Posts Tagged - ‘affordable health insurance’

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Grad Students’ Affordable Health Insurance Struggles

Tuesday, August 24th, 2010

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affordable health insurance

Many students struggle with finding affordable health insurance. The situation for graduate students is even worse: they are often too old to be eligible to remain on their parents’ health insurance plans (even post-healthcare reform), and out-of-network co-payments are extremely high. At the same time, some graduate school programs require full-time hours, preventing students from finding a full-time job that offers coverage. They may also believe that their small stipends will not cover individual health insurance.

In the case of Purdue grad students, their premiums increased by over one quarter this year! Inferior coverage for dependents is the worst part of all. Spouses of international grad students, who normally don’t have work visas, are beholden to the university’s coverage. Unfortunately, the in-network health care facility does not provide essential services such as access to pediatricians or obstetricians, forcing family members to use expensive out-of-network care.

A study showed that other Big Ten universities provide superior health care for their graduate student populations, although they still have their pitfalls.

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States Receive Grants To Implement Healthcare Reform

Tuesday, August 17th, 2010
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Image: Aaron Esterling under CC 3.0

Affordable health insurance reform requires states to take the lead in regulating insurers. Many of them do not have the infrastructure or legal authority to do so. That is where $46 million in federal grants come in.

All but a handful of states, as well as the District of Columbia, will receive $1 million each for actions such as hiring actuaries to investigate rate increases and developing data systems for health insurance rate filings.

Which states are the holdouts? The following didn’t apply for the Department of Health and Human Services’ grant:

  • Georgia
  • Iowa
  • Alaska
  • Wyoming
  • Minnesota
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Yet Another Affordable Health Insurance Reform Lawsuit

Saturday, August 14th, 2010
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Image: Wikipedia

This time, a conservative group from Arizona is suing the Obama administration over healthcare reform. The Goldwater Institute, which filed the lawsuit, believes that while the issue of increasing access to affordable health insurance is important, the federal law is too heavy-handed.

They are representing a variety of interests, including Republican politicians on both state and local levels, as well as a small business owner. In addition to the belief that they will be forced to purchase a health insurance plan they don’t want (when, in their view, the Constitution delegates health care policy decisions to the states), the plaintiffs also fear that the legislation violates privacy rights.

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Health Coverage and HIV/AIDS

Tuesday, July 13th, 2010

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With its affordable health insurance legislation under its belt, the Obama administration has begun tackling a new health issue: the HIV/AIDS crisis. Although new infections have slowed since their peak in the ’80s, many people are still affected.

It is a two-pronged effort, aimed at reducing new infections while increasing access to health care for those who already have it. Instead of allocating significant amounts of new funding, existing funding will be redirected to high-risk populations like African-Americans and gay/bisexual men.

Some fear that the new comprehensive strategy won’t be enough, however. The economy has resulted in many people losing their jobs, which for many also means losing health coverage. Although there are medications that allow HIV patients to live longer and healthier lives, they are still very expensive. The out-of-pocket cost is almost out of reach for the uninsured. In addition, a person with HIV or AIDS would find it almost impossible to buy health insurance on the open market for the next several years.

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Is There Precedent To Uphold Healthcare Reform?

Monday, July 12th, 2010

Image: BAR Photography under CC 3.0

One of the main arguments against the legality of healthcare reform is the contention that it is unconstitutional. Many opponents believe that the individual health insurance mandate, in particular, violates the 10th Amendment. That amendment says that all rights not specifically given to the federal government in the Constitution or its amendments are left to each state.

However, a competing interpretation–accepted by some conservative justices, no less–states that at times, the national government can exercise powers not expressly mentioned in the document. A recent Supreme Court decision (approved by seven out of the nine members) upheld the federal government’s right to indefinitely detain sex offenders after serving their sentences. Surely, the specifics of ankle monitoring or house arrest for child molesters and others were not on the founding fathers’ minds.

Granted, U.S. vs. Comstock is relatively less controversial an issue than affordable health insurance reform. Still, it’s a sign that the highest court is willing to consider the application of the “elastic clause”, which states that the federal government is allowed to pass laws to help it execute the powers it was expressly given.

