Medical Loss Ratio for Health Insurance

  Rebate checks are starting to be delivered to both group and Individuals. The rebate check is a direct results of the Affordable Car Act. Medical Loss Ratio Information‐‐The Affordable Care Act requires health insurers in the individual and small group markets to spend at least 80 percent  of the premiums they receive on health care […]

Patient Protection and Affordable Care Act Upheld

  The Patient Protection and Affordable Care Act, has been upheld by the Supreme Court. The law will stay intact as it is. In 2014 we will see the full effect of the law and the true impact on every US Citizen.  The Individual and small group health insurance markets will have the big change. […]

Health Care Law Not Living Up to Sales Pitch

  In Indianapolis, the health care law will have a huge impact on Hoosiers health insurance along with the rest of the country. Thursday the Supreme Court is expected to rule on the health care reform law. Many residents are questioning the true impact of the health care. A famous quote was “We have to […]

The Insurance Industry could still survive with No mandate.

The Supreme Court’s ruling should be out very soon on the Affordable Care Act.  If they overturn the individual mandate, you will hear terms like death spiral & adverse selection. A death spiral is where the healthy people leave the insurance market and there are only sick people left. This would increase premiums and the Insurance […]

Wining A Individual Health Insurance Appeal

    The individual health insurance industry can still decline coverage. These declines come from ongoing health conditions.  The insurance companies are very conservative at this time. If you are declined coverage you have the option to appeal their decision. During appeal process, medical records will be order from all of your doctors.  These medical records […]

Health Insurance Rebates

  A rule created by the 2010 health care law will rebate about $1.3 Billion in health insurance premiums, according to estimates from Kaiser Family Foundation. The rule known as the Medical Loss Ratio (MLR), mandates that health insurance companies spend 80% of all premiums on health care. The rebates will arrive to Indiana resident […]

Individual Health Insurance and Medical Records

Local residents are still faced with challenges when it comes to purchasing an Individual or family policy. One of the biggest challenges is with underwriting.  Currently you still can be declined coverage due to ongoing health condition or what is in your doctors a record. Most people have very little knowledge what your doctors attending physician […]

Health Insurance under the Health Care Reform

The department of health and Human Services released guidance on two key components that will affect the level of protection a private insurance policy will provide under health care reform. 1st  Involves the services the insurance policy must cover 2nd  Involves how much the insured must pay for out of pocket services. The services that […]

Federal High Risk Pool

The current administration reported the federal High-Risk medical plan, is expected to more than double the initial predictions of the Obama administration. The Health Care law set aside $5 billion for the Pre-Existing Condition Insurance Plan  (pcip.gov) plan.  If you were denied coverage in the individual market and had been without coverage for 6 months you were […]

The Changing Role of Insurance Brokers

The insurance landscape is changing. But the shifts won’t just affect consumers – brokers are also looking at an alteration in the way they currently do business. The new healthcare reform law requires states to create insurance exchanges so people not covered by an employer plan can shop for affordable coverage. Some industry analysts believe […]