Posts Tagged - ‘pre-existing conditions’

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Is The Govt. High Risk Health Insurance Plan Too Expensive?

Friday, July 2nd, 2010

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It looks as if healthcare reform was not the immediate panacea for high-risk patients that many hoped for. The temporary health insurance pools for people with pre-existing conditions have started to go live.

The good news: many of those who have been previously shut out of the market can now purchase a health insurance plan. Unfortunately, that plan may be prohibitively expensive; according to the federal government’s website (HealthCare.gov). Depending on the state–since rates are based on standard premiums in the area–and the person’s age, premiums can vary widely. For example, Florida health insurance rates under the program could be up to $675 per month for a 50 year old!

Although guaranteed issue health insurance can be costly, it pays to shop around. The high-risk pools may not save you as much as you think.

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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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How To Prevent Short Term Health Insurance Buyers From Gaming The System

Wednesday, June 30th, 2010

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With reform beginning to take effect, subsidized guaranteed issue insurance for people with pre-existing conditions is set to become available. Unfortunately, there is a serious concern: the issue of people gaming the system.

In some places, such as Massachusetts, people will buy short term health insurance when they are knowingly sick and cancel shortly after they receive treatment (under one year later). Insurers pay for their treatments, while receiving little in premiums for reimbursement. Therefore, the costs are passed onto steadily insured consumers.

The prevalence of this practice has skyrocketed over the past several years. Legislators are proposing several solutions, including an open-enrollment period that would allow individuals to buy temporary coverage solely during one or two months out of the year. There would be exceptions included for major life changes.

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High-Risk Health Insurance Pool D-Day

Monday, June 28th, 2010

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Today is the deadline for states to decide whether or not they will participate in one of the initial changes of healthcare reform: they need to tell the federal government if they are planning to create new health insurance pools for high-risk patients with pre-existing conditions.

So far, 18 states have flatly refused. Qualified uninsured people from those states will buy into a national pool, which will open on July 1st. Utah and Texas are still undecided, but they’re running out of time.

The states that will create new temporary pools for high-risk health insurance plans will receive part of a $5 billion grant set aside in the law for that purpose.

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How Many People Have Pre-Existing Conditions?

Friday, May 28th, 2010

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A recent study from Families USA found that up to 57 million people in the United States suffer from pre-existing conditions. These issues have prevented them from buying individual health insurance on the open market.

Proponents of health insurance reform will take this statistic as proof of why comprehensive action was necessary. In 2014, health insurers will no longer be allowed to refuse any consumer, regardless of health status. In addition, the premiums charged can’t be significantly higher.

The figure excludes the elderly, whom are already covered by Medicare.

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Family Health Insurance Rates Rise With Adult Children

Tuesday, May 11th, 2010

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The recent healthcare reform law allows parents to keep adult children on their family health insurance until the age of 27. How many families will take advantage?

It may be fewer than you think. That’s because premiums will most likely rise if an extra person is added to the policy, especially if the young adult has a pre-existing condition. None other than the federal government admits that this will probably happen until 2014, when similar health rating is banned. Unfortunately, adult children with pre-existing conditions are the ones most likely to need a parent’s coverage, because finding affordable health insurance on the open market is extremely difficult for them.

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Family Health Insurance Can’t Be Denied Due To Child’s Health

Thursday, May 6th, 2010

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Those buying family health insurance will see a significant benefit in healthcare reform within a year. What is it?

This particular change is very important: health insurance companies will no longer be allowed to deny families coverage due to a child’s health status. Sometimes, children are born with pre-existing conditions. Clearly, it is through no fault of their own. In the past, companies were able to refuse to sell a health insurance plan to a family whose child had a potentially expensive condition.

The provision will be especially helpful to the self-employed or parents whose firms don’t offer health benefits.

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Florida Will Participate in Federal High-Risk Health Insurance Plan

Monday, May 3rd, 2010

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Instead of using their own resources to create a new high-risk health insurance pool, Florida has elected to participate in the soon-to-be-created federal program.

Governor Charlie Crist cites the state’s budget crisis as his reasoning. He told Kathleen Sebelius that while he agrees that individual states should do their part, his state is simply unable to afford the establishment of a new Florida health insurance program at the moment. Crist is a Republican-turned-Independent candidate for the U.S. Senate.

Florida will receive approximately $351 million to subsidize its portion of the federally sponsored program intended for people with pre-existing conditions to buy health insurance plans.

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Will You Be Stuck In A State Health Insurance Pool?

Friday, April 30th, 2010

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The federal high-risk health insurance pool for people with pre-existing conditions will probably be cheaper than the pools that already exist in 35 states, due to the larger base of consumers.

Unfortunately, people who have already signed up for their state’s affordable health insurance option for high-risk patients won’t be eligible for the national program. In order to sign up for the federal program, you have to have been uninsured for at least six months.

Enacted as a temporary measure in the healthcare reform law, the federal pool will launch on July 1st. Some states are encouraging potential applicants for their programs to wait until then.

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Neb. Won’t Create New High-Risk Pool

Wednesday, April 28th, 2010

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Nebraska is one of the first states to indicate that it will not create a separate high-risk health insurance pool for people with pre-existing conditions. The healthcare reform law requires each state to either do so, or have the federal government administer it for them.

According to Governor Dave Heineman, high costs prevent his state from participating. Moreover, Nebraska already has a similar high-risk pool, although the limited geographic scope means that the health insurance plan will be generally more expensive than the national program.

These programs are intended as a stopgap until 2014, when all health insurance companies on the open market will be banned from denying coverage to those with pre-existing conditions. At that point, the high-risk pools will be phased out.

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