Health Insurance Blog

Blue Cross Blue Shield of Alabama has kept a close watch on the health care reform debate.  They fully support health care reform to improve medical care to all patients.  For over 70 years BCBSAL has tried to improve health care in Alabama.

Like many health insurance companies, BCBSAL has some concerns about some of the possible federal legislation that may pass.  They worry some of the proposals will have a negative impact on Alabama patients.  One example is the proposal that would create a new plan run by the government and could jeopardize access to coverage as well as affordability to the 160 million people receiving health benefits through their employers.

Another provision would make it possible for people to wait until they need medical care to purchase health insurance, which would make it more expensive for everyone paying in regularly.  It is still uncertain how the debate will pan out, but BCBSAL remains committed to earn the confidence of their customers and keep costs low for as many members as they can.

President Obama called for a rare meeting with lawmakers as part of a last effort to revive his health care priority.  The debate lasted all day and there wasn’t a resolution but voices were heard.  Obama gave his personal experiences with individual health insurance, including his mother’s battle with cancer.  He appealed to the fact that the health care system is not getting better, but only worse.

The Republicans main argument was that the existing reform bills didn’t do anything to lower costs.  The bills are estimated to cost 1 trillion dollars over the next decade.  The Democrats pointed out that it is going to be costly initially to extend coverage to nearly 30 million uninsured Americans.  Republicans fear a government system taking over a mostly private sector.

There was agreement that there are fundamental differences between the two parties that are causing the major rift.  The Democrats are still hoping to revive the comprehensive bills that have passed the House and Senate but Republicans are clear that they do not do comprehensive very well.  The debate continues even longer.  This information was obtained from the article “Obama and Republicans Haggle in Last-Gasp Health Summit” found on earthtimes.org.

According to the article “Married, with Benefits: California Mom Terri Carlson Starts Will Marry For Health Insurance Web Site” by Rosemary Black on nydailynews.com, a woman desperate for good health insurance because of a chronic condition has started a campaign online to get a husband with excellent health insurance.

Finding health insurance has not been easy for Terri Carlson because she hasn’t been in the work force long enough to qualify for social security, but her COBRA is about to expire in May.  She has an autoimmune disease which prevents her body from fighting infections so she needs to take 10-20 different prescriptions everyday.  She knows that finding individual health insurance for herself will not be easy.

The 45 year old divorced mom did realize though, that if she married a man with excellent health benefits she could automatically be placed on their health insurance policy and her problems are solved.  Well, her old problems are solved.  It seems like she may have a new list of problems if she marries a stranger just for health insurance coverage.  This just goes to show how important health care reform really is.

The Blue Cross Blue Shield Association issued a statement on the US Department of Health and Human Services’ National Summit on Health Care Fraud held in January.

BCBS believes health care fraud is a serious crime and they commend Secretary Kathleen Sebelius and Attorney General Eric Holder for bringing the summit together.  They bring together private sector stakeholders, law enforcement, Medicare beneficiaries, health insurance companies, and other experts to help combat health care fraud.

Blue Cross Blue Shield companies across the country work together aggressively to discover fraud and educate consumers in an effort to protect them from fraud.  BCBS anti-fraud activities resulted in about $350 million in savings in 2008.  BCBS wants to protect all of their customers, from Medicare customers to Go Blue health insurance.  They continue to work with the Obama administration to fight against this very expensive crime which compromises an effective health care system.

Health care reform is still a possibility according to the article “State of the Union: Renewed Hope for Health Care Reform?” by Jeffrey H. Toney on blog.nj.com.  This is at least the feel that came from President Obama’s State of the Union address to the nation on Wednesday night.

There needs to be reconciliation between the two bills “Patient Protection and Affordable Care Act” and the “Affordable Health Care for America Act” and it’s worth the effort.  President Obama pointed out in his speech that the ultimate goal continues to be to lower health insurance quotes, bring down the deficit, get more Americans insured, make Medicare for seniors stronger and stop health insurance company abuses.

President Obama urged Congress to not walk away from the idea of health care reform because they are very close and a solution is in the near future.  He continues to fight hard to keep his promises and achieve the ultimate goal to better our health care system.

The online AARP Bulletin Today has a plethora of health care reform information for their members to sort through.  Many members are fearful of how their medicare and AARP Medicare supplements will be affected by health care reform if it passes.  The article “Lost in the Rhetoric: New Gains for Medicare Beneficiaries” by Susan Jaffe clears up some of the confusion.

