Health Insurance Blog

A prediction has been made by the president of the American Hospital Association in San Antonio last Wednesday according to the article “Hospital Leader Sees Health Care Bill Passing” by Don Finley on mysanantonio.com.  The president, Richard Umbdenstock, believes some sort of health reform bill will pass before Congress leaves for the December holiday. 

This could mean big changes for San Antonio health insurance.  The bill that passes will not be perfect but it will bring some value.  Umbdenstock noted that half of US hospitals are losing money and 25% are breaking even.  These groups are concerned about a government run plan taking over as they may lose even more money.  Back in June, hospitals agreed to give up about $155 billion in federal payments over the next ten years.  In return for this loss, a plan would be put in place to ensure 94% of US residents would have health insurance.  This would reduce their losses from the uninsured by about $171 billion.

A few weeks ago the health insurance industry released a report stating that the Senate bill would increase premiums for people with private insurance.  They did agree to change the ways in which they conduct business such as covering people with pre-existing conditions in return for the requirement that everyone must purchase health insurance. 

Given the increased attention to rising health insurance rates and the growing number of uninsured in this country, we periodically scour the web for low-cost health insurance plans from quality health insurance companies across the country and blog about one here.

Blue Options HSA is a low cost health plan for North Carolina residents offered by Blue Cross Blue Shield of North Carolina (BCBSNC).  BlueOptions HSA is a high deductible health plan that is eligible to combine with an HSA.

According to BCBSNC, monthly premiums are as much as 50% lower than a traditional health plan.  Rates can be less than $60 per month for a 25 year old male.  Other affordable health insurance plans offered by BCBSNC include Blue Advantage.

More information about North Carolina health insurance.

Many Americans between the ages of 50-64 are losing their health insurance according to the article “Health Insurance Hard to Find for the Newly Unemployed” by Richard Martin TampaBay.com.  The reason these people are losing their insurance so rapidly is because of rising unemployment and an increasing number of businesses unable to afford health insurance for their employees.

The AARP estimates that approximately 7 million people between 50-64 are uninsured.  This number is growing rapidly and causing much stir in the health care debate in Washington DC.  Until recently, most of the focus has been placed on the young uninsured or Medicare for over 65. 

The main problem with this generation losing their health insurance is this is when they need it most.  Finding health insurance for this group can be challenging as well.  Individual health insurance plans for those over 50 cost much more than employer sponsored plans.  Many plans exclude pre-existing conditions such as diabetes, obesity, or depression, conditions that often come with age.  Studies show that uninsured people are more likely to put off treatment which can lead to declining health.  It’s a vicious cycle that hopefully Congress can end.

A recent study conducted by the Texas Public Interest Research Group examines how the current health insurance system affects small businesses across the nation.  This is according to the article “Study finds that small businesses are disadvantaged by higher health care costs” by Priscilla Pelli on dailytexanonline.com. 

Austin’s small businesses are at risk under the current health insurance system according to this study.  There are negative effects on these Texas small businesses as increases in the cost of health care plans for employees are in place.  Businesses also have the inability to provide health insurance coverage to the employees because of very high costs.

Individual health insurance in Texas can be easy to find, but when you own a small business you may not always have the cash flow to cover monthly premiums, especially for employees.  Smaller businesses are finding it harder and harder to attract quality employees since the benefits they can afford to offer are not competitive.  This is putting small business at an extreme disadvantage.  Hopefully the health care reform plan that Congress votes for will assist these affected businesses.

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.

According to the article “How Health Care Bill Would Net $81B” from CBS News’s website, the Finance Committee will vote on the health care reform plan next week.  The non-partisan Congressional Budget Office says the plan meets President Obama’s requirement that it will not increase the nation’s budget deficit. 

The article states that the $829 billion cost for the Finance Committee’s bill would be offset by fees on drug companies, taxes on top health insurance companies and cutbacks to Medicare.  They estimate to have a net savings of $81 billion over ten years for the government.  This may affect the way Americans go about finding health insurance and how they pay for it. 

The proposed bill would allow 29 million Americans to purchase health insurance who are not currently covered.  Families making under $88,000 could get a subsidy of $5500 for a family of four.  Wealthier citizens would be required to purchase individual health insurance or pay a penalty. 

According to the article “Texas Agency: Senate health care bill could cost Texans up to $20.4B” by Dave Michaels on dallasnews.com, residents who think they are already paying high Texas health insurance premiums and high taxes may be in for a surprise as the health care bill gets considered.

The Senate is considering a health care bill currently that would add about 2.5 million Texans to the state’s public health insurance plans.  This would cost Texas taxpayers up to $20.4 billion over the next 10 years in taxes.  This is according to an analysis of the legislation by the Texas Health and Human Services Commission. 

Texas currently leads the nation in the number of uninsured according to the US Census Bureau figures.  Over 25% of Texas residents lack health insurance, which totals about 6 million people based on a 2 year average for 07-08.  Although this statistic is staggering, it is uncertain whether Texas can afford to assist insuring that many more people and it makes the Texas government very nervous to implement such a project.

Although health insurance rates continue to rise, affordable health insurance can still be found.  Flexible Blue is an affordable individual health plan offered by Blue Cross Blue Shield of Michigan (BCBSM) for families and individuals who live in Michigan.

Flexible Blue is an HSA qualified health insurance plan, with monthly premiums as low as $52.82 per month for a plan with a 5000 deductible.

Maternity Coverage, and Dental Insurance are optional packages that can be added to your Flexible Blue health insurance plan

More information about Michigan health insurance.

According to a recent report released by Families USA, North Carolina health insurance rates have increased sharply.  It now costs over $13,000 to insure the average North Carolina family via an employer sponsored health insurance plan.   Of that amount, the family will end up paying $4,000-$5,000 out of pocket.

The cost of Group health insurance coverage in North Carolina has increased 97% since 2000.

BCBSNC the largest health insurance company in North Carolina took in $2.2 Billion in group health insurance premiums in 2008 vs. $841 Million in 2001 (a 161% increase).  Blue Cross Blue Shield of North Carolina Individual health insurance plans (such as Blue Advantage) brought in $971 Million in premiums in 2008 vs. $311 Million in 2001 (212% growth).

It should be noted that BCBSNC’s growth in premiums collected cannot be attributed solely to the increase in prices as they have grown their membership base significantly over the period of time examined in the report.

The Senate Finance Committee is coming close to figuring out a healthcare reform bill according to Maggie Guo’s article on The Ethiopian Review site.  Health care cooperatives are still on the table, which has the idea of building large groups so that the price of expensive medical costs are spread out among members to reduce costs for everyone.

But Consumer Watchdog says this will not necessarily lower health insurance quotes for consumers.  They say that in practice there has not been enough members for cooperatives to carry out their function and people with less medical risk often opt out of joining. 

For a cooperative to be effective, member enrollment would need to be near 500,000 consumers according to some estimates.  There have been attempts in Texas, Florida and Colorado without much success.  There is also the concern that if small states get together to create bigger groups, then health insurance companies may insist on a suspension of state regulations because of the different types of customers they would be serving.  This would in turn cause a whole new type of oversight and possibly a lack of proper regulation.