Affordable Medical Insurance Coverage – Avoid a TV Medical Health Insurance Policy Purchase

Affordable medical insurance coverage is something all Americans want. TV advertises a medical health insurance policy that sounds so enticing and affordable it is hard not to respond. Correct custom medical insurance coverage is such a difference from just a plain medical health insurance policy purchase. Examine why.

Divorces, jobs, and alternative life styles cause millions of Americans to be afraid of not obtaining affordable medical insurance coverage. Afraid not only of obtaining an illness, or getting involved in an accident, but also of something that often outlasts the illness or accident. That of course is the medical costs of treatment. While some unfortunately have no guilt of never paying back the medical expenses incurred, the majority of Americans do.

With auto insurance you can purchase coverage to fix your car after your is auto is already wrecked. Nor will it cover items like a broken windshield, if the windshield was broken before coverage went into effect. Fortunately, states have laws requiring you to purchase at least minimal coverage if you are going to drive your car. In addition, there are hordes of small town police and state troopers ready to write a series of tickets if you do not follow tons of rules and regulations, plus drop or go without insurance coverage.

Your state will not ticket or fine you if you do not have medical insurance coverage. However, if you feel it is for your benefit to obtain medical health insurance, there are hundreds of options from which to choose. There also is a wide range of prices for you. One 40 year old woman pays over $600 a month for coverage. Another 41-year-old woman gets a policy that is around $200 a month or less. A proposed incentive savings of $4,800 annually that is hard to not accept if an uncovered adult is financially strapped.

Using a current example, each woman has unexpected critical pains and rushes to the hospital. The diagnoses involves minor surgery, which requires 5 days as an inpatient and calls for specialist follow-up and outpatient care for three months. The total bill equates to $12,000 for the hospital and $3,000 for outpatient care. This is just for one occurrence. (personally, I have been an inpatient for four occurrences twice during the previous 7 years, and totals 18 in this time span).

MAJOR MEDICAL COVERAGE – The 40 year old woman paying $600 monthly either with a health insurer, HMO- Health Maintenance Organization, or PPO- Preferred provider organization. Her plan probably has a zero deductible, $10 doctor co-pay, $2,000,000 or more limits, and a $3 to $10 co-pay for prescriptions. It likely had a no pre-existing condition clause, or at worst pre-existing conditions covered after 90 days. Out of this $15,000 medical occurrence, she probably paid for a few items. Her telephone and TV in her hospital room, $60 for 6 doctor co-pays for after treatment, and say $15 monthly for 3 prescriptions to take over the next 12 months. These three prescriptions alone, without coverage, could cost $250 monthly.

MAJOR HOSPITAL COVERAGE – This 41-year-old woman pays $200 month for the major hospital coverage policy she bought as a result of a television commercial Unlike major medical plans, major hospital is usually an indemnity plan. Indemnity meaning reimbursing a certain total amount or percentage for policy covered conditions. Under an indemnity plan even if you use an extreme amount of benefits, it is rare than the amount paid out equals your yearly payments. So paying $2,400 annually and leaving the insurance company 25% or more for overhead, profit, and claims processing would equal around $1,800.

MORE MAJOR PROBLEMS – The woman with medical insurance coverage for major hospital could have $8,200 of hospital costs, $3,000 for outpatient care, and $3,000 for prescriptions. That equals $14,200 just for that, even though she had purchased and paid for a medical policy. What about other illness or accidents that could occur in the next 12 months should she change to another affordable medical insurance policy with major hospital benefits. It will often exclude her pre-existing condition permanently. She is bleeding financially for her poor choice. The saying is “don’t get burned again.”

PREPARING FOR THE FUTURE – All is not lost. Although this woman, most newer agents, plus those representative not helping loads of people with their medical coverage think all is lost. The resident state often has up to 300 companies, HMOs, and PPOs offering either major hospital or major medical coverage. Unfortunately, only 50 to 70 of these may offer a high deductible major medical insurance policy. Way less than 10% of life/health agent have ever sold even one. Less than 20% of agents could on the spot answer what a HSA is, let alone explain benefits of eligibility. Fewer than 5% have helped a person enact one.

THE SOLUTION – no one can predict new illness and accidents, when they will occur, or how much they will cost. Even though it has been many, many moons since I sold health insurance, I can put on my free advisor hat. If you can afford it, purchase medical insurance coverage labeled as a major medical plan OR a high deductible major medical plan with a government approved HSA, Health Savings Account. If this not affordable, avoid the insurance company money making major hospital plan. Instead, find a smart insurance agent, which will offer you a major medical plan with a $2,500 to $5,000 deductible, which will very affordable.

Unlike doctors and pharmacists, a hospital will work out a plan with you to pay an unpaid balance. $50 a week would pay off a $2,500 balance in a year. Something both of you might find realistic. Read additional articles like mine on topics like major medical, high deductible, or Government endorsed Health Saving Accounts. Alternatively, search the internet for more information. Either way, do not purchase “affordable medical insurance coverage” until you know ALL the solutions.

Review of Car Insurance Coverage For Uninsured and Under-Insured Motorists in the US

Car insurance coverage comparison is becoming very popular in USA. The economic downturn is bringing about unexpected changes in most walks of life and insurance is one of them. As per the Insurance Information Institute one driver out of every seven in the US is believed to have no automobile insurance. This would mean that 14% of the drivers are uninsured and only 86% drivers are insured. The drivers who are going for insurance have to face broad repercussions which arise out of uninsured motorist coverage. Car insurance comparison becomes very important for those who are taking insurance to verify whether they have taken the uninsured motorist and under insured motorist.

