Health Insurance Blog

A rare bi-partisan bill in the California legislature, allowed more than 700,000 children in low-income California families to maintain their health insurance coverage through the Healthy families Program.

The deal restored about $200 Million that was slashed from the budget this summer.  For this to happen, health insurance companies agreed to impose a tax on themselves.  In addition, Healthy Families participants will pay slightly higher premiums.

Healthy families provides health, vision and dental coverage for nearly 1 million children whose families aren’t poor enough to qualify for Medi-Cal but can’t afford private health insurance.

More information about California health insurance.

The article “Leading insurance grievance: delays in claims handling” by Becky Yerak on chicagotribune.com states that Illinois consumers have been filing less complaints about their health, auto and homeowners insurance companies. 

Illinois health insurance complaints were down 13%, auto insurance complaints were down 10%, and homeowners insurance was down 5%.  The complaint ratios, which compare the number of complaints with every $1 million in policies, vary widely among insurance companies.

The National Association of Insurance Commissioners released the study showing that the leading complaint was because of delays in handling of claims at 18.7%.  The next most common complaint was claims denials which was around 18.2%. 

Consumers complained most often about accident and health insurance coverage at 37.5% of complaints.  Auto insurance accounted for about 35% and homeowners insurance only accounted for 12.5% of all of the complaints.

One of the most popular arguments against a government run health care plan is the lack of competition that would arise among health insurance providers, but according to the article “Competition Lacking Among Private Health Insurance Companies” by Ricardo Alonso-Zaldivar on the huffingtonpost.com, private insurance companies already lack sufficient competition.

Studies show that in a number of areas across the country one or two health insurance companies dominate the marketplace.  When this happens prices can be driven up since those needing health insurance do not have many options.  The Democrats believe that a public health insurance plan would fix this problem since it would directly compete with the private insurers.  The Republicans are concerned over the government having that much power.

As Congress tries to figure out the best way to provide health care in this country, it’s important that consumers take matters into their own hands for now.  If you are in the market for health insurance get numerous health insurance quotes to ensure you know what’s available out there.

According to an article on news.prnewswire.com the US Census Bureau just published 2006 estimates of health insurance coverage for each county in the nation.  Small Area Health Insurance Estimates (SAHIE) use a variety of sources for their survey models. 

The Centers for Disease Control and Prevention uses SAHIE to support its National Breast and Cervical Cancer Early Detection Program.  Free cancer screenings are offered by the program to low income and uninsured women.

Marcus Plescia, the director of the CDC’s Division of Cancer Prevention and Control in Atlanta says that the health insurance estimates are helpful in determining the level of need for cancer screenings in counties nationwide.  The data permits them to plan various programs and figure out how to allocate resources.

This SAHIE program includes data from various different ages, gender, income, race and low income children.  SAHIE offers a snapshot of those without health insurance that can be extremely valuable to officials as they plan to assist the uninsured.

According to a press release from July 15 on 1888pressrelease.com entitled “Health Insurance Quotes Go Down When You Shape Up”, as unemployment increases so does the number of uninsured since many people turn to employer-based health insurance plans.  Health insurance costs are often unaffordable for the unemployed, but there are ways to keep costs down.

An article on Insuranceagents.com states that simply making some lifestyle changes can affect your health insurance quotes.  Policyholders are recommended to get plenty of sleep, eat a well-balanced diet, take vitamins, cut smoking, monitor weight and exercise regularly.  Overweight people spend much more on health insurance because they are filing more claims and often times have pre-existing conditions such as diabetes or heart disease.  Obesity is also the second leading cause of death in America, estimated to cause around 300,000 deaths per year according to the Surgeon General.

Staying healthy can save you money in the long run on health insurance as well as help you live a longer, higher quality life so it really is a win-win situation to get fit.

Four years ago the National Collegiate Athletic Association (NCAA) started to require universities to make their athletes have health insurance coverage before competing in sporting events.  A mistake was made as the Association did not set forth clear standards for the coverage leaving the students to decide for themselves what they needed.  This is all according to the article “College Athletes Stuck With the Bill After Injuries” by Kristina Peterson on nytimes.com. 

Some colleges accept a lot of responsibility for medical claims but others assume none according to a review of public documents.  Many university officials say they definitely inform their students about the limits of certain health insurance options, but the situation has left students and families frustrated and very confused as many have had to take on large and unexpected medical bills. 

Many athletes have health insurance through their parents but often times the coverage does not include injuries due to varsity sports.  This is where it gets tricky.  They need additional coverage but are unsure where to begin and often do not get enough coverage and are left with mountains of debt.  One solution is to require universities to offer quality coverage to all of their varsity athletes, but this is suspected to put too much of a burden on schools financially.  Because of this the NCAA is unlikely to require that sort of mandate anytime soon.

JD Power & Associates ranked Humana the top rated health plan in Texas for 2009, in overall customer experience.  In addition to being rated as the top health plan in Texas, The Humana health plan that operates in Texas was rated as being among the best in the nation ( 5 out of 5 stars).

Other private health plans that faired well included CIGNA & Aetna who each received 4 of 5 stars, which denotes them as being better than most.

Blue Cross Blue Shield of Texas was rated as below average, one of the few Blue Cross Blue Shield member health plans that did not fair well in the JD Power survey.  BCBSTX was rated below average.

More information about Texas health insurance.

J.D. Powers & Associates rated the top private health plans in the heartland states (Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota), and the results were as follows.

Similar to many of the other 17 regions in the JD Power Survey, a Blue Cross Blue Shield health plan took top honors.

Blue Cross Blue Shield of Nebraska was named the top health plan in this region based on overall customer experience and among the best in the nation.

Three other Blue Cross plans were rated as “better than most”  (4 stars out of 5 in overall experience):  BCBS Kansas, Wellmark BCBS Iowa, and BCBS Kansas City.

Health plans Aetna, CIGNA, UnitedHealthCare, and Coventry Healthcare were rated as being below average.

More information about health insurance in the heartland states:  Nebraska health insurance, Iowa, Kansas, Minnesota, Missouri, North Dakota, South Dakota

According to the Associated Press’s article “Doctors signal they’ll work with Obama” by Lindsey Tanner, America’s largest group of physicians had their annual meeting and many thought they were going to create an obstacle for President Obama’s health insurance reform plan.  After Obama himself spoke with the doctors, they signaled that they will not close the door on the proposal to have a public health insurance plan to compete with private insurers. 

The Obama administration would have liked a strong endorsement from the doctors, but this vote by the American Medical Association (AMA) is a small victory for the White House.  They are a key player in the health care reform debate.

The AMA is traditionally a conservative group and has disagreed with previous administrations’ attempts to change health care.  It is a notable presence in Washington and Obama’s trip to Chicago for the meeting shows that he does value the doctors’ support and understands the influence they have.

According to an article written by Robert Pear of the New York Times, broad consensus among the Democrats on the redeployment of our country’s health care system is not far off.

Democratic leaders in both houses said they would indeed make health insurance mandatory, requiring  individuals to carry health insurance coverage and employers to help pay for it.  The question is, how will they raise the necessary tax revenue to support it?  On way that has been discussed is taxing employer health benefits.

In addition to making health insurance compulsary, the bill outlines yesterday would allow people to enroll in a governement run health plan similar to Medicare.  There are other suggestion being floated by Senate Democrats that would limit the scope of Government involvement, but would still create a plan to compete with private health insurance companies via a “Co-op”.