How To Read The Fine Print On A Health Insurance Policy
You cannot go anywhere without somebody giving you their advice about health insurance. You do not know if they are telling you good information or just what they might have picked up on from unknown sources. If you want the real information and want to be your own expert on the subject, this article is for you.
Living in the suburbs can have a significant impact on health insurance savings. The cost of medical care is generally lower in areas of lower population. Dense populations tend to put a strain on the health care facilities available and thereby drive the cost up. Living in a suburban area can not only reduce the cost but also increase the quality of care
One of the most basic tips about insurance is quite simple: never, ever put yourself in a situation where you have no insurance at all. Even if it means paying extra to your former employer to stay on COBRA, you never want to be without health insurance. Too many contingencies could come up that would very quickly put you in a precarious situation. The same is true for auto insurance: never drive uninsured. It's against the law in many states, so it isn't just a bad idea; in many places it is actually a crime.
When considering a health care insurance plan from your employer, be sure to check if your prescriptions are still covered in the coming year. The supported brands and types of medication can vary from year to year. Also, always choose a generic brand if possible. Also be sure to see if there are any discounts such as having your prescriptions sent via mail.
Medical insurance is a must have today. With premiums so high, it can seem like it is impossible to get a good rate. It is not hard if you stay as healthy as possible and reduce your risks to serious injury and disease. The fewer pre-existing conditions that you have and quitting dangerous habits can lower what you will pay in total costs towards your medical insurance.
Before re-enrolling with your current health insurance company, check to see if their policies are changing. Some companies are increasing their rates, and if yours is, you will feel it when you re-enroll. Check around with other insurance companies to make sure you are still getting the best deal available.
It might sound a bit out of the box, but some people go to an insurance broker to find the best health insurance provider. Many brokers have a very large network at their fingertips, and they will try their best to get you the best deals and find read more you someone that fits all or most of your specifications.
Some states offer lower cost health insurance options if you meet certain income requirements. They are worth checking out if you're on a budget. These plans can be especially helpful for independent contractors who need to insure their family. Contact your local insurance agent, or even your local Social Services office, to find out more.
Don't sign anything without reading the fine print. If you find an affordable health insurance plan that works for you, get a full copy of everything before paying for it. Study the entire policy, keeping an eye out for any exceptions or clauses that may deny you coverage. If you don't take the time to do this, it may come back to haunt you in the future.
Understand the differences between a PPO policy and a HMO policy if you want to receive the best possible level of care with your health insurance. You not only have to think about what's best for you, but also what's best for your children - if they should happen to fall ill or suffer an accident.
When moving states, check with the state's insurance website to see what the rules are there and which companies are offering health insurance. You should also find out if the state offers a discount insurance option to low-income families, if you qualify. Don't forget to ask your current insurer if your coverage will go with you if you move!
If you have complicated health insurance needs, an insurance broker can be a huge help. He will seek out the best insurance policy to match what you require, explain the policy to you, and will always be available if you have a question or concern. He's being paid to help you, so he will keep your best interests in mind.
Now that you have reviewed the ideas from some insurance professionals, you should have enough information to locate the health insurance plan that is right for you. Whether you are seeking insurance for yourself or your family, there is a plan available to meet your needs that is both affordable and effective.
The Real Costs of Seeking Care for COVID-19 Vary Across and Within Major U.S. Cities
Castlight Health's COVID-19 Cost Analysis Finds Outpatient Evaluation Costs Vary Widely Depending on Severity of Symptoms, Geography, and Provider Type"While the test for COVID-19 may be made available at no cost, individuals seeking care for suspected COVID-19 may be faced with other significant out-of-pocket costs for that care. Sadly, those bills may be coming right as many Americans are losing their paychecks, creating real affordability of care issues," said Maeve O'Meara, CEO of Castlight Health. "Costs vary widely across cities in the U.S., within cities, and depending on the site of care. During this public health emergency, it is more important than ever that people have the tools they need to find high quality care in a timely and affordable manner."
