Posts Tagged ‘Florida Blue’

Blue Cross Blue Shield Will Offer Exchange Plans in All Florida Counties

Friday, August 16th, 2013

Florida’s health insurance exchange will open for business on October 1 of this year, with plans taking effect next January 1.  The health insurance exchanges will offer more coverage options to Americans who couldn’t afford health insurance before.  That is the idea at least.  Florida Blue’s Joe Gregor does believe that consumers will have more affordable options and less difficulty finding health insurance when the Affordable Care Act takes full effect.  According to the Orlando Sentinel’s “More details emerge on Florida health insurance exchange,” Marni Jameson said that we now know how many insurers will offer plans in each Florida county.  It’s actually not as many as you might expect, with some counties only having one insurer offering plans.  Blue Cross Blue Shield will be the lone insurer in some of the more rural counties, but they assure Floridians that their prices reflect expected competition and not the fact that they are the sole option in some places.

Ten insurance companies were federally approved to offer plans in Florida, some in one county and some in many of Florida’s 67 counties.  Aetna Life Insurance Company, Blue Cross Blue Shield of Florida, Cigna Health & Life Insurance Company, Coventry Health Care of Florida Inc., Florida Health Care Plan Inc., Health First Health Plans, Health First Insurance Company, Health Options Inc., Humana Medical Plan Inc., and Molina Health Care of Florida Inc. are the ten approved companies.  Blue Cross Blue Shield of Florida will be the only insurance company offering affordable coverage in all 67 counties.  The big counties in South Florida like Miami-Dade and Broward will have nine different choices, but which insurers are operating in which counties has yet to be released.  Palm Beach county residents will have eight insurance choices and most Central Florida counties have five or six different options from which to choose.

Each insurance company will offer different tiers of plans that will range from bronze to platinum.  The lower plans will obviously offer less coverage than the highest plans, but you can choose what you need for the price you will be able to afford.  The government is offering credits to Americans with certain income levels to help pay for the cost of their mandated health insurance.  In order to receive any government help with health insurance though, you have to choose from the federally approved plans.  In 21 counties in Florida, Blue Cross Blue Shield or Florida Blue as they operate in the state, will be the only insurance exchange option.  Other counties will have more choices.  But each county will have at least one insurance company operating in it, something that some state have not yet been able to accomplish.  If you live in Florida and are looking to purchase health insurance through the new exchange soon, you should have some affordable options for coverage.

Being Unhealthy Can Cost You When it Comes to Health Insurance

Saturday, July 27th, 2013

Changes to health insurance plans have already started and the bulk of changes are still looming in the near future.  With rising costs and unhappy Americans, some employers are taking creative approaches to dealing with increasing health plan costs.  In “Your health plan: the next frontier,” Money’s Amanda Gengler tells us what we can likely expect with the future of health insurance plans.  One small company owner in Missouri made big changes when he saw skyrocketing health care costs and an increasing number of sick days being used.  He made healthy changes to the vending machines, opened a fitness center, gave free on-site check-ups, and gave big financial incentives in the form of lower deductibles and no premiums for workers who took steps to be healthy.  A big portion of increasing health care costs has been passed onto employees through higher deductibles, premiums, and co-pays.  But making healthier choices to avoid needing so much medical care is a newer way to try and save money.  It certainly benefits employees in more ways than one.

Prices vary widely from doctor to doctor, especially if you choose one that is out of network.  New plans will likely streamline your choice of doctors even more and staying in that smaller group could save you big on your premiums.  Insurers and employers save money if you don’t visit top shelf doctors who order more tests than average.  Estimates show that around 1/3 of big companies will have this type of streamlined plan by next year.  This plan might even force you to pay the entire cost of seeing an out of network doctor.  If this type of plan becomes an option to you, research what doctors and hospitals you will lose out on and see if you are happy with the replacements available.  Florida Blue says that local big-names and academic med centers aren’t usually included in these streamlined plans though.

Many companies will have you choosing your own health plan from a list they have chosen in the future.  They may pay a percentage of your plan costs or a fixed dollar amount, and the plans may even be in the private exchanges.  Plan to spend a lot more time researching plans and options and maybe even switching to a high-deductible plan to save money.  Since you will be paying a bigger percentage of your bills, employers are hoping that you will make more cost-efficient health decisions and stay healthier overall.  A healthier America may just be what it takes to lessen the increase or even decrease health care costs overall.  Expect a lot more health initiatives from your employer that could lower parts of your plan costs or offer you rewards, even cash.  But on the flip side, you might get charged more for a high BMI or high cholesterol, especially if you aren’t doing anything to change it.  The Money article has some great examples and personal stories of how health plans have changed and will continue along that road in the future.