Archive for the ‘Employers’ Category
Thursday, June 17th, 2010
While many young adults faced losing coverage as they aged off their parent’s plan, had no coverage in the case of an unexpected pregnancy, or merely had the bare necessities covered by their school plans, all can breathe a sigh of relief as health care reform promises to end their fears.
As mentioned in earlier posts, the most immediate change is coverage will be extended to overage dependents, as long as they are not offered other employer sponsored coverage, up through their 26th birthday. This helps ease the burden of uninsured claims, as many of these adult children would wait over two years before attempting to obtain their own coverage.
Another helpful option for these previously uninsured individuals is the fact that more than half of them will be eligible for either Medicaid in 2014, as their income is expected to be less than 133% or qualify for government subsidies if they decide to purchase private insurance through an exchange if they are earning 400% of the poverty level.
More relief serves in the fact that maternity coverage will be a mandatory inclusion on the plans, something that is either excluded completely or greatly restricted, depending on what state you reside in. This is most important during young adulthood, as is the need for access to contraceptives, which will also be covered.
The fact that lifetime maximums will be eliminated also sheds light on the current state of most university based plans. Many tend to cover only the most basic of health needs, and offer only limited protection for conditions that are considered eligible medical expenses. With the implementation of comprehensive coverage for all adult children, in spite of of any pre-existing conditions, we can breathe easy that coverage is in place should they need it. Regardless of how you feel about health care reform, we can all agree that all youths of our nation deserve health care coverage!
Tags: children's health, group health, health insurance, heath insurance, Universal Health Care
Posted in Employees, Employers, Family, Federal, Laws | No Comments »
Tuesday, March 2nd, 2010
A recent poll shows that 57% of Americans do not like any of the proposed health care bills, and agree that Congress should start fresh, rather than attempting to piecemeal a model from scrapped ideas. Trying to reach a bipartisan agreement as to what needs to be done is not an easy task, but it is vital to ensure that resolution is achieved. These polls shows interesting trend among voters as to how they feel now, as compared to a year ago in regards to health care reform:
• 53% said they strongly or somewhat oppose the legislation in both House and Senate plans
• 33% stated they were more supportive of reforming the health care system now
• 24% said they were just as supportive as they were a year ago
• 38% of voters now think it is at least somewhat likely that the plan proposed by the president and congressional Democrats will become law this year
• 51% believe passage of the plan this year is unlikely
• 24% of voters now say health care reform is the budget priority the president is most likely to achieve
Regardless of where this leads us, we will be there to guide you through and answer any questions you have.
Thanks for your continued support!
Tags: health care reform, health insurance, health plan
Posted in Employees, Employers, Family, General, Group, Individual, Resources, Tools | 1 Comment »
Sunday, February 14th, 2010
Recently, the California Department of Managed Care has released some new guidelines for HMO patients, in order to create a more efficient and comprehensive level of care for these patients. Among the new rules:
• A physician appointment within 10 business days of a request
• A specialist appointment within 15 business days of a request
• An urgent care visit within 48 hours of a request
• Telephone access to a health care professional at all times.
The state is giving health plans one year to comply with these new regulations. After the one year grace period, non-compliant carriers will face heavy fines. With the implementation of these new rules, it is hoped to reduce emergency room traffic, as more patients are able to obtain urgent care visits instead, as well as the overall reduction of appointment wait times (which benefit all patients – HMO and PPO alike).
Opponents to these new regulations feel that this adds to an already strained system of primary care physicans, who are already in shortage. Fears also lie in the fact that the doctor would now be forced to spend less time with each patient. However, with the average waiting time to see a general practitioner at 20 days, it does seem that the pros outweigh the cons with these timely-access rules.
