Essential Health Benefits
These Treatments will no longer have annual or life time limits Alcoholism- Related Services Ambulance Services Asthma Education Bariatric Surgery Diagnostic Services Durable Medical Equipment Enteral Formula/Modified Low Protein Food Products Hospice Infusion Therapy Kidney Disease Treatment Mental Health Ostomy Supplies Pharmacy Physician Office visit (Diagnostic Services) Preventive Care Services Prosthetic Devices/Limbs Transplant Services Treatment […]
Anthem Suspends Child Only Plans
Anthem Blue Cross and Blue Shield Individual Business to Suspend Child-Only Coverage Effective 9/23/10 Anthem Blue Cross and Blue Shield is committed to offering a broad range of products and services that meet customer needs in the changing health insurance market, and to implementing the new health care reform legislation in a way that benefits […]
Census Bureau Figures Indicate Record Number Of Americans Uninsured
The Census Bureau reported “the number of people with health insurance fell to 253.6 million in 2009 from 255.1 million in 2008, the first year that the number of people with health insurance has decreased since 1987, when the government started collecting comparable data. The number of uninsured rose to 50.7 million from 46.3 million […]
Anthem’s Disease Management for Indiana Small Group
Anthem recently launched Wellness 360. This site is to help members control and better understand their health care. There are a multiple of programs that can help with lifestyle changes and disease management. By using these programs you could reduce your health care spending by half and have a much clearer picture of your health. […]
Indiana Individual Policy Increase as of Sept. 23rd
As a result of the health care reform Individual health premiums are going up. As of Sept. 23rd we will see rate increases from anywhere of 20%-54%. This is a direct result of Health Care Reform. Under health care reform all policy will have to cover “Essential Benefits”. The Essential Benefits will have no annual […]
Indiana Individual Health Plan Black Out On Sept. 23rd 2010
With Sept. 23rd right around the corner health plans are ordered by law to cover certain aspect of reform. There is real uncertainty in the carrier market. We have already seen an exodus of stand alone children policies being offered. The only carrier offer standalone children’s plan is Anthem. There is a chance that they too […]
Open Enrollment for Kids Only Policies
Under the health care reform all children under 19 can not be declined or pre x on a health plan. Everyone in the industry had major concerns over this issue. One of the big concerns was parents would wait until the child had a health care crisis and then enroll them on the plan. It […]
Update on the NAIC’s Role in PPACA Implementation
The medical loss ratio (MLR) is the most important aspect of healthcare reform. This interpretation of this law is going to determine if the private industry stays in business. The one positive thing is the NAIC is in charge of interpreting the MLR. The National Association of Insurance Commissioners was charged by Congress with considerable […]
Avg Group Health Plan in Indiana
This is a interesting view of plan designs. The specific breakdown of industry and co pays is really interesting. According to the data, transportation and financial services employees are paying more for office visit copays than those employees in the manufacturing, services and wholesale industries. Based on recent 2010 data from Highroads, an industry leader in […]
HHS Releases Final Interim Guidance on Several PPACA Provisions
HHS Releases Final Interim Guidance on Several PPACA Provisions On June 22, 2010, the Departments of Health & Human Services, Labor, and Treasury issued new regulations that better define the following PPACA provisions: No Pre-Existing Condition Exclusions for Anyone Under Age 19 No Arbitrary Rescissions of Insurance Coverage No Lifetime Dollar Limits on Coverage […]
