Archive for the ‘aultcare health insurance’ Category

Health Insurance Rates Will Be More Than Income

Wednesday, March 14th, 2012

By 2033, you will likely be paying more money for your health insurance premiums than your total annual income provides.  Jenifer Goodwin of Health Day wrote about an Annals of Family Medicine study in the article “Health Insurance Premiums Will Surpass Median Household Income in 2033: Study.”  They used data from 2000-2009 and found that health insurance rates increased 8%, while median incomes only increased by 2%.  By using those same rates to forecast the future, your health insurance premiums would be about half of your income by 2021 and would cost more than your total income by 2033.  The median income in 2009 was just under $50,000.

This study is using the total premium cost for calculations, which does include both the money you contribute as well an any employer contributions.  If you have individual health insurance from a company like Aultcare, you pay all of the premium costs yourself anyways.  It does not take into account any of your out-of-pocket costs for co-pays, deductibles, or prescriptions.  Adding co-pay costs into the equation and taking out employer contributions, health care costs would equal half of the median income by 2031.

In 2005, it was estimated that health insurance rates would be higher than median income by 2025, so there have been a few positive changes.  The Affordable Care Act of 2010 looks to decrease some costs.  Also, the economic recession is forcing many families to spend less money on their health care.  That may not be a good thing overall, but it does lower demand and therefore, healthcare costs.  There are many opinions as to what will help this seemingly dire situation and all of them require overhaul of the current practices.  Regardless of who pays for these health insurance premiums, we need to make changes to what is covered by health insurance and what can be done to minimize testing and treatment where it is unnecessary.

Gossipers Should Have Lower Health Insurance Rates

Saturday, February 11th, 2012

According to Linda Wasmer Andrews’ Yahoo! Health article, “How gossip is good for you,” some gossip is good for your health.  Researchers from Berkeley’s University of California found that gossip helps ease frustration as well as lessening the increased heart rate that goes hand in hand with your frustration.  Maybe you can lower your health insurance rates if you can prove to your insurance company that you are a big gossip!  Prosocial gossip, or that which helps others avoid a bad circumstance by letting them know about someone’s bad behaviors, is what was researched.

One of the studies involved volunteers watching people playing a game, including someone who was cheating at the game.  As the volunteers watched, their heart rates increased watching the cheating.  But those volunteers who passed notes to the other participants letting them in on the cheating did not have the increased heart rate associated with the frustrations.  The study seems to show that letting someone know that their potential mate has been a cheater or that their potential business contact has a shady past can help your health as well as helping them avoid a conflict.

Studies have shown that gossip is both natural and normal.  Group behavior can be enhanced with a little gossip and people tend to behave a little better when the potential for gossip is there.  While there is some gossip that is just plain selfish and can be hurtful, “good” gossip can help groups build alliances and keep group members’ behavior in check.  While it’s unlikely that Aultcare or other health insurance companies will start promoting gossip for it’s health benefits, ads promoting gossip would likely be a good way to garner attention.

 

Health Insurers Push to Continue Polio Vaccine

Monday, November 21st, 2011

World Polio Day is a reminder that while the Salk vaccine helped diminish the crippling of children in 1955, there are still places in the world where polio cripples and kills children.  According to the Skokie Review’s “Rotary Club of Skokie Valley fights polio,” Skokie Valley’s Rotary Club has made a large contribution to help rid of polio worldwide.  They are working to get more routine vaccination of children as well as helping support the medical staff, volunteers, and others working with children stricken with polio.  While polio is still a problem in parts of the world, it has been gone from America for years.  There is a slight worry by some that it could return.

Polio vaccinations are given in four doses between 2 months of age and 6 years.  A fear of autism has brought many parents to delay and even skip some of their children’s vaccinations altogether.  Health insurance companies like Aultcare are opposed to most parents deciding not to vaccinate their children.  They fear that stopping vaccinations, like that for polio, will bring about outbreaks of many diseases that we haven’t seen in America in decades.  The debate between those who are for vaccinations and those who are against it is very complicated and far-reaching, but insurance companies tend to lean towards the pro-vaccination side.  Vaccinating children against diseases saves money because the diseases stay gone.

Mandatory Contraceptive Coverage from Aultcare Health Insurance

Sunday, November 6th, 2011

Certain groups are fighting President Obama’s standards mandating health insurance companies to cover contraceptives without charging a deductible or a co-payment.  In a New York Times editorial, “A New Battle Over Contraception,” the writer is against those who are fighting to eliminate or weaken the mandate.  Some members of the Catholic Church and some Republicans are fighting the fact that companies like Aultcare health insurance will be forced to cover contraceptives.

All churches and other religious places are already released from this mandate, so the author questions why groups like the Catholic Church are fighting this mandate for others.  Leaders of the church want to add employees of Catholic hospitals, charities, and schools from elementary through college to the list of exemptions.  There are people who disagree with contraceptive use that want to extend exemptions to any employer who says that contraceptives are against their beliefs.  The problem with this is that all of the employees working for Catholic hospitals, charities, schools, and companies with an employer against contraceptives don’t necessarily hold the same beliefs.

