Health Insurance Blog

Geisinger Health Plan recently released an update on the 2009 Influenza flu season.  This is found in the article “Influenza Update From Geisinger Health System: 900 Cases” by Dr. Lisa Esolen who is the director for Geisinger Health System Infection Control on Poconorecord.com.

They continue to see a steady increase in the number of flu cases with about 900 cases in the last 3 weeks at both of their Pennsylvania hospitals.  There have also been about 30 hospitalization cases.  Nationally, 46 states have reported widespread influenza cases.  Shipments of the H1N1 vaccine continue to be shipped but there are lower quantities than expected.  These are first being given to health care providers, schools, and hospitals throughout the state.  Currently, there are no public vaccination sites for the H1N1 vaccination since the vaccinations are not plentiful as of now.

Geisinger Health Insurance continues to receive shipments of the H1N1 vaccine, but in small amounts.  Most of the vaccines have been used for pregnant people as well as children.  Many organizations encourage pregnant women to get vaccinated since they are more likely to get severely sick from the flu virus.  It’s important to wash your hands regularly to help limit the spread of the flu. 

Dallas County will lead the state of Texas in the percent of kids without insurance according to the article “Dallas County Leads State In Uninsured Children” by Jason Roberson on dallasnews.com.  The rate of uninsured children in Dallas County is about triple the national average based on the report released by The Children’s Medical Center Dallas.

This is a statistic that is very upsetting for residents.  More than half of the 730,000 kids in Dallas County do not have full access to preventative health care.  The report, called “Beyond ABC: Growing Up in Dallas County”, uses state demographic data from 1998-2008 to research the well-being of resident children.

Dallas health insurance isn’t necessarily difficult to find, but families are having difficulty affording rising premiums.  Children’s and other hospitals support the initiative to get all children insured because it places them in the care of a regular doctor and eliminates expensive visits to the emergency room.  This can prevent the mounting of debt for hospitals.  31% of Dallas County children will be uninsured by 2010 unless something is done. 

According to Humana’s website, Humana health insurance is providing the highly anticipated H1N1 flu vaccine for its members. 

They announced that they will be covering the administration costs for all fully insured members, including those who have plans which exclude immunizations.  All co-pays and deductibles will be waived when the vaccine is received regardless of the preventative services benefit which is offered in these members’ plans. 

Lisa Weaver, MD, Humana segment vice president of clinical strategies stated that the safety and well being of members and the country is of the utmost concern for Humana health insurance.  Their initial focus is to encourage the CDC-identified priority groups to receive the H1N1 vaccine as quickly as possible. 

Humana is working hard to get members the ability to receive the vaccination.  They are monitoring and responding to guidance from the Centers for Disease Control and Prevention who are closely tracking the spread of the virus.  For the most current H1N1 information visit the CDC’s website.  To become a Humana member and receive a Humana quote visit www.healthinsurancesort.com.

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.

Consumer Reports recently came out with a survey about consumers and their satisfaction with their current health insurance plan.  This is according to the article “Health Plans Get Only So-So Reviews” on the Washington Post’s website.

The survey’s findings were based on responses from 37,481 readers who reported their health insurance experience over a course of a year.  The numbers represent a good benchmark for HMO’s and PPO health insurance.  84% of the respondents have an employer based plan they will be able to keep under most proposals being discussed in Congress.

The Consumer Reports National Research Center found that only 64% of readers were very or completely satisfied with their current individual health insurance plan.  This shows a drop from the 2007 survey which revealed 67% was satisfied.  Based on other Consumer Reports surveys people are less satisfied with health insurance than other industries such as pharmacies and real estate agents.  Over 30% of readers are not completely satisfied with their health insurance and this leaves a lot of opportunity for health care reform.

According to the article “Medicare Advantage Premiums Expected to Rise 25% Next Year” by Jane Zhang for The Wall Street Journal online, premiums that seniors pay for Medicare Advantage are increasing.  This is mostly because insurance companies are cancelling many plans that carry no premiums in response to new federal guidelines. 

Humana Health Insurance Inc is setting up networks for its Private Fee for Service insurance plans and consolidating them next year.  Humana will have 149 Private Fee for Service Plans, which is down from 173 in 2009.  Humana made other changes such as the special needs plans which targets sicker people enrolled. 

The number of Medicare Advantage plans will drop by approximately 40% in total.  This is according to an Avalere analysis of Medicare data.  Some consumers will see their plans change dramatically and others will see their plans simply go away.  It’s important they are prepared for what changes may impact them directly.

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. 

State Farm Health Insurance understands the variety of needs their customers have.  They have a marketing relationship with Time Insurance Company, Milwaukee, Wisconsin, (Assurance Health), which enables them to assist each individual.  This information was obtained from State Farm’s health insurance web page.

State Farm is offering individual medical insurance coverage, short term medical coverage and student select coverage.  They also have a high deductible health plan which can be used with a health savings account.  A health savings account is a special savings account which enables you to pay for health costs and save for future medical expenses tax free.  You own and control the money in your health savings account, and you also make decisions on what type of investments you participate in to make your savings grow.  This information was obtained from the US Treasury’s website on HSA’s. 

State Farm and Assurant health have combined company histories of 175 years which helps to make them a great team.  This alliance assists State Farm agents in fulfilling their customers’ unique needs and desires and manage the risks of life.

Beth Fouhy from the Associated Press wrote a very interesting article entitled “People playing the odds on health care over costs” found on google.com.  The article discusses a group of people unsupportive of President Obama’s ideal that everyone should be required to have individual health insurance coverage.

It’s not known exactly how many of the 50 million uninsured Americans forego insurance voluntarily, but research from the Kaiser Family Foundation shows that most of the uninsured are young, healthy adults, who are self employed or in low wage positions that do not offer health insurance and do not pay enough for employees to afford individual health insurance.

But it is known that some people in this group of uninsured do choose to not carry health insurance because they pay far less for health care than they would in monthly premiums.  Plus it’s possible insurance wouldn’t cover all of their medical needs even if they did pay the expensive premiums.  Under one of Congress’s proposed plans, people who opt out of carrying health insurance may have to pay a penalty.  It will be a balancing act for the people choosing to not carry health insurance if this plan does become law.

Many people are confused by the difference between PPO health insurance and HMO health insurance.  A helpful article on insurance.com entitled “HMO vs PPO” in their FAQ section does a great job of explaining the differences.

With an HMO, which stands for health maintenance organization, members must choose a primary care doctor from a list of member doctors.  This doctor will foresee all of your general medical care and must refer you to specialists.  With PPO health insurance, which stands for preferred provider organization you can either choose a general practitioner or a specialist, without a referral which can save a lot of time.

HMO’s usually require you to see in-network doctors, whereas PPO’s do not.  But with PPO’s there often is incentive to stick with in-network doctors.  The main benefit of HMO’s compared to PPO’s is that there usually isn’t a deductible to meet and the co-payments are generally lower.  The best choice totally depends on your personal situation and your particular needs.  It’s important to take the time to evaluate each health insurance option before making a decision.