The article points out that proposed legislation could offer additional benefits and more flexibility for improved Medicare.  Both the House and Senate health care bills would reduce overpayments to private insurance companies offering Medicare Advantage plans.  In the Senate bill there is a provision that guarantees that no basic Medicare benefits would be removed and that the savings are to be used to improve health care.

There are also some additional benefits being added to Medicare for free.  These include mammograms and colonoscopies, two of the most important tests for seniors.  There will also be annual medical checkups for Medicare beneficiaries free of charge.  Overall the proposed bills are trying to make Medicare and individual health insurance simpler and more affordable for Americans.  It’s still in a wait and see stage.

The article “Health Care Reform Would Help Insurers” by Gavin Magor on thestreet.com says insurance company stocks have risen in hopes that health care reform will come to a halt.  In actuality, reform could widen and increase insurers’ customer base while potentially increasing profits.

The House and Senate health care reform bills would promote some of the biggest changes in the industry in the last 40 years and provide millions of Americans with health insurance and an easier system to obtain affordable health insurance quotes.  The bills also include extensions of Medicaid and additional restrictions on insurance companies.

With reduced rates on Medicare some companies may struggle.  Humana Health Insurance is the largest Medicare Advantage provider so in order for them to remain profitable they would need to control expenditures.  It’s definitely possible as many health insurance companies have proven profits can remain during a recession by keeping costs down.

Both the House and Senate have passed their versions of health care reform according to the article “Understanding Key Provisions in Federal Health Care Reform” found on Business Journal’s website.  Congressional negotiators are currently working on an agreement between the two bills.  The full House and Senate must approve the package then it’s presented to the President to sign it into law.

It’s predicted to take until at least mid-February before an agreement is reached and it wouldn’t start until 2013 and possibly longer for certain plans.  In 2014 and years after, the health care reform plan budget would increase to match the Consumer Price Index, plus 1%.  Insurance companies and plan administrators would pay this extra tax.  Under the House bill there would be a penalty for each employee not covered by health insurance of 8%, and under the Senate bill the penalty would be $750 per employee not protected.

The article points out that about 30 million of the country’s 46 million uninsured would get health insurance, mostly through federal health insurance subsidies under the new plan.  Health insurance companies would have to redo their criteria for approving policies such as stopping exclusions for pre-existing medical conditions.  This is an important point for those shopping for individual health insurance who have been turned down previously because of an chronic illness they may have.

Health exchanges are included in Congress’s recent health care reform bill.  The article “Health Exchanges: What are They” on healthcentral.com defines a health exchange as a government sponsored market for buying health insurance.  It would be available to people not working for large companies and not on Medicaid, Medicare or any other public program.  Health care reform would result in approximately 30 million Americans using health exchanges to receive their health insurance.

This type of program has pros and cons.  It’s based on the philosophy of managed competition.  Only pre-approved health plans which meet government standards may compete in the health exchanges.  There is much debate over who would control these exchanges.  It can be controlled at state level or national level or a mixture of both.  There would need to be a consistent and fair way to get consumers affordable health insurance quotes.

The article “Collaborate on Health Exchanges” by Gary Lauer on USA Today’s site points out that America is so diverse, and no single approach is going to meet every consumer need.  In order for such a system to work, it will require a collaborative effort to get eligible Americans enrolled into exchanges quickly and smoothly and have significantly more people insured, which is Congress’ ultimate goal.

According to the article “An Extended Subsidy for COBRA Health Coverage” by Kimberly Lankford on The Washington Post’s website, Congress has extended the COBRA Subsidy from 9 months to 15 months.  This is great news for those whose subsidy was coming to an end, still unemployed and worrying about finding affordable individual health insurance.

Last year’s stimulus package originally set up the COBRA subsidy for those who lost their job between 9/1/08 and 12/31/09.  It covered 65% of their COBRA health insurance premium for up to 9 months.  While this was extremely helpful to many, the 9 months is coming to an end for some and unemployment is still up.  With the newly amended law that occurred in late December, these individuals have another 6 months to find relief.

If you were receiving the subsidy, there is nothing you need to do to continue receiving it.  You continue to pay the 35% to COBRA and your former employer is reimbursed by the government for the remaining 65%.  Once your 15 month subsidy expires, you will be responsible to pay for 100% of the premiums in addition to an administrative charge.  COBRA coverage generally only lasts 18 months.

With health care reform just around the corner this may change as well, in addition to changes in medicare supplement plans. It’s important to ensure you have the most up to date information on COBRA and other government health insurance programs.