Health Care Reform Glitch
NY Times reported a interesting view on health care reform. They are reporting a glitch in the health care law. Under the Affordable Care Act, if an employee has access to group health benefits, then their dependents are not eligible for subsidies through the exchange. This is basically the short version of the argument. This aspect of the law have been interpreted by […]
Walgreen’s Back In the Anthem Network
Walgreen’s rejoins Anthems Network Anthem just announced that Express scripts and Walgreen’s have reached an agreement. Anthem members can use the Walgreen’s pharmacy as they will be considered a in network provider. Walgreen’s is a great provider of pharmacy benefit in the area. It is important to remember to check local pharmacies for the most competitive prices on medications. The large pharmacies can […]
Medical Loss Ratio for 6 Health Insurance Companies.
http://companyprofiles.healthcare.gov/ Healthcare.org has released the medical loss ratio for all health insurance companies operating in Indianapolis. It is interesting to see just how close the carrier are to the 80% or 85% loss ratio. With all of the tools the carriers use to keep cost down it is surprising that the loss ratios are not […]
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 […]
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 […]
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 […]
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 […]