The group Catholics for Choice says that nearly all Catholic women who are sexually active have used some form of contraception that is banned by the church.  President Obama based this mandate partly on the National Academy of Science’s Institute of Medicine’s recommendation.  They found that mandating all health insurance companies, like Tonik health insurance for young, healthy individuals, to cover contraceptives could help to lower the rate of unwanted/unplanned pregnancy and abortions.  This battle will rage on as both sides fight for what they believe.

Long Term Health Care Costs Rise More Than 5%

Tuesday, October 25th, 2011

The long term care health costs in this country are out of control, causing the government to throw out their long term care insurance plan and many companies to stop selling long term health care insurance.  According to Business Week’s “U.S. Long-Term Health Costs Rise at Faster Pace, MetLife Reports,” Maryellen Tighe reports an increase of 5.6% in assisted living costs last year.  It costs more than $41,000 a year for someone to be cared for in an assisted living facility.  Nursing home costs increased 4.4% last year, for an average yearly expense of more than $87,000.  Adult day care services increased in cost by 4.5% to an average of $70 per day.  The cost of having a health aide come into your home stayed the same at $21 per hour.

This year’s increases have been more than in the past, likely because of a struggling economy and skyrocketing health care and energy costs.  MetLife, Guardian Life Insurance Co., and Allianz SE have all stopped offering new long term care insurance plans because of skyrocketing costs.  There are still 7 million adults with long term care insurance to help cover assisted living or home health care expenses though.  Medicaid and Medicare do cover some long term health care expenses, but there are strict qualifications for those programs.  Aultcare has to worry about medical inflation rates, but long term health insurance rates have increased even higher than the average medical inflation rates.

 

Health Insurance Denials As High As 70%

Monday, September 12th, 2011

Maybe some companies are trying to get their denials in before health care reform takes effect in 2014, but many are issuing health insurance denials at an all-time high level.  According to a USA Today article by Phil Galewitz of Kaiser Health News, “Health insurance denial rates (are) routinely 20%, data show.”  Companies like Aultcare health insurance work hard to keep their denials for health insurance coverage low, but it can be hard when more and more applicants have pre-existing conditions related to obesity and other seemingly manageable conditions.

America’s Health Insurance Plans (AHIP) found data in 2009 suggesting that 87% of Americans who apply for individual health insurance are accepted.  That figure does include those who are denied their original request and are given an alternate plan or charged more for insurance than they thought.  Current information shows that more than 20% of applicants are denied coverage for a wide range of reasons.  Different health insurance companies have different denial rates state by state and each state has a large variation in the denial rates of different companies.  Aetna denies 15% of applicants in Georgia, while Kaiser Permanente denies 47% of applicants in the same state.

The highest denial rate of 70% went to John Alden health insurance, a branch of Assurant Health.  Assurant points out that these statistics can be a bit misleading, however.  The denial rate includes applicants who are offered a plan in which they qualify for an additional cost and those who apply, but are out of the company’s coverage area.  Regardless of the reason for the denial, many Americans are having a hard time finding individual health insurance and have high hopes that the 2014 ban of denying coverage for pre-existing conditions will really help them.  Click here to see if you qualify for the individual health insurance of your choice.

Easy to Compare Health Insurance Quotes

Sunday, August 21st, 2011

It’s about to get much easier to compare health insurance quotes and determine exactly how much money you’ll have to pay out of pocket.  The Washington Post article, “New health insurance rules would let consumers compare plans in ‘plain English’,” says that consumers should get this benefit by next March.  Author N.C. Aizenman says that the government plans to require all health insurers to to give a short and easy to understand summary of their policy’s benefits and costs.  This will be available to current customers as well as those looking to compare different health insurance plans.  In addition, each plan will have to include a breakdown of your out of pocket expenses for having a baby, receiving treatment for breast cancer, and treating diabetes.

The Department of Health and Human Services compared the health insurance summaries to ‘Nutrition Facts’ food labels.  Summaries have to be less than four two-sided pages and cannot be in font smaller than 12-point.  Consumers can request a summary at any point in the application process.  Insurers like Aultcare have to provide summaries before enrollment in a plan, 30 days before a health plan is up for renewal, and 60 before any important changes are to occur in someone’s health plan.  Right now the regulation is in a 60-day comment period.  It is expected that many health insurers will express concern over the added administrative costs they will have with these summaries.  Employer-sponsored plans have so many different options that insurers might have to make thousands of different summaries.  Consumers, however, will much more easily be able to compare health insurance quotes and plans to see what option is best for them.