The uninsured motorist and under-insured motorist insurance is separate, although in many states they can or must be purchased together. They are also better known in abbreviated form as UM or UIM. It is natural that you would not think about or know exactly what the uninsured or under insured motorist indemnity is, unless you fall into such a situation. If you have opted for uninsured motorist than this will pay you for any loss or damage you may incur when you have a hit-and – run accident or when you collide with an uninsured motorist. A motorist can be uninsured when he has no insurance coverage, or whose claim the insurance company denied or was not able to financially meet with the obligations of loss. The uninsured motorist indemnity will also protect you if you are hit by a car as a pedestrian.

The under-insured motorist coverage pays you for any loss or damage when the motorist with whom you have collided is under-insured. The motorist in this case is insured but his limits of insurance are lower than the actual loss you have sustained. These coverages will pay you and your passengers for any bodily injuries are caused when the under-insured motorist or uninsured motorist is legally liable for this. In certain states the coverage for property damage is also paid under this coverage. Both these insurance pay you for your medical bills, reimburse for the lost wages if you miss work and you can also seek redress for pain and suffering resulting from the crash.

In 12 states the no fault insurance laws are prevalent. The no-fault insurance coverage is very similar to the uninsured motorist coverage. No-fault coverage gives certain compensation when you are not at fault and the driver at fault is uninsured. You can collect the benefits from your own insurance companies. Nevertheless, in the states where no-fault law prevails, going for uninsured motorist coverage is cost effective and beneficial since it provides an additional layer of financial support. Accidents can turn out to be more ghastly or long lasting than what they seem at first.

Only five of the states that insist their drivers carry Uninsured Motorist also mandate the purchase of this coverage; they are: Connecticut, Maine, Minnesota, North Carolina and Vermont. If you live in any state other than those that have compulsory coverage, a prudent person like you should go for car insurance coverage and buy under-insured and uninsured motorist coverage. The cost for this car insurance coverage of uninsured motorist is quite nominal. This is a very positive factor to consider when taking this coverage. With a little extra cost you can save yourself from any financial problems at a later date. In these economic times if would serve you since many drivers are either uninsured or under-insured.

You should compare car insurance coverage and if you do not have this coverage you can seek to take this coverage. Compare car insurance quote for the best coverage and rates. It always pays you to be alert and make informed decisions when it comes to car insurance.

Denied Individual Health Insurance Coverage? Reasons For Health Insurance Coverage to Be Denied

What should you do if you have been denied health insurance coverage? What options do you have if you have been denied individual health insurance coverage? What are some of the common reasons that health insurance coverage can be denied?

In a nutshell, if you have been rejected individual health insurance coverage due to pre-existing conditions then you should first of all shop around and compare rates from multiple companies. After all, different health insurance companies have different underwriting guidelines and just because you have been denied coverage with one company does not necessarily mean that the next company will do the same. Having the services of an experienced independent health insurance agent at a time like this is a definite plus.

If for any reason you are rejected from receiving health insurance by a company, you may also want to try to look for companies that don’t require you to answer questionnaires, or even better go for some that can give you at least a little coverage for a low-cost – this is a last option though as almost all individual plans that do not have medical underwriting are really just discount plans in disguise and will not give the coverage that a true major medical comprehensive health insurance plan will.

Some states (29 to be exact) have what are called high risk pools. These were created to serve those people that are considered medically uninsurable or those that are described as a “high risk” for the insurance companies. What these pools do is give those people that have been turned down an opportunity of having health insurance. With a high risk pool you will never be turned down for any reason and the best part is that it will help you pay for large medical costs.

There are however, a bunch of things that might be viewed as disadvantages to the customer deciding whether or not to consider a high risk pool. Some of the disadvantages include that the state can terminate your coverage if there is legislation against it, there are usually long waiting lists, the cost is much higher than private health insurance plans and you can lose eligibility if you move or if you start receiving Medicare and Medicaid. If you want to know if your state is one of the 29 that offer “high risk” pools or for more contact information to enroll in one of them then you should speak with a health insurance broker local to your state. Again, keep in mind that a high risk pool should be one of the last options that you consider.

With the Health Insurance Portability and Accountability Act (HIPAA) passed in the year 1996, new doors were opened for the people that weren’t able to qualify for private individual health insurance. Within this act a law was passed that states that a person cannot be denied health insurance for any reason if they decide to join a group health plan. This means that if you have a job with an employer that offers group health insurance coverage, more than likely you won’t be denied coverage. The only way in which coverage wont be given to a person in the even that they seek group health insurance, is in the event that you do not meet the eligibility requirements of your employer.

Some of those eligibility requirements could be the total number of hours you work per week and whether you have a salaried or an hour employee. It is of note to highlight that group health plans may refuse to cover a person with pre-existing conditions; however if you have at least 12 months of continuous creditable coverage, a group plan will not be able to deny you insurance due to pre-existing conditions.

This doesn’t mean that if you have had health insurance in the past and you have a pre-existing condition you are covered. If you have had a break in coverage (lapse in coverage) and you apply for group coverage you will be given an exclusion period. During this exclusion period the insurer will not pay for any treatment or doctor visits related to your pre-existing conditions, instead you will be responsible for all unrelated treatment.

The HIPAA laws also dictate that individual health insurance coverage must be issued on a guaranteed issue basis (everyone is approved) and all pre-existing conditions are covered if someone meets 6 criteria. These 6 HIPAA health insurance requirements are an important part of the HIPAA laws to understand if you have major pre-existing conditions and have been denied for regular individual health insurance coverage.