and review your new policy thoroughly. If you decide you don’t want it, you will need to notify the company during the free look period so they may cancel it and refund you.

See full story at www.insurelane.com

Filed Under: Health Tagged With: life insurance

Tips for Finding Cheap Life Insurance

1 August 2017 By admin Leave a Comment

Cheap life insurance is out there, if you know what you’re looking for. That’s why it’s important to do your research. You’ve got to educate yourself on the various types of life insurance policies that are available, including additional benefits that may or may not be offered.

Plus, you should make an effort to research your options as they relate to the various life insurance companies. It’ll be to your advantage to know what you want and need in terms of cheap life insurance before you start getting quotes.

Term vs. whole life

The first big determinant of cheap life insurance is the type you select. Term life insurance will almost always cost you less than whole life insurance. Term insurance is purchased for a specific period of time, for a specific face value.

Whole life, as the name implies, provides life insurance benefits for the rest of your life, whether that ends up being 10 years or 50. Whole life insurance policies generally have a cash value aspect meaning you’ll pay more in monthly premiums. The amount over and above that which is necessary to cover the premium is used for investment purposes.

Even if you do choose whole life insurance, your costs can be lower if you look around for a policy that has lower fees. The fees you want to pay attention to aren’t really fees, they’re commissions. Commissions can eat away at the cash value of your whole life policy. When researching, look for the term, “low load” as that generally means lower fees.

But be careful. You’ll find this type of life insurance won’t be cheap if you withdraw funds. When the policy’s cash value is greater than the premiums paid, you’ll likely have to pay taxes. A loan against the cash value may have the same end result.

Think long and hard about this type of life insurance policy; it’s not meant to be a substitute for a more traditional type of investment plan. And the premiums you’ll pay will be hefty.

By Ayat Ahadi

See full story at goodherald.com

Filed Under: Health, Tips Tagged With: life insurance

Tips for getting Life Insurance with Type 2 Diabetes

25 July 2017 By admin Leave a Comment

When you’re ready to apply for life insurance, it’s important that you’ve done research on your policy options, eligibility factors, and have arranged to speak with a licensed and knowledgeable life insurance agent about any questions or concerns you may have about your eligibility, while simultaneously putting forth your best effort to ensure that you’re in the best health possible given your health conditions.

We have compiled a list of five tips that will assist you in understanding what actions are necessary to take if you’re looking to for life insurance with type 2 diabetes.

1. Have labs drawn and assess whether they are within normal range.

When applying for eligibility to purchase diabetic life insurance, the life insurance company will request that you visit the doctor to obtain current labs, and provide them the results so that they are able to assess your current health standing. Why labs? Labs provide insight into your health status that a routine physical cannot display. If you’re a person with type 2 diabetes, life insurance companies will be especially interested in the results of your A1C test, a lab that measures how your body is metabolizing glucose.

2. Shed extra pounds.

Weight management is a factor that contributes heavily to the overall health of any individual, and for diabetics, excess weight can negatively impact health in an even more profound way. If you are a type 2 diabetic looking to purchase life insurance, it is exceedingly important for you to understand that being overweight comes as an additional liability to any insurance company.

If you’re an individual who is overweight, your excess weight can significantly influence your eligibility as well as your monthly premiums. Healthy weight management may be the difference between a premium that is affordable, and one that is not. Make it a priority to gradually be more physically fit so that you can achieve or maintain a healthy weight.

3. Quit Smoking.

Smoking flags you as a huge liability to any life insurance company. An extensive list of chronic illnesses, many of them fatal, have been scientifically proven to occur at greater rates in smokers as opposed to non-smokers. With such a strong correlation between smoking and chronic and fatal illness, it’s understandable why being a smoker would warrant a higher premium.

Individuals who smoke risk being denied eligibility for life insurance or paying an excessive premium, but smoking paired with type 2 diabetes is guaranteed to generate a high premium. To avoid being viewed as an increased risk of liability, work towards quitting smoking as soon as possible.

By MATT SCHMIDT

See full story at www.diabetes365.org

Filed Under: Health Tagged With: life insurance

Looking to buy health insurance? Consider these useful tips

15 June 2017 By admin Leave a Comment

To help you out, here’s shortlisted some points to consider to make your insurance-buying decision easier. Hopefully, these will help you shortlist a good health plan.

