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EDUCATING INDIVIDUALS AND FAMILIES ABOUT APPROPRIATE AND AFFORDABLE
MEDICAL / HEALTH INSURANCE OPTIONS
Author Archive

Anthem Blue Cross Blue Shield Plan Changes for Ohio - Post Reform

Anthem Ohio New Health Insurance Plan Highlights
 
Lumenos® HSA Plus
Plan Options
• Deductibles: Removed $3000 and $5000
• Coinsurance: Same
• Out of Pocket: Same
 
Benefit Differences• Unlimited lifetime max
• In network preventive covered at 100% not subject to deductible
• Removed $4000 durable medical equipment cap
• No maternity rider available
 
Premier Plus

 
Plan Options• Deductibles: Same
• Coinsurance: Same
• Out of Pocket: Changed […]

Information for Veterans About the Medicare Prescription Drug Program (Medicare Part D)

The Department of Veterans Affairs (VA) administers the nation’s largest health care system. Many of the veterans enrolled in the VA medical benefits package are also eligible or may become eligible for enrollment in the Medicare program. Because many veterans have questions about Medicare’s prescription drug program […]

Why are you not able to purchase an individual health insurance policy for children in Ohio (Post Health Care Reform)?

The main reason is that Ohio cannot demand insurers sell the health insurance coverage and the carriers (Anthem, UHC, Aetna, Medical Mutual of Ohio) have been forced to protect themselves against adverse selection.
Carriers are worried consumers will wait until a child is sick before trying to buy insurance.  Under current conditions, those seeking coverage […]

Health Insurance for Ohio Children - Post Reform

The Ohio Department of Insurance plans in the next few days to issue an emergency rule that officials hope will entice health insurers to reverse decisions to stop offering policies for Ohio children on the individual market to avoid federal health reform requirements, Columbus Business First reported.
Several of the state’s […]

Medicare Part D Premiums Could Increase 10% For Some Seniors In 2011

Did you know that millions of seniors face double-digit hikes in their Medicare prescription premiums next year unless they shop for cheaper coverage. Premiums will go up an average of 10 percent among the top 10 drug plans that have signed up about 70 percent of seniors, according to an analysis of Medicare data by […]

Health Reform Already Effecting Health Insurance Premiums

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We are now seeing health insurance premiums increase by up to 9% solely due to the early provisions of health reform which include:

Allowing children to remain on their parent’s policies to age 26
Guaranteed issue for dependent children
The creation of high risk pools

That being said, many of the provisions do not go into […]

Cobra Eligibilty Requirements

There are three elements to qualifying for the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) benefits. COBRA establishes specific criteria fplans, qualified beneficiaries, and qualifying events. These elements will determine the period of coverage.
Plans: Group health plans maintained by employers with 20 or more employees on more than 50% of their typical business days […]

Deducting Self-Employed Health Insurance Premiums

If you have self-employment income, then you can take a deduction for health insurance expenses.
Before claiming this tax deduction, you must calculate your allowable health insurance deduction. Take your self-employment income, and subtract the 50% deduction for self-employment taxes, and subtract any retirement contributions you make to SEP-IRA, SIMPLE-IRA, or Keogh plan. The remainder is […]

Understanding Health Reimbursement Accounts and Health Reimbursement Arrangements (HRA)

In the world of consumer directed healthcare, first there was the MSA, then the HRA and finally the HSA (Health Savings Accounts). Today the HSA is king of the mountain, but for savvy employers across the country, the HRA is a tool that helps them manage their health care costs.
The Health Reimbursement Account (HRA) has […]

What is a pre-existing condition clause?

Many individuals do not even look at options outside of the plans offered by thier employers.  Many times the reason for this is that they believe that any conditions that they currently have would not be covered by a new plan, but this is incorrect.
The pre-existing condition clause is actually defined as:
The overriding federal law […]