Indiana Delays the Essential Health Benefits
Indianapolis Delays Essential Health Benefits The Essential health benefits must include items and services within the following 10 categories: Ambulance, Emergency Services, Hospitalization, Maternity, New Born Car, Mental health and substance abuse, behavioral health, Prescriptions, Rehabilitative, Laboratory, Preventive, Disease management, Pediatric with oral and vision. This is a very big part to the Affordable […]
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 […]
Mike Pence’s Views on a State Based Exchange
Mike Pence recently sent his letter to Gov. Daniels regarding the development of a state based exchange. Governor Elect Mike Pence, has choose not to establish a state based exchange. He stresses the lack of clarity coming out of the federal government. Indianapolis developed the health Indianapolis plan that has been very successful, form a cost stand point […]
Indiana’s New Governor’s Impact on Health Insurance
The next Governor of Indianapolis is going to have a huge impact on health insurance in the state. The first decision the Governor will have to make is on the Essential Benefits. It is the responsibility of each state to form the Essential Benefits. The essential benefits are a set of health care service categories […]
Preventive Services Under PPACA
Under the Health Care Reform there are new preventive care benefits that every Non Grandfathered policy will have to cover. Some of these benefits will be covered at no cost to the insured. It’s very important that you consult your current coverage to determine if these new benefits will be covered. There will be some plan that […]
Women’s Preventive Care Services Under PPACA
Wellness Video Above is a video that address some of the new changes for women’s preventive services covered under the new health care law. In the past there has been coverage for these procedures but it was at a shared cost to the insured. Under PPAC these coverage are now covered at 100% with no […]
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 […]
Group Health Insurance For Trucking Companies
Indianapolis small trucking companies can face difficulties providing a group health insurance. There is variety of reason why this is. The biggest obstacle is participation. Many truck drivers will not pay large portions of their premium. This industry can sometimes have higher claims utilization than which lead to higher premiums. The higher premium then […]