Opt for adequate and comprehensive coverage: With rising competition, insurers are offering a wide range of features in a single health insurance plan. Along with a hospitalization cover, insurers can also cover critical illness, pre- and post-hospitalisation expenses, OPD expenses, and much more. Opting for a comprehensive plan with adequate sum assured is important while making health insurance decisions. So don’t just go by premium costs while finalizing your plan. Also compare all other features and get the best possible coverage at a price you can easily pay. Also, keep increasing your coverage limit from time to time to take care of the healthcare inflation.

Go for plans with wider network: Insurers network with hospitals around the country. At the hospitals networked with your insurer, you can avail cashless facility where claims are settled conveniently with little hassle or paperwork. Outside the network you must settle your bills out of your own pocket before filing out the paperwork to make a claim with your insurer. Hence it’s advisable to have a health plan that offers you the best possible hospital coverage, especially coverage in the city you currently live in.

Look at pre- and post-hospitalisation costs: A typical hospitalisation is preceded and succeeded by several tests and consultations. Many health plans can cover these expenses to a specified limit. For example, one well-known insurer covers 30 days of pre-hospitalisation expenses and 90 days post. These costs can be significant, therefore having this cover will help you reduce your out-of-pocket expenses during the treatment.

Read through co-payment clause: The insurer offers you an option of co-payment, wherein you will have to settle a pre-decided percentage of your medical bills yourself. Sometimes, the clause is specific to particular treatments/ailments only. For instance, you have a health plan which has a 20% co-pay clause, and if your claim amount is Rs. 80,000, then you would be liable to bear Rs.16,000 (20% 0f 80,000) while the rest will be settled by your insurer. A higher co-pay means lower premiums. If you are young and healthy with no medical history, you could consider a higher co-pay and thus save on premium costs.

See full story at www.moneycontrol.com

Filed Under: Health Tagged With: health insurance

8 Tips to Get Health Insurance for the Best Price

6 June 2017 By admin Leave a Comment

Use these tips to shop and compare health plans for you and your family:

Tip #1: Know what coverage you already have

 If you already have health insurance, review your policy’s summary of benefits and coverage or “SBC.” That’s the best way to compare key features of health plans, such as copays, deductibles, coinsurance and the estimated cost of common medical events.

Tip #2: Consider your health care needs

Think about the state of your health and how you used insurance benefits last year. That will help you shop for the right plan to get the best coverage possible for the coming year.

Tip #3: Check your physician’s plan status

Before selecting a plan, verify that your doctor and hospital of choice are included in its network of providers. If not, you’ll pay significantly more for their services.

Tip #4: Factor in all costs

The cost of a health plan includes more than just the monthly premium. Don’t forget to factor in out-of-pocket costs, such as deductibles, copays and coinsurance.

Tip #5: Consider a high-deductible health plan

Since you’re responsible for more out-of-pocket medical costs, high deductible health plans come with lower premiums. Additionally, having one makes you eligible for a health savings account (HSA), which helps you save and pay for future medical expenses on a tax-free basis.

Tip #6: Don’t wait until the last minute

Give yourself plenty of time to shop and compare plans. Waiting until the bitter end of open enrollment is a bad move because you may not get the help you need or make a bad, hasty decision. Remember that unless you experience a qualifying event (such as getting married, divorced, or having a child) you can’t change your plan until the next annual open enrollment period.

By Laura Adams

See full story at www.thestreet.com

Filed Under: Health Tagged With: health insurance

5 enduring healthcare insurance tips for consumers

30 May 2017 By admin Leave a Comment

Unfortunately, knowing whether your provider is in or out of network can be difficult. According to a recent New York Times article, insurance plan directories of providers are often inaccurate and out of date. Doctors may be listed who are no longer accepting new patients or participating in the network. To add to the confusion, a single insurer may offer different plans with similar names but different networks.

Here are the five tips that may make your healthcare journey easier:

  1. Make sure you know whether your provider is in network or out of network. Check with both your provider and your plan. Check your plan documents to be sure that you name your plan correctly when making inquiries. Remember: Out-of-network doctors such as radiologists and anesthesiologists may be involved in your care even if your hospital is in network. Make sure to ask before your appointment or procedure whether all doctors caring for you are in network.

