Posts Tagged ‘premiums’

Pre-existing Conditions and California Residents

Thursday, July 8th, 2010

Startling news shows that one in five California residents (under the age of 65) have a “pre-existing” condition, which could render them ineligible for coverage, or offered premiums at inflated rates. Though health care reform promises all Americans coverage by 2014, this still leaves many without the coverage they need for years. What is considered a pre-existing condition? Pretty much anything you have been treated for, or are currently under treatment for prior to applying for coverage. While not all conditions will result in your denial for coverage, it can result in an increase in the monthly premiums from 20% – 100% higher. If you had a lapse in coverage, but are approved for coverage on a new plan, there may be a waiting period of 6 months before anything relating to your pre-existing condition will be covered by your insurance plan. The good news is as of September of this year, children under the age of 19 cannot be denied coverage due to their pre-existing conditions.

As your full service agency, we are happy to answer any of your questions relating to eligibility for a plan due to pre-existing conditions, what kind of rate increases you may be looking at due to your health history, as well as determining whether or not the six month waiting period applies to your situation.

Is There a Answer for COBRA Subsidies?

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!

Blue Shield of California Cancellations for Non-Payment of Premiums

Thursday, December 24th, 2009
Important news for our Blue Shield of California clients who are currently on individual and family plans. If you miss a payment, and exceed your grace period, they will no longer reinstate you after January 1, 2010. In these cases you will have to reapply for coverage and be subject to medical review once again. You are not guaranteed approval, even though you were a recent member.
 
We will make every effort to give you updates if you show late on payments. Not only will we send you email reminders, Blue Shield will also send you late payment notices via mail. Make sure to send in your premium, or contact us to set up monthly automatic payments via credit card or checking account to avoid cancellation.

Expiration Date Nears for COBRA Federal Subsidy

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.

Gender Based Rating and Health Care Reform

Tuesday, June 16th, 2009

These days, everyone seems to be ready for change. The idea of national health care, coverage for all people (regardless of pre-existing conditions), and the end of gender based rating, is top priority.
 
One of the biggest issues these days is the fact that men and women are charged different amount for the same plans, at the same age, regardless of health history. Insurance companies defend this disparity by the fact that women tend to utilize health services more frequently than men, especially during their child bearing years. Therefore, instead of being rewarded for taking on a proactive role with their health care, they are penalized by 25% to 50% higher rates than their male counterparts.
 
With greater government regulation, it is thought that gender differentiation will be a thing of the past. As an effort to keep health insurance out of the hands of the government, and become more user friendly, insurance carriers will need to find ways to be easier on those seeking their own plans, or the millions of currently uninsured individuals nationwide.

Is Your Insurance Premium Billing Mode Costing You?

Friday, May 1st, 2009

You may not even be aware of this, but if you receive your insurance billing statements by mail, it could be costing you more money! In an effort to reduce administration costs as have less of an impact on the environment, many insurance carriers have implemented an additional “paper bill fee” to your current premium.

For example, Anthem Blue Cross adds on a fee of $2.00 to your billing cycle. Humana goes up to $10.00 for each paper statement. This can really add up!

An easy way to avoid these charges is to set up automatic payments via credit card or your checking account. Many companies will allow you to select the frequency for these withdrawals (i.e. monthly, bimonthly, quarterly, etc.) as well as when you want the deductions to take place. Some people prefer the beginning of the month, while others choose a date mid-to-late month.

Setting up automatic payments for your plan is easy to do. Just give me a call and I will help you every step of the way. You will no longer have to worry about getting your premium check in the mail on time, and helping out the environment at the same time.


© 2009 Abrams California Health Insurance Agency. All rights reserved.
log in
SEO Powered by Platinum SEO from Techblissonline