Health Insurance Blog

First Lady Michelle Obama launched a program called Let’s Move!, which is a national public/private partnership to stop the epidemic of childhood obesity.  According to BCBSA News, The Blue Cross Blue Shield Association along with their 39 independent BCBS companies strongly support her initiative.

With the launch of this important program the First Lady is bringing together a large range of stakeholders and building a foundation for bringing down childhood obesity.  Approximately 1 out of every 3 children is overweight or obese and this statistic is just staggering and unacceptable.  This puts them at risk for complications such as heart disease, diabetes, stroke and cancer at much earlier ages and BCBS agrees it’s time to get serious about stopping this epidemic

Many BCBS companies, including BCBSAL, have programs designed to promote health and fight obesity.  Focusing in on children is crucial since the next generation is predicted to be the heaviest ever.  The First Lady and her initiative is a great step in the right direction.

Anthem Blue Cross which is a subsidiary of WellPoint, INC has notified some policyholders in California, Maine, Oregon and other states that individual health insurance rates are going to increase.  This is according to the article “Individual Insurance Rates Soar in 4 States” by The Associated Press on msnbc.com.

In California the rates are to increase up to 39% by March 1.  This is going to be devastating to many individuals who are already struggling to pay bills.  In Maine they are asking for increases up to 23% this year.  Last year alone they increased rates in Maine by 32%.  In Oregon many health insurance companies were granted rate increases of 15% or more this year after about 25% increases from last year.

Health insurance quotes are much more volatile for individual policies when compared to policies under employers and other large groups.  Those types of groups often have bargaining tools and a large pool of people to spread out the risk.  This makes it tough for those who aren’t part of groups and must get individual health insurance.  These rates increases are going to hurt a lot of people financially.

Anthem Blue Cross is delaying their proposed rate increase to their California individual health insurance customers after much criticism, and a request by the California Department of Insurance.

The proposed health insurance rate increase would have raised monthly premiums for some members by as much as 39%.  According to Anthem the rate increase represents anticipated medical costs.

Regulators do not believe the sizable rate increase is justified given how profitable parent company Wellpoint was in 2009.

Situations like these, where health insurance companies have been coming off record profits, and then request significant rate increases based on actuarial data are not endearing themselves to the American public, and to politicians looking to solve the country’s health care issues.

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.

Anthem Blue Cross Blue Shield of Wisconsin has introduced a new low-cost health insurance plan for individuals called CoreShare.  In addition they have enhanced their SmartSense and Premier health plans.

CoreShare has a simple plan design and can be as cheap as $45 per month for a 25 year old Male in Milwaukee.

Among other benefits, CoreShare health plans offer:  A choice of nine deductible options (ranging from 750 to 25000), $2,000,000 in lifetime protection per member, access to both PPO and Point-of-Service networks, and access to the Blue Cross Blue Shield BlueCard Program.

Members choosing Anthem’s CoreShare, SmartSense, Premier or Lumenos (HSA) plans have access to more than 13,820 Wisconsin POS network doctors and specialists, and nearly 140 hospitals.

More information about Wisconsin health insurance.

According to a recent research report written by Debra A. Donahue of Mark Farrah and Associates, the individual health insurance marketplace is growing.  As of the end of Q2 2009, national individual health insurance enrollment totaled about 9.7 Million, up from about 9.6 Million from the previous year.  This enrollment does not include those individuals enrolled in Medicare Health Plans, or other state sponsored Programs.  Part of this growth is being fueled by high unemployment rates and less people having access to group sponsored plans.

The report makes it crystal clear that Wellpoint is the largest and most dominant player in the individual health insurance marketplace, albeit partly due to their large geographic footprint, covering 15 states.

The top 5 health plans ranked by enrollment in individual health plans include:

1. Wellpoint - with enrollment of over 2.25 Million (23% market share)
2. HCSC (Health Care Services Corporation) - 670,000 (7%)
3. Blue Cross Blue Shield of Florida - 370,000 (4%)
4. Kaiser Foundation Health Plans - 344,000 (4%), down 12% from previous year
5. Humana - 336,000 (4%), up 28% from previous year

Humana increased the number of states it offered it HumanaOne individual health insurance plan from 15 states to 24 states in March 2008, which accounted for their large increase in enrollment.

Wellpoint and HCSC are both health insurance companies that offer Blue Cross Blue Shield Health Plans in multiple states.  Wellpoint includes 15 BCBS licensees, and HCSC 4.

The state of California has launched a website that will help California residents select the best PPO health plan for their needs.  The site contains both summary ratings as well as more detailed underlying metrics of each plan measured.

California has provided similar information to HMO customers since 2002.

Their are currently 5 California PPOs measured on the site, and none of them received an overall 4 star rating (highest score).  Aetna, Cigna and Healthnet each received 3 stars while Anthem and United HealthCare received 2 stars.  Blue Shield of California was late on providing data necessary to included in ratings amd will be included in ratings in 2011.

More information about California health insurance.

Blue Cross Blue Shield Medicare Supplemental Insurance is a very valuable type of coverage for those on Medicare.  According to their website, medicare does not cover all health care costs so having additional coverage can save you a lot of money.

Medicare coverage generally consists of Part A, which takes care of hospital and nursing facility care coverage, and Part B, which covers physician costs and other health care expenses.  Even with both of these coverages senior have to pay for other costs out of their own pocket.  Some of these include deductibles, copays, and coinsurance.  If someone doesn’t have Medicare supplement insurance, costs can be as high as $53,000 according to BCBS.  That is often beyond affordable for many seniors living off of social security.

Private insurance companies, such as BCBS medicare supplements, offer extra protection to fill in the gaps for medical expenses.  With health care reform still up for debate it’s hard to tell what will happen to seniors who are currently covered by Medicare and supplemental insurance.  It’s extra important that seniors have affordable health care, because not only do they need it more, but many are on fixed incomes, so a large increase in costs could be devastating.

SmartSense® health plans are a portfolio of affordable health plans for individuals offered by Anthem Blue Cross Blue Shield.

Monthly premiums for SmartSense can be less than $50 per month for an individual (single Male in Ohio, age 27)  if a high deductible ($10,000) is selected.  If a $2,500 deductible is chosen the monthly rate would be just over $60/mo.

Some of the highlights of SmartSense® include:

• A wide range of deductibles to choose from
• Access to a large network of doctors and hospitals
• No referrals or paper work needed
• Prescription drug benefits
• Online health support
• One of the most trusted names in health insurance

Just an example of high quality and affordable health insurance that can be found if you take a few minutes to shop around.  You can compare health insurance quotes right here at healthinsurancesort.com in less than 5 minutes.

Effective January 1, Blue Shield of California will be removed from the Major Risk Medical Insurance Program (MRMIP) because their premiums were substantially higher than the rates offered by the other two insurers that make up the Program.

The MRMIP currently covers almost 7,000 California residents who are unable to purchase private health insurance due to pre-existing conditions.

Health insurance companies that participate in the MRMIP Program are allowed to charge 25% higher premium than the market rate for a given health insurance policy, and if the insurer loses money they will be reimbursed by the state.  Despite the state subsidization, Blue Shield’s health insurance rates were much higher than both Kaiser Permananete’s or Anthem Blue Cross of California.

Current enrollees in the MRMIP Program via Blue Shield will be able to keep their existing coverage until January 1, and then must enroll with one of the other health plans that participate in the Program.

More information about California health insurance.