  2. If you are going out of network voluntarily, understand how your out-of-pocket expenses will be calculated. You will almost always pay more than you would in network, but how much more will vary according to your plan.

  3. If you receive a “surprise” out-of-network bill for emergency care or otherwise, determine whether your state law protects consumers and whether it limits your responsibility to the in-network amount.

  4. Understand that you can talk with your providers about out-of-network fees. Try to negotiate costs by comparing your provider’s’ fees with the typical local charges for specific procedures.

  5. Familiarize yourself with the key terms and principles of health insurance so that you can be a better advocate for yourself as you navigate the healthcare system.

 

BY ROBIN GELBURD

See full story thehill.com

Filed Under: Health Tagged With: healthcare insurance

No Health Insurance Is Hard. No Phone? Unthinkable.

6 April 2017 By admin Leave a Comment

Anthony and Shari Hunter at home with their daughter Valetta, 4. They cannot afford health insurance, but they pay $100 a month for cellphone service. Credit Kim Raff for The New York Times

As the health care debate thundered away in Washington, Representative Jason Chaffetz of Utah stirred up a social media squall the other day by suggesting that uninsured Americans should invest in their own health care “rather than getting that new iPhone that they just love.”

Here in Mr. Chaffetz’s solidly Republican district, one of those uninsured Americans watched the viral CNN interview on — what else? — her cellphone. Not a new iPhone, though, but a Samsung with a cracked screen, one that Shari Hunter and her husband, Anthony, bought with their tax refunds two years ago.

“An iPhone and insurance are not the same thing at all,” Ms. Hunter, 32, said. “If you need to be able to decide between an iPhone and health insurance, you need to look at: Why is that the choice?”

To Mr. Chaffetz’s supporters, his comments sounded like a tough-love defense of individual responsibility in the midst of a knockdown debate over the government’s role in providing health care to Americans. To his critics, they sounded like a callous and obtuse dismissal of the hard choices that struggling families face every day — and one that echoed earlier, racially noxious arguments over “welfare queens” and criticisms of programs that helped provide phone service to poor people.

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The Hunters have thought plenty about trying to cut out the $100 they spend on cellphone service every month. Yes, they said, it’s a lot, especially when they don’t have health insurance and they stretch the last dollars from their $1,800 monthly income to buy diapers and gasoline.

But the cellphone tethers the couple together when Mr. Hunter leaves for his nearly $13-an-hour job at a call center and Ms. Hunter stays home with their three children — 9, 4 and 3 years old — here in the Utah Valley. They chat on his 15-minute breaks. It pains Mr. Hunter to be away from the children, so Ms. Hunter texts him photos of them making a snowman or playing on the backyard swing set. He sends her inspirational quotes from elders in the Mormon Church, to which they are both devoted.

The Hunters said they voted for Mr. Chaffetz in November, but Mr. Hunter said his comment sounded like something a “well-off person” would say — not a parent receiving food stamps, whose children are covered by Medicaid and who usually has $86 left over after paying the month’s mortgage and other bills.

Here in the heavily Mormon cities that run along the snow-glazed Wasatch Range, several of Mr. Chaffetz’s uninsured constituents said that, of course, they would love to be rid of the cellphone bills that cost their families $30, $50, $100 every month. But they said the savings would hardly be enough to afford monthly health plans for their families.

And how would they get by without their phones?

“A cellphone is a lifeline,” said Myla Dutton, executive director of Community Action Provo, a food bank and social-service nonprofit.

Jose Valdivia, 61, said he wouldn’t be able to quickly look up the latest engine modifications when he was repairing sport-utility vehicles at the mechanic’s shop where he works. His wife said they wouldn’t be able to send photos to relatives in Mexico City.

The couple spoke as they waited for an appointment at a free health clinic run by volunteer nurses and doctors two nights a week in Provo. Not surprisingly, smartphones abounded in the waiting room. People texted about dinner, called relatives with updates, held their children’s attention with a game.

Without her phone, Joana Delacruz, 45, said, she wouldn’t be able to see job postings from nursing employers, or check whether she should bring home some food for her 18-year-old son after finishing her 3-11 p.m. shifts managing a McDonald’s in Provo.

By JACK HEALY

See full story at www.nytimes.com

Filed Under: Health Tagged With: health insurance

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