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. 

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.

One of the regular items we blog about here at healthinsurancesort.com is finding affordable health plans across the country to assist our uninsured readers in finding health plans that fit within their budgets. These plans might not be for everybody, but it can’t hurt to be aware that they exist.

Blue Cross Blue Shield of Texas (BCBSTX) offers and affordable health care option called Foundation Hospital Care PPO. This health plan is not comprehensive major medical insurance but rather a limited benefit plan that only covers health care expenses related to inpatient hospitalization coverage.

The plan offers

• Affordable, cost effective health coverage for inpatient settings
• Freedom to choose your hospitals
• Individual, spouse and child coverage
• 24 hour worldwide coverage
• No balance billing above the Allowable Amount

Limited benefit plans are not right for everybody, but might fit your needs in a pinch.

more information about Texas health insurance and BCBSTX

Aetna has announced that they are discontinuing two Medicare Advantage Plans.  The first is being shut down because its membership dropped below the Federal requirement of at least 100 members.  It had 75 members.  The other is being phased out in all but 5 states due to a new Federal requirement that all fee for service Medicare Advantage plans be network based by 2011.

In similar news, Independence Blue Cross is terminating plans that current cover about 44,000 seniors.

If you have lost your Medicare Advantage plan, you can shop for replacement coverage here at healthinsurancesort.com

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.

In Southeastern Pennsylvania, Independence Blue Cross (IBC) in conjunction with Highmark Blue Shield has formed the Caring Foundation which helps to provide free or low-cost health insurance plans to uninsured children and adults in the 5 counties including and surrounding Philadelphia.

Plans that are administered through the Caring Program include Pennsylvania CHIP, Adultbasic, and Special Care.

Special Care in particular is a limited benefit plan providing traditional fee for service coverage to uninsured adults and children in Southeastern PA.

More information about Pennsylvania health insurance and Philadelphia health insurance.

Blue Cross Blue Shield of Florida (BCBSFL) offers a Medical Discount Card called FamilyBlue that provides discounts on health care.  FamilyBlue is not health insurance, but it does provide discounts on heath care services which is negotiated with providers.

As mentioned above, FamilyBlue is not health insurance, and should be viewed as a last resort only if health insurance cannot be obtained.  If you shop around and compare rates for individual health insurance plans in Florida you will find that there are many affordable health plans available.  A true health insurance plan will offer superior benefits and protect you more comprehensively should you have an accident or become ill.

There are two different FamilyBlue Plans.

• $14.95/mo.per family - discounts on doctor visits, medical services, and Rx drugs.
• $19.95/mo. per family - discounts on doctor visits, medical services, Rx drugs, as well as dental, vision, diabetic supplies, hearing, vitamins and more

More information about Florida health insurance.

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.

The US Census Bureau recently released a report that said the Cleveland area has a very high percentage of residents without health insurance coverage.

The report which was released Monday, Sept. 21, found that 22% of Cleveland residents under age 65 are uninsured.  Nationally 17% of the adult population go uninsured and in Ohio as a whole, 13.4% go without Ohio health insurance coverage.

Cleveland’s uninsured rate is the highest among large cities in Ohio.

If you live in Northeast Ohio and are uninsured because you think you can’t afford health insurance, you would be surprised as to the affordable health insurance options that you might be able to find if you shopped online and compared health plans side-by-side.

More information about Cleveland Health Insurance & Ohio Health Insurance.

On Blue Cross Blue Shield’s website there is a news article entitled “New Census Report Underscores Need for Health Care Reform”.  It has a statement from President and Chief Executive Officer of Blue Cross Blue Shield Scott P. Serota.  The statement follows after the release of the report from the US Census Bureau that shows the number of uninsured Americans increased from 45.7 million in 2007 to 46.4 million in 2008. 

Serota points out that no one should have to worry about having quality, affordable health insurance.  He believes that 46 million uninsured is unacceptable.  It’s an important reminder of the critical need for health care reform.  According to Serota, we should enact bipartisan health care reform this year that will give health insurance coverage to everyone. 

Blue Cross Blue Shield companies support initiatives working towards this goal.  They want to build on the employer based system currently in place.  He says the high number of uninsured is partly because of the recession, but something still needs to be done now to fix this problem.