Posts Tagged ‘Ppo’

Medical Health Insurance

April 23rd, 2010



Choosing Health Insurance Policies

When it comes to health insurance, women have special needs. There are so many different health issues that women go through that it is important to find health insurance to cover all of them.

The first thing to look at is what your company offers. There are so many different options, but the two most common are fee-for-service and managed care. Find out which one is offered to you, and go from there. Different plans can have different providers and services, cost and quality of care.

* Fee-for-Service – In this plan, you go to the doctor of your choice, and they send a bill to the insurance company. You get billed for the rest. Usually, there is a flat fee per year that you must pay before the insurance company will start to cover expenses.
* Managed Care – This is the most common type of plan, and it is broken down into several different categories; Health Maintenance Organizations (HMO), Preferred Provider Organization (PPO), and Point of Service (POS). With HMOs, as long as you use a doctor or hospital in your network, your out of pocket costs should be minimal. With a PPO, although you might have a larger network from which to choose your doctor, your premium will be higher. With a POS, your plan is similar to a PPO, but your care will be managed by your Primary Care Physician.

Which one you pick will depend upon your health circumstances. For example, if you are pregnant, or plan to become pregnant, you might want to pick a health plan that covers pregnancy, to keep your out of pocket costs down. If you have cancer, you will want to pick one that has good doctors and hospitals in the network. Also, if you already have a doctor whom you love, you might want to make sure that you will be able to see them still with the new health insurance policy that you pick.

There are even a number of government-run resources for women without health insurance. There are community health centers, public hospitals, school-based center, public housing primary care centers, migrant health centers and special needs facilities. Other government sponsored programs include:
* Special Supplemental Nutrition Program for Women, Infants, & Children (WIC).
* National Breast and Cervical Cancer Early Detection Program (NBCCEDP).
* Maternal and Child Health Services.
* Indian Health Service (IHS).
* Projects for Assistance in Transition from Homelessness (PATH).

One of the most difficult situations for women is when they make too much money for public government assistance, but not enough to pay for medical care or health insurance. In this case, they might be able to find temporary insurance through their state, or a low-cost health insurance option through a labor union, professional clubs or organization. There are also free clinics and prescription drug assistance. Women who are coping with cancer can find many government sponsored and volunteer organization, and the Ryan White CARE Act gives aid to women with HIV/AIDS who have little or no insurance, and a limited income.

By: Ryan Baba

Cancer and Affordable Health Insurance

April 14th, 2010



Being diagnosed with cancer is an overwhelming feeling. There are so many implications to consider; what about my health, my family, my job? Who will I find to care for me, will I survive, how will I cope? All of these are natural reactions to being diagnosed with cancer. As a patient, there will be many decisions that need to be made. One of the most important and potentially stressful issues though will be how will you pay for your care.

Cancer is an expensive illness to have. There may be doctors, nurses, surgeries, chemo or radiation therapies, tests, medications and time off from work. Having affordable health insurance will become critical. Most employers offer some kind of medical insurance and even without an employer, there are other many other options to consider.

If you have insurance already:

Make sure your policy is paid and up to date; this is not the time to let your policy lapse.
Read and understand your policy; understand what your requirements are as the patient and how to make your policy work for you.
Get help from a caseworker or insurance agent; use the expertise of your insurance agent or a liaison through your employer. It is their job to help you navigate through the policy.
Submit claims as required and on time; If you don’t feel you can do this, assign someone to do it for you, a spouse, sibling or friend.
Keep track of records. Keep all prescriptions, test results, benefit explanations, medical bills etc. There may be times that these records will come into question and you will want to have them close at hand.

If you need insurance:

Seek out help: The hospital or doctor may have resources to help you navigate. Also check the American Cancer Society or the Social Security Administration.

Find an advocate-either personal or professional:

Learn the insurance language: Understand what terms like pre-existing conditions, PPO, or HMO mean.
Find Resources:

Private Insurance

Government Funded Insurance such as Medicare

State or Local Insurance such as Medicaid

Check into Group insurance through fraternal or professional associations

Compare policies: Find out what is going to work for your situation, what is affordable and reasonable.

Studies show that having affordable health insurance decreases the risk of death from cancer. This is primarily due to better preventative health maintenance such as screenings, mammograms and regular physicals. The other thing about having good affordable insurance is that patients have more access to information. Insurance companies are a wealth of information and usually share their information via newsletters, tips and articles.

Having good affordable insurance with cancer is important in receiving the proper care during treatment. It is also important prior to any diagnosis for preventative care and access to information. Finding affordable health insurance once diagnosed is potentially difficult, but not impossible with research, knowledge and help from available resources.

By: Katie Appleby

Affordable Health Insurance in New Jersey – Low Cost Plans Online

April 13th, 2010



Affordable Health Insurance in New Jersey – Low Cost Plans Online

Did you know there are new low cost health insurance plans being offered by major health insurance companies? These new plans are more affordable and are available to New Jersey residents.

New Jersey Health Insurance Plans

HSA health insurance plans are saving thousands of people big money on their health insurance costs. A high deductible insurance plan is joined with a tax-exempt health savings account to make this plan possible. Individual plans start as low as $120 per month.

This low premium allows you to put aside money every month into your health savings plan. This money is tax-exempt, rolls over to the next year, and continues to accrue interest. When you need medical care your deductible is paid for out of this savings account. The high deductible insurance plan pays the rest.

A plan like this provides you and your family with protection for large medical bills and for routine health care. HSA health insurance plans are very flexible and allow you to choose the coverage and deductible you want. Many of these plans pay for 100% of medical costs after your deductible has been reached. Before buying a new health insurance policy, be sure to look at an HSA and see what it has to offer.

Health Insurance in New Jersey Quotes

One of the best ways to find affordable New Jersey health insurance is to go to an insurance quote website and request quotes. Immediately after you complete their short form, you’ll get several low cost HSA, HMO, PPO, and POS quotes while still online. After you have your quotes, you can compare the different policies and see if one will work for you. It’s that easy!

By: Jim Westin