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HEALTH INSURANCE MONEY SAVING TIPS

 

 

Sources Of Healthcare Coverage

 

Types Of Healthcare Plans

 

Factors To Consider When Buying Health Insurance

 

Disputing A Denied Healthcare Claim

 

Finding The Right Health Insurance Plan

 

 

Sources Of Healthcare Coverage

 

Healthcare coverage may be available from one or more potential sources, depending on your age, employment status, health status, dependency status, affiliations and financial resources.  Often, healthcare coverage is obtained primarily from one source, although sometimes a combination of sources is utilized to maximize coverage.  Sources include:

 

1.     Employer sponsored group healthcare plans.  This is the most common source of healthcare coverage for working individuals and families.  In addition to coverage for the worker, coverage is generally available for spouses and children of the employee. Coverage may be provided at no cost to the employee and family, or the employee may be responsible for partial payment of the cost of this coverage.  In most every instance, the employer pays for at least part of the cost of coverage.  The cost to the employee for this coverage is deducted from the employee’s pay on a pre-tax basis.

 

2.     Medicaid and other medical coverage provided to non-seniors by the government.  If you meet certain financial and other requirements, you can enroll in Medicaid and other government programs available for low-income adults and children.  These programs cover most, if not all, of the medical expenses incurred.

 

3.     Medicare Program, Medicare Part D (prescription coverage) and Medicare Supplement programs.  Medicare is provided to senior citizens who are 65 years or older.  This program covers many of the medical expenses incurred by seniors.  Private insurers offer various Medicare Supplement programs that an be purchased that will cover many of the medical expenses not covered by Medicare.

 

4.     Medical coverage provided by the Federal Government Veterans Administration. Certain veterans receive free or low-cost medical services from the Veterans Administration, due to their service in the armed services.  There are many requirements to meet in order to qualify for this coverage, and most veterans without service-related injuries do not qualify at this time.

 

5.     Medical coverage provided by government or private employers for retired employees.  Many private and governmental employers provide their retired employees with medical coverage prior to the availability of Medicare, or as a supplement to Medicare.  Generally, the employer pays part of the cost, with the retired employee paying the remainder.  Sometimes, the retired employee pays the entire cost but is assured that coverage will be available.

 

6.     Payment of medical expenses through Health Savings Accounts, Health Reimbursement Accounts and Flexible Spending Accounts.  Under the current tax law, individuals are permitted to put funds into these types of accounts (either employer sponsored or individual accounts) that can be used for purchasing medical services. The advantage to these accounts is that contributions are made on a pre-tax basis.  However, funds placed in the account can only be used for healthcare expenses.  Many individuals use these accounts to supplement medical expenses not otherwise covered by other coverage they have.  Health Savings Accounts are particularly convenient since any unused funds at the end of the year can be rolled over to the next year, and if you change employment you can take the accumulated funds with you.

 

7.     Coverage purchased by individuals through association or group affiliations.  Often, a group or organization you belong to will offer group insurance coverage to its members. Sometimes these can be very good plans, and other times they are not.

 

8.     Coverage available to terminated employees through COBRA.  If you leave your present employment under varying circumstances, you and your dependents have the right to continue to be covered under the employer’s group health insurance coverage for a period generally up to 18 months (sometimes longer).  However, you are responsible for paying the full cost of this coverage.  Since, when you were an employee, the employer usually paid a significant percentage of the cost of coverage, the cost of coverage to you through COBRA is usually considerably higher.  Continuing coverage through COBRA also preserves your right to buy insurance in the “individual” market when your COBRA benefit runs out.  States are required to have at least two policies available without pre-existing condition exclusions.  While these policies may be expensive, at least you will be able to get insurance if you have a pre-existing condition.

 

9.     Coverage purchased by individuals through private insurers.  If you are not able to secure coverage through any of the above-noted sources, coverage can, in many instances, be purchased through private insurers.  Depending on the kind of coverage you select, the cost of private coverage is generally quite high.

 

10.   Coverage provided on an indigent basis.  If you do not have healthcare coverage, and you cannot afford to pay for your medical expenses at all, hospital and government programs will provide emergency care free of charge.  This is not an ideal situation, but generally care will be available.

HEALTH INSURANCE

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