Tags: health insurance, HMO plan, network provider
Posted in Employees, Employers, Family, General, Individual, Laws, Resources, State | No Comments »
Monday, January 18th, 2010
Worries grow as those Californians who have been receiving assistance with their COBRA premiums are faced with losing financial assistance. As federal stimulus money dwindles, the 65% of premium formerly covered by this subsidy will expire, leaving many to make a tough choice – pay the premiums or go without coverage. COBRA (the Consolidated Omnibus Budget Reconciliation Act) was passed in 1985, allowing involuntarily terminated employees to keep their current health plan, and take over the payments for their monthly premiums. However, after many years and skyrocketing health care inflation, many people are finding that their COBRA premiums are exceeding their unemployment benefits.
If reports are correct in showing that 40% of newly employed people applied for the COBRA subsidy, these numbers can mean that the number of uninsured people will rise along with the lack of federal support. There are some plans in the works, however, which may bring some much needed relief:
HR 3930 would extend the period of eligibility through June 2010, increase the maximum duration of the subsidy to 15 months and end all subsidies at the end of December 2010.
S 2730 by includes the same provisions as the House bill and would also increase the federal subsidy from 65% of the premium to 75%, as well as expand eligibility to include employed people who lose health coverage because of involuntary reduction of hours.
COBRA Subsidy Laws are changing all the time. We will try and bring you the most updated information as we can. In the meantime, there are many websites to help you keep up with the changes. We are also happy to answer any questions you have!
Tags: COBRA, group health, health care costs, premiums
Posted in Employees, Employers, Federal, Group, Laws, Resources | No Comments »
Monday, January 11th, 2010
Diabetic clients will be finding more comprehensive dental and vision benefits with Anthem Blue Cross starting 1/1/2010. These integrated benefits will help such individuals obtain the care they need to manage their conditions, and prevent diabetes related complications.
Diabetic Retinopathy can be a common occurrence, but is almost 90% preventable with proper vision care. Therefore, members who have the Blue View Vision plan and the 360 degree health program will be enrolled in the ConditionCare for Diabetes program. This program will help clients take a proactive role in managing their condition should a diabetic-related vision diagnosis occur.
Dental benefits will also be extended for diabetic clients, adding one additional dental cleaning or periodontal maintenance procedure every year. High blood glucose levels can help germs to build up on teeth and gums, and increase the probability of gum disease and ultimately tooth loss. Another concern is the fact that dental infections can worsen diabetes by causing hyperglycemia.
Please contact us with any questions regarding these vision and dental enhancements. We want to help you to get the care you need to stay as healthy as possible in 2010.
Tags: added benefits, group health, preventative care, wellness
Posted in Employees, Employers, Family, Group | No Comments »
Monday, November 2nd, 2009
The federal economic stimulus package which covers 65% of the cost of COBRA premiums is set to end as of December 2009. This reduction was designed to assist those who had an involuntary termination of employment and were eligible for COBRA during the period of September 1, 2008 through December 31, 2009. Though the subsidy is set to end after a period of 9 months, this does not mean you are going to lose your coverage. Instead, you will now be covering the entire cost for the remainder of your 18 months, or longer if your coverage is eligible for extension. The subsidy will end prior to the 9 months in the case of eligibility for coverage under a new group plan, eligibility for Medicare, or in the case of non-payment of the remainder of the COBRA premiums.
Let us help you find alternate coverage before your COBRA expires. There are many options for you and your family, and we are happy to help you determine whether a new plan is the best route, or to stay on COBRA for the remainder of your eligibility period. It is our pleasure to help you determine the best choice for your health insurance coverage.
Tags: COBRA, health insurance, premiums
Posted in Employees, Employers, Federal, Group, Laws, Resources | 3 Comments »
Monday, October 5th, 2009
Health Savings Account plans, high deductible health plans, have the added benefits of tax deductions. Unused balances can be carried over to following years, thus allowing you to save money tax free. Since an HSA allows you to purchase a high-
deductible insurance plan with lower premiums, it an excellent way to save money on healthcare. Add to that the fact your contributions to the fund are tax free, you can enjoy considerable
tax savings. Finally, since the interest is tax free and tax deferred, you can also use Health Savings Accounts to supplement retirement income.