Although the coronavirus relief measures signed by the President in the Families First Coronavirus Response Act have directed private health plans to waive the cost of the specific coronavirus test and visit associated with it, people who are symptomatic and seek care may be responsible for other costs required for an evaluation for COVID-19. These could include influenza testing, chest x-rays, and bacterial, viral, or blood culture tests. These costs can add up quickly, particularly for the 27.5 million people with no insurance or those who have high-deductible health plans and will pay for services out-of-pocket.
The severity of COVID-19 varies widely, from mild cough and fever, to chest pains and shortness of breath, which can drastically affect the necessary treatment, need for hospitalization, and associated costs.
Most notably, the analysis found that:
Within a given U.S. city, average prices vary greatly for patients exhibiting standard COVID-19 symptoms including fever, cough, and shortness of breath:
In Los Angeles, the cost for a primary care visit and standard lab testing ranges from $304 to $4447—roughly a 14-fold difference.
In Dallas, the cost for the same services ranges from $193 to $4308—a 22-fold difference.
Similarly, in Miami, these services range in cost from $354 to $5729—a 16-fold difference.
Costs also vary widely depending on the provider type or site of care:
Even without symptoms severe enough to warrant further imaging or lab testing, a visit to evaluate respiratory symptoms can cost someone living in the New York metro area an average of $79 for a telehealth visit, $235 for a primary care visit, $352 for an urgent care visit, and $2,321 for an ER visit.
In Miami, patients can expect costs for evaluating symptoms to average $79 for using telehealth as their entry point, $189 for visits through a primary care provider, $483 for visits through an urgent care provider, and $1,524 if they enter the system through the ER.
"During this incredibly stressful pandemic outbreak, it is critical that people have a clear understanding of the care they need, and how much that care is likely to cost," said Dena Bravata, MD, MS, Castlight Advisor and former Senior Scholar at the Stanford Center for Primary Care and Outcomes Research. "Castlight's COVID-19 Cost Analysis sheds light on the vastly different costs patients seeking care associated with COVID-19 will see depending on where they live, and where they choose to receive care."
Methodology
The primary source of data used for this analysis is a subset of 2.5 billion de-identified medical claims for primary care, urgent care, emergency room, lab tests, and x-ray supplemented with:
Provider directory data (e.g., which doctors provide which type of care).
Provider rate sheets.
Publicly available data.
The costs provided are for a member in their deductible phase seeing in-network providers. The ranges provided are for the 5th to the 95th percentile of costs in that metropolitan region.
The components of an evaluation for a patient seeking care associated with COVID-19 depend on their symptom severity and site of care. The procedures and services we included are:
Site of care: telehealth visit, primary care visit, urgent care visit, ER visit.
Care for moderate COVID-19 symptoms: initial cost of a provider visit, influenza test, sputum culture and sensitivity, blood culture and sensitivity, complete blood count, and comprehensive metabolic panel.
Care for severe COVID-19 symptoms: initial cost of a provider visit, all lab tests listed above, and a chest x-ray.
Click here to download the full report.
About Castlight Health
Castlight is on a mission to make it as easy as humanly possible for its users to navigate the healthcare system and live happier, healthier, more productive lives. Our health navigation platform connects hundreds of health vendors, benefits resources, and plan designs into one comprehensive health and wellbeing experience. We guide individuals—based on their unique profile—to the best resources available to them, whether they are healthy, chronically ill, or actively seeking medical care. Castlight transforms the employee benefit experience into a deeply personalized, yet simple, guided one, empowering better-informed patient decisions to unlock better healthcare outcomes and maximizing return on healthcare investments.
For more information visit www.castlighthealth.com. Follow us on Twitter and LinkedIn and Like us on Facebook.
https://edition.cnn.com/business/newsfeeds/prnewswire/202003200600PR_NEWS_USPR_____SF57329.html
https://docs.google.com/presentation/d/1epF3asROLV-VbQsc3q4D-KoTPNFSY6wW-ygZRY4xrAo/edit#slide=id.gb305dd1d5e_0_6