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Co-Payments Vs. Co-Insurance

Monday, July 12th, 2010

Image: db*Photography under CC 3.0

When trying to find affordable health insurance, it can be difficult to find the right policy. One of the most confusing aspects is the out-of-pocket cost you are expected to pay, above and beyond the monthly premium.

Most health coverage options include co-payments, co-insurance, or both. What’s the difference?

  • Co-insurance is a percentage of the fee charged for an item or service. For example, if you have a 30% co-insurance percentage under your policy and a doctor normally charges $100 per visit, you will be responsible for paying $30 upfront. In many cases, this is the more expensive option. However, it is becoming more common among group health insurance plans, due to employers trying to reduce their cost burden.
  • On the other hand, co-payments are a fixed amount. If your insurance company specifies a $15 co-payment for prescription medications, that is the amount you’ll pay the pharmacy each time you fill the prescription–regardless of how much the medicine actually costs. Sometimes, insurers have multiple tiers of co-payments: depending on the type of medication, doctor visit, or hospitalization, the copayment will be higher or lower.
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Facts About Health Insurance Rescission

Tuesday, July 6th, 2010

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One of the worst things that can happen to a person affordable health insurance-wise is having their policy rescinded. In many cases, they are kicked off their plan through no fault of their own.

The good news is that reform will both prevent the practice of unfair rescission and make it easier to gain justice.

The facts about the new regulatory climate:

  • Insurance companies now have little legal justification for dropping people: they will only be allowed to do so due to nonpayment or fraud.
  • The definition of fraud is also clarified. It consists of actively lying about any pre-existing medical conditions or diagnoses you may know have. Having a condition you don’t know about (even if it’s in your medical records, but a doctor hasn’t informed you of it) doesn’t count.
  • For consumers, the appeals process is also strengthened. Health insurance companies must give them at least 30 days advanced notice before canceling a policy.
  • The new rules take effect in late September.

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Support For Healthcare Reform Continues to Rise

Friday, July 2nd, 2010

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Although healthcare reform is still extremely controversial, a recent poll showed that Americans’ outlook on the law became more positive in June.

The Kaiser Family Foundation’s polling showed that 48% of respondents were now in favor of the bill, an increase of 7% from the month before. Opposition decreased by three percentage points, to 41%.

Why the change of heart? There are several contributing factors. For one thing, the political heat has somewhat died down–other issues have taken the spotlight. Meanwhile, the Obama administration had launched a public relations campaign, which drew attention to the beneficial affordable health insurance-related provisions taking effect this year.

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Pre-Existing Condition Insurance Plan Has Launched!

Thursday, July 1st, 2010

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Today is the official launch date of one of the most heavily hyped elements of affordable health insurance reform: the temporary pools for up to 350,000 uninsured people with pre-existing conditions. Only citizens or legal residents who have lacked insurance for over six months are eligible to sign up.

29 states will run their own health insurance pools, while 21 others have left the responsibility up to the federal government’s Department of Health and Human Services. Those living in the latter states can apply today for coverage that begins next month, while others must wait until later this summer. Many of the latter were leery of supplementing their existing high-risk pools with another one that met the new requirements (that rates charged are similar to the rest of the market, etc.) However, the rates charged in each state will vary widely, based on several factors–including age.

These pools are intended as temporary solutions for health coverage, until reforms take full effect in four years. By 2014, these stopgap solutions should no longer be necessary, since health insurers will no longer be allowed to deny coverage to high-risk patients.

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Do New York Courts Have A Medical Malpractice Soultion?

Monday, June 21st, 2010

The medical malpractice system has been heavily criticized for its contribution to soaring health insurance premiums. Many doctors practice defensive medicine–performing far too many expensive tests and procedures that are unnecessary, in order to avoid lawsuits.

A judge in New York thinks he has a soultion: treating all parties involved like people. Many families want vindication and justice, instead of extremely large sums of money. By having doctors and nurses apologize for any mistake, he has convinced victims to take smaller settlements as opposed to choosing a jury trial.

The affordable health insurance reform law sets $3 million aside for studying these methods to see if they can work nationally.

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