For those with Health Savings Account Plans, please note the following contribution limits for 2010:
• For individual coverage, the maximum contribution is $3,050
• For family coverage, the maximum contribution is $6,150
• In addition to the maximum contribution amount, catch-up contributions
of $1,000 may be made by or on behalf of individuals age 55 or older and
younger than 65
If you have more than one HSA account, these limits are going to be applicable for all the accounts together.
Tags: health insurance, health savings accounts, pre-tax
Posted in Employees, Employers, Family, Individual, Resources | No Comments »
Friday, August 14th, 2009
Small Businesses are definitely hit the hardest when it comes to premium rates. However, recent studies have shown that incorporating ancillary benefits, such as life, disability, and dental benefits, ensures employees are not only healthy and happy – but loyal as well. A MetLife study showed that 73% of employees who felt adequately covered were happy with their job. On the other hand, those employees who felt that their coverage left them too exposed, were not. Only 22% of such employees stated that they were satisfied with their job.
Productivity is also greatly affected by health benefits. If an employee knows that the coverage is there when they need it, they will push further for their employer. With economic times at their tightest, knowing that they will not incur large medical or dental bills, or leave their family without protection if something should happen to them, means employees can focus on the task at hand. In these cases, everyone benefits!
Though the economy is in tough shape right now, Employers may find that a bit more out of pocket costs for their employees will result in a return of happy, healthy, and productive workers in the end.
Tags: added benefits, health plan, preventative care, wellness
Posted in Employees, Employers, Group | No Comments »
Monday, July 6th, 2009
Recent studies show an alarming trend in California. General Practice physicians are in dwindling supply, and at the lower end of “per capita need”. As fewer and fewer younger physicians enter this field, the inadequacies will become even more dire. On the other hand, specialists seem to be in abundance, but are not distributed throughout the state in an equal manner. Both Specialists and General Practice doctors tend to congregate more in the urban areas, leaving the rural areas without the medical care they need. Add to that the insult of few new general practice recruits, and their current provider population getting older, these individuals can be in real trouble.
Hopes for getting a quick and long term recovery would mean a few things from the state. The first step, of course, would be to get more physicians to study in the field of primary care. This can be done with the help of grants, financial support, and better residency training programs in all fields of general medicine. Providing financial compensation to these new primary care providers would also help to establish care where we most need it. By making it easier to practice in the hard hit areas will ensure that no Californian is without the physicians they need. The only way to achieve this, however, is to make sure that both the patient and doctor are adequately taken care of.
Tags: health insurance, network provider
Posted in Employees, Employers, Family, Group, Individual | No Comments »
Saturday, June 20th, 2009
Once you or your loved one has been diagnosed with a chronic health condition, the most important thing is to become self-aware and gain the ability to manage the impact that this illness will have on your life. The first step is to understand your illness. In doing so you will gain the upper hand in preventing further complications.
Most insurance carriers offer nurse lines specific to your illness and access to support groups. Such groups can be vital for both physical and emotional support, resulting in overall improved health. Subjects covered include:
• Communicating well with your family, friends, and health care providers
• Exploring the possibility of new techniques and treatment options.
• Learning ways to deal with problems such as frustration, low energy, pain management, etc.
• Utilizing exercise to maintain and improving strength and flexibility, and increase endurance
• The proper use of medications
• The role nutrition plays in your healing process
Studies have proven that individual with chronic conditions who take an active role in their treatment plans and take proactive steps to improve their lifestyle have achieved significant advances in their healing process, and fewer hospital, emergency room, and outpatient visits.
Call us with any questions, or access your insurance carrier website to get more information on the management of chronic illnesses.
Tags: Chronic Condition, wellness
Posted in Employees, Employers, Family, General, Individual, Resources | No Comments »