Health Reimbursement Arrangements (HRA) and Individual Health Coverage 2

If you work or own a small business, you may be familiar with using HRA’s to help reimburse employees for individual health insurance. This strategy has been around for over a decade and has always been controversial under the tax code. Small businesses that have struggled with group health insurance costs and participation requirements have …

Are you looking for COVID-19 testing?

Indiana residents seeking COVID-testing can find testing locations by visiting www.coronavirus.in.gov.  The Indiana State Dept of Health has partnered with OptumServ to provide testing to anyone seeking a test across Indiana. You will need to register before testing at https://lhi.care/covidtesting or call 888-634-1116. How much will the test cost?   Nothing. What if I receive a …

No Surprises “Balance Billing” Act

Congress has bipartisan support on stopping or limiting surprise medical billing if a patient receives care from a non-network provider that provider will “balance bill” the patient which create surprise medical billing.  Balance billing is happening all over the country, including Indiana.  The patient usually in an emergency receive medical services from a provider that …

Indiana Healthcare Providers Charge 3x the Medicare Rate

There was a study conducted by the Rand Corp that examined payments rates by private health insurers in 25 states and Indiana was one of them.  The purpose of the study was exposing what health care providers charge compared to Medicare. The study determined the dramatic difference in the cost of health care cost across …

Small group mid-market renewals released

All the Jan 1st Small Group Health Insurance Indiana and mid-market renewals have been released by the insurance carriers.   Small Group Health Insurance Indiana with less than 50 Employees: The two main carriers for central Indiana and the surrounding area are UnitedHealthcare and Anthem. There are few areas that have other carrier presences in …

Jan. 1st 2019 Small Group Rates Delayed

Small Group Rates Delayed  Every year the health insurance companies of Indiana have to submit their rates and plan designs for approval through the Indiana Department of Insurance. In the past, this filing would be submitted for review and approval in the month of May.  The filing for 2019 small group fully insured policies was …

Trump Admin. Releases Final Rule on Short-Term Health Insurance

Short Term Health Insurance Final Rule 36 months of coverage Short-term health insurance is a policy that is very similar to pre-affordable care act coverage.  The plan does not cover preexisting conditions and requires underwriting.  If your accepted, the cost is 50%-60% less than an ACA product. These plans are also using traditional PPO networks, …

2019 Individual Health Insurance for Indiana

The remaining two individual health insurance companies participating in the Indiana market have filed their rate for 2019. We now have two insurance companies offering personal health in 2019. CareSource and Celtic Insurance Company aka AM Better The good news is these two companies have decided to continue to offer individual health insurance coverage to …

Failure of the ACA Risk Corridors

A federal appeals court ruled that the federal government is not obligated to make risk corridor payments. Risk Corridors has become one of the major flaws with the Affordable Care Act law. Risk Corridor: Risk Corridor is to limits health insurance companies on profits and losses. By redistributing dollars from insurance companies with lower-risk members …