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Understanding Your Network of Health Care Providers

November 20th, 2009
Lorne

An important concept to grasp when selecting and utilizing a health insurance plan is whether or not your health care providers are participants in your insurance company’s network. Understanding this concept could very well save you a significant amount of money on your medical expenses.

To begin, I’d like to quickly define what a network is. A network is a group of health care providers (primary care physicians, specialists, hospitals, etc.) who are contracted with a particular insurance company. As a result of these providers being in network, the insured will receive “negotiated” rates for the services that are provided.

Health Tips!

November 19th, 2009
HealthNut2

According to the American Academy of Family Physicians, stress is associated with 80 percent of all physical illnesses in which people see a doctor, ranging from the common cold to heart disease.

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Senate Bill & Individual Mandate To Purchase Health Insurance

November 19th, 2009
Lorne

I believe it is fair to say that most people are aware the House of Representatives has passed a bill for our nation’s health care reform; however, the questions remain: how will the Senate respond to the idea of mandating individuals to purchase health insurance, and what is the consequence if they opt out of such a measure?

Pre-Existing

November 17th, 2009
Lorne

I was reading an article recently about a young man in Tennessee who was denied health insurance by several companies due to a pre-existing condition. He has residual back problems stemming from a car accident occurring about a year ago. Two companies offered him covered, one at a monthly premium of $1200, the other would cover any services not related to his existing back injury.

For those of you who are seeking health insurance coverage, be aware that certain pre-existing conditions may make it difficult for you to find affordable coverage. Such conditions include diabetes, cancer, certain mental illnesses, and some kidney, heart and liver diseases. When researching for coverage, you will want to review the pre-existing condition clause of the policies you are considering.

Health Tips!

November 12th, 2009
HealthNut4

According to the American Academy of Family Physicians, stress is associated with 80 percent of all physical illnesses in which people see a doctor, ranging from the common cold to heart disease.

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Health Tips!

November 10th, 2009
HealthNut3

Pregnant women commonly experience backaches due to the extra weight of carrying the baby. One way to minimize back problems is to start moving before you start to ache. To do this, alter your position every few minutes to prevent or relieve back strain.

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Affordable Health Care for America Act

November 10th, 2009
Lorne

The NY Daily News published a brief overview of the Affordable Health Care for America Act, or H.R. 3962. It gives a gist of the who, what, why and how of this bill.

Should the bill pass in its present form, it will affect 96% of the American population. It is estimated to cost up to $1.2 trillion over 10 years. Income taxes will be raised for those earning $500,000 per year for individuals and $1 million per year for couples.

H1N1 Vaccine Covered By Humana

November 9th, 2009
Lorne

In conjunction with President Obama’s declaration that there is a H1N1 national emergency, health insurance companies, including Humana, are taking a proactive approach to covering the vaccine for their members.

Humana recently posted on their website that they are willing to cover the H1N1 vaccine for all of its current members who are fully insured. This benefit is even being extended to those clients who currently have immunization benefits excluded from their coverage.

House Unveils Health Care Reform

November 6th, 2009
Lorne

This last week Democrats of the House of Representatives revealed their bill, a combination of three separate plans, for our nation’s health care reform. The proposed bill not only incorporates a government-run insurance option, but also introduces new taxes on the rich. Specifically, a 5.4% tax would be imposed on individuals making more than $500,000, and couples making more than $1 million annually.

The new bill requires individuals to purchase their own health insurance, as well as the majority of businesses to offer coverage for their employees. In addition, the bill prohibits insurance companies to refuse coverage based upon pre-existing conditions. Although the current health insurance market is in dire need of this very amendment, there have been no concrete numbers proposed as to the actual cost of such a plan.

Health Tips!

November 5th, 2009
HealthNut3

Many minor surgeries can now be performed at freestanding surgery facilities. If you need surgery, check with your physician about having it done as an outpatient. This will save time and money.

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