Welborn Health Plans Exit Indiana
Welborn Health Plans announced that they are exiting the health insurance market in Indiana. They had more than 30,000 members. It comes to no surprise why small health insurance providers pull of Indianapolis. Most of these small companies rent PPO networks. This means they have additional cost in the form of access […]
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 […]
Anthem and the Treatment of Autism
There have been some changes with Anthem and the treatment of Autism in the state of Indiana. If you or member of your family is receiving benefits for services for the treatment of Pervasive development Disorder (PDD) and are currently covered with Anthem there are big changes. This is based in part by the Law […]
What Doctors Think of the Affordable Care Act
What Doctors Think of the Affordable Care Act This document looks at how the Implementation of the affordable Care act will affect doctors. The introduction is a snap shot of the uncertainties with the new law. The law it’s self is 2,700 page and the Department of Health & Human Services has already issued […]
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 […]
Obesity Under The Health Care Law
The rate of obesity in our country has grown drastically and it affects everyone. Now under the U.S. health care reform law of 2010 employers are able charge obese workers 30 percent to 50 percent more for health insurance if they decline to participate in a qualified wellness program. There are proven statics […]
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 […]
Individual Long Term Care Market
Over the last three years, Unum , Guardian, MetLife, Allianz and now Prudential have all exited the Individual Long Term Care market. There looks to be a real possibility that this market will cease to exist. Insurance companies are unable to predict the long term cost of assisted living. They claim they are unable to […]
State Insurance Exchange Update
This map gives an idea where each state stands on setting up a health insurance exchange. The majority of states have taken grants to establish a state based exchange. The states have positions themselves to set up the insurance market. Some states have taken grants to research a stat based exchange. They are looking at […]