Compare Health Insurance for Same Sex Married Couples in New York

Monday, July 25th, 2011

New Yorkers who recently celebrated gay marriage and health insurance companies are looking into benefits to see what changes will be made.  Chris Hawley and Michael Hall of the Associated Press wrote about this in their article “NYers ask how gay marriage will affect benefits.”  Many people hope to add their same sex spouse to their insurance plans and save money.  But some companies who compare health insurance plans before and after New York legalized gay marriage won’t be making any changes at all.  There are employers who put restrictions on domestic partner benefits and it remains to be seen if and how these restrictions will be changed now that the marriage is legal.

With well over 40,000 same sex couples in New York, the question of how legalized marriage will affect health insurance benefits is important.  Many of the couples are already legally married in other places, but now that their marriages are legal in New York, insurance and tax consequences will follow.  State taxes will be reduced and offer savings for the newly married and those whose unions are now legal in New York.  But because their unions are not recognized federally, the differences between state and federal taxes will become more complicated.  Health insurance, taxes, adoption and estate selling are the most common financial changes that will occur with the new laws, but other areas of life will be affected as well.

Couples who are married do not get taxed on their employer’s contribution to health plans from companies like Aultcare health insurance, for the costs to cover their spouse.  Even if same sex couples were able to get their partner covered under their health insurance plan, as is the case in about one-third of businesses, the working spouse was taxed on the employer contributions toward their partner’s coverage.  Now that their marriages are legal in New York, same sex couples will see savings from this tax.  But those who maybe weren’t planning on getting married could risk losing same sex domestic partnership benefits now that they can legally get married.  It might force some couples to get married once they compare health insurance benefits that could be lost if they don’t, but not all companies will force people to marry to keep their benefits.  There are quite a few changes that same sex couples, businesses, and the government will have to figure out with gay marriage legalization in New York.

Taking Severely Obese Kids from Parents as Health Insurance Rates Soar

Sunday, July 17th, 2011

Two American doctors wrote an opinion piece in the Journal of the American Medical Association (JAMA) which says that states should have the ability to remove severely obese kids from their parents.  John Moore’s article “State should take obese kids from parents: US doctors” from the AFP reminds us that while this is not the specific opinion of the American Medical Association or JAMA, it may be someday.  Lindsey Murtagh and David Ludwig, doctors at the Harvard School of Public Health and Children’s Hospital in Boston, respectively, believe that removing children who are severely obese from the homes of their parents is the same as removing kids who are starving.  Health insurance rates and childhood illnesses skyrocket because of the obesity problem in the United States.  Two million kids in the US are considered severely obese and have a BMI above the 99th percentile, shocking to some but reality to many who see these kids every day at school or in the neighborhood.

Both doctors argue that the parents of these severely obese kids are neglecting their health risks and medical problems.  The children are likely to develop lifelong conditions like Type 2 Diabetes and other ailments that will be nearly impossible for them to overcome.  While states already have laws protecting kids from starvation or undernourishment, only a few states have laws protecting them from overfeeding and severe obesity.  California, Iowa, Indiana, New York, Pennsylvania, and New Mexico do have a legal precedent on the books.  This debate is likely to interest some insurance companies like Aultcare who spend billions of dollars a year on obesity related ailments.  While these doctors believe that a temporary home in foster care can help children learn healthy eating and exercise habits and lose excess weight without the risks of bariatric surgery, it is wise to look into other alternatives first.  Educating the parents should really be the number one priority and they should at least have some kind of a warning and help before their kids are taken into foster care.  Severely obese kids do need help, but their parents likely do as well.

Compare Health Insurance with Limited Coverage

Monday, June 27th, 2011

It really may not be worth the cost to carry limited health coverage plans once you compare health insurance costs with the coverage you receive.  Consumer Reports’ advice columnist Nancy Metcalf answered the question “Should I buy a low-priced limited benefit health insurance plan just in case something happens?”  A reader wrote in because their COBRA insurance would no longer be available and they were worried about not having health insurance.  They had researched costs associated with plans from well-known companies like Aetna and Blue Cross as well as less expensive, more limited coverage from a company like Lands Health.

These indemnity plans with limited benefits clearly state that they are not major medical insurance plans.  While they may cover some doctors visits and decrease your co-pay or prescription costs, the main point of the inquirer’s question was what to do “in case something happens.”  Metcalf gave an example for this scenario regarding breast cancer and how much you would pay out of pocket with and without a major health plan.  If you were diagnosed with breast cancer and had a lumpectomy, chemo & radiation therapy, you would pay an average of $70,000 out of pocket with a limited benefit plan.  On the other hand, with a full coverage plan from a company like Aultcare, Aetna, or Blue Cross, you would pay around $4,000 depending on your particular benefits.

It would be much more beneficial to research into the most affordable comprehensive health insurance plan when you are most concerned with “in case something happens.”  Depending on the state in which you live, your age, gender, and medical history, you can find a plan around $400 per month.  That number changes based on those factors, but is the average for a 50-year-old non-smoking woman living in Indiana.  Once the health care reform fully goes into effect in 2014, state health insurance exchanges will offer more affordable health insurance coverage and yours may even be subsidized by the government.  Some states are already offering the heath insurance exchanges.