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online health insurance quote glossary

 

Question: What is open enrollment and why is it of importance?

Answer: Typically, job providers set aside an open enrollment window for employees to go over, compare and choose from the health services offered by the company. In most cases, open enrollment comes once a year, so it's important to take advantage of this time period to comparison-shop and ask your benefits administrator about specific questions you may have about coverage. Separately, life-changing events – like the birth of a child or loss of a loved one – may qualify you to make changes outside of the open enrollment window. Learn more about changing your insurance plans.

Q: Will I have to select a new doctor during open enrollment? And what if my employer has switched insurance carriers?

A: During open enrollment, you can compare health plans and make changes to your coverage. If you stay with your current insurance carrier, it's not likely that you'll be required to select new physicians – unless your provider is dropped from the policies network, retires, etc. Should you elect a new health insurance carrier – or your employer discontinues its previous plan – you may have to do some research. In any case, you'll want to double-check whether your physician falls in the programs provider network. Follow these pointers in choosing a doctor.

Q: What should I look for in a plan?

A: Good question. A health insurance plan generally offers coverage for a mix of health care services ranging from traditional medical (e.g., office visits and hospital/emergency room treatment) and preventive care to rehabilitation and alternative or complementary medicine. The key is knowing the total amount you can expect to spend for care. A medical insurance broker may be able to offer money-saving tips.

Q: How do I evaluate prescription drug coverage? How do I find out if a particular prescription is covered?

A: It's important to understand your insurer's prescription drug benefits before you purchase your medication. You may pay by using in-network pharmacies, asking for generic drugs or using mail-order services that deliver to your door. Keep these prescription drug facts in mind.

Question: Are dental benefits included in my coverage?

Answer: Don't assume that your medical insurance includes dental, vision, mental health or other services at the same level – or at all – until you review the fine print in your health policies. If your coverage does not look adequate for your family's needs, you may need to consider supplemental insurance. A supplemental health plan may offer you some limited benefits to complement your primary services.

Question: What are deductibles and co-pays? How do they work?

Answer: insurance deductibles and co-pays are out-of-pocket expenses for which you're generally responsible. For a listing of common expenses, review our health expense chart. You can, however, take steps to limit your costs with a tax-free account for future expenses.

Q: I have a pre-existing condition. Can I get insurance coverage? How will my pre-existing conditions impact my policies and rates?

A: As you apply for medical insurance – even an employer's group plans – keep in mind that pre-existing conditions may lead to higher premiums and, in some states, denial of coverage. Here's what you need to know about pre-existing conditions and insurance premiums.

Question: Will my doctor accept this plan? How do I make sure my doctor is in a specific insurance plans network? What does it mean to be in-network or out-of-network?

Answer: An out-of-network provider is not in your insurance company's preferred network. You may be required to pay your physician at the time of service and file a claim with your insurance company separately for reimbursement. In the end, consumers typically pay more for out-of-network services. Consult with your benefits administrator, review your policies provider network booklet or website, or double-check with your provider for network status. If your plan has changed and you're shopping for a provider, search by specialty, condition, treatment or procedure.

Question: How do I know if a particular service or procedure is covered by my insurance?

A: Your benefits administrator or insurance carrier should be able to give you a complete breakdown of coverage for office visits, diagnostics and testing, emergency care and a host of other services. Not satisfied with your plan? Get a medical insurance quote from another carrier or consult with a insurance broker to find the best health insurance plan for your needs.

Question: What is COBRA?

Answer:COBRA is a law that may offer you some protections – and extend your health care coverage – if you lose your job or a spouse's medical insurance benefits. Find out about COBRA qualifications and costs.

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Urgent Action Necessary to Stop Health Insurance Corporation Greed โ€“ Insurance News Net

07/25/10 6:00 pm

WASHINGTON, July 2 — Sen. Dianne Feinstein, D-Calif., issued the following column: Once again, a major health insurance company has been forced to rescind plans for double-digit rate hikes on California consumers after …never miss a day, thanks for the blog

Family health insurance (Part 2) โ€“ Jamaica Gleaner

07/25/10 6:00 pm

Question: What type of health insurance would be suitable for a young man who is about to join the army? I have bad eyesight and know that it is gradually going to get worse as I get older. Also, a member of …check out our ads below, they maybe of interest.

GuidedCare improves much including cost of health insurance โ€“ eMaxHealth.com

07/25/10 6:00 pm

GuidedCare, a program for older chronically ill patients, has been studied again; this time physician satisfaction with communications to patients and families was the focus. Physicians in this study reported an increase …I like this:)

Program Focuses On Athletes And Health Insurance โ€“ News 4

07/25/10 6:00 pm

Coaches across Colorado are helping enroll more children in the state program to provide health insurance and health care. The Centers for Medicare and Medicaid Services kicked off a new campaign at The Children’s …so interesting

Ohioans can apply to health insurance pool Aug. 1 โ€“ wnewsj.com

07/25/10 6:00 pm

COLUMBUS (AP) รขโ‚ฌโ€ Ohioans with pre-existing health conditions, such as cancer or diabetes, can apply for coverage under a new high-risk insurance pool beginning Aug. 1, state officials said Thursday. The insurance pool …this is so true

Find Brilliant Aetna family health insurance plans โ€“ PRLog (free press release)

07/25/10 6:00 pm

PRLog (Press Release) รขโ‚ฌโ€œ Jul 25, 2010 รขโ‚ฌโ€œ There are numerous products of the Aetna family health insurance from quite sometime now. This health insurance offers various benefits and the policies through the employers in …never miss a day, thanks for the blog

Michigan Challenge To Health Law Begins

07/25/10 6:00 pm

The Detroit News: On Wednesday, “[a] federal judge heard arguments [in the] lawsuit that is being watched nationwide for its challenge of congressional authority to reform health care in a way that would penalize citizens who fail to obtain their own health insurance.” The attorney for one plaintiff, The Thomas More Law Center, a group [...]

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