What does Marketplace insurance cover?

The Affordable Care Act (ACA) was signed into law on March 23, 2010. It is estimated that there are 47 million Americans that lack health care coverage and who could benefit from the health coverage’s that the ACA offers. American got the opportunity to enroll for insurance coverage through the Health Insurance Marketplace on October 1st. The enrollee’s policies will go into effect on January 1, 2014.

The purpose of this article is to point out the benefits that Marketplace insurance covers. Some of the changes have already gone into effect. For instance:

– Parents can now include their adult children on their insurance plans up to 26 years of age.

– If an individual gets sick, the insurance company cannot drop them from the plan or limit the amount of insurance coverage that they receive.

– In most cases pregnancy examinations will be free.

– Insurance companies that spend less than 80% of premiums on providing medical services have to issue refund checks to policy-holders if they spend it on advertising or executive salaries.

Under the ACA Marketplace insurance policies must now provide coverage for:

– Emergency services
– Laboratory services
– Maternity care
– Pediatric care
– Vision and dental care for children
– Preventative care
– Prescription drugs
– Outpatient or ambulatory care
– Hospitalizations
– Mental health and substance abuse treatment

In addition under the ACA marketplace insurance policies:

– Individuals can no longer be denied coverage because of pre-existing conditions.

Insured patients can no longer be dropped from coverage because they have exceeded annual or lifetime limits.

– Insured patients can no longer be dropped from coverage for making a mistake on their application.

Pet Insurance – Now a Necessity!

Once seen as an unnecessary expense to many has now become a reasonable purchase. Pet insurance was once seen as a way for companies to take advantage of peoples feelings and make them pay for something they don’t need. At one point in time insurance for your pet may have been unnecessary, however with the price of vet bills today pet insurance may be the answer. With today’s premiums pet insurance can cost around $4,000 over the lifetime of a pet. It is highly unlikely that you will need to pay this much for a pet’s health, but if you did have to, pet insurance would be a great asset to have. If you are the type of person who would do anything to save your pet even go into debt for them then purchasing a solid pet insurance plan could be essential.

New Treatments means bigger bills
With technology increasing at an alarmingly fast rate what was once reserved as treatment for humans is now used on pets. Science has come a long way in the last few years and terminal illnesses for your pets are now just one giant vet bill away from being taken care of.

Things to consider:

* Vets have access to increasingly sophisticated equipment. When equipment is sophisticated it is usually expensive which means higher bills for you the pet owner.

* The treatments that are available to pets now were once only available to humans. These treatments are not cheap and can cost more than $5,000 in some cases.

* With the increase in scientific research and technology vets have more tools at their hands and can treat a wider range of illnesses for your pet. This ability gives the vets the means to charge higher bills.

So if you are a person that would do anything for your pet, including declaring bankruptcy then perhaps looking into pet insurance is much more logical choice to keep your furry friend safe.

Reasons to Get Your Car Insurance Now

People nowadays are just crazy about speed and money. That’s all there is in their heads. While some people may be fighting bulls, other may be skydiving or climbing the world’s highest mountains, there are a lot of youngsters out there especially who just can’t get enough of speed and showing off their dad’s ride to their underage girlfriends. If you are one of those people then you definitely must apply for an affordable insurance as soon as possible or you might find yourself spending a lot of money on repairs and so.

It’s easy as 1-2-3

If you’re going for online free insurance quotes then you should not be getting too fizzy about it. If you are internet savvy then you can do these under 10 minutes guaranteed! This makes free insurance quotes very fast and accessible. One thing you should consider also is that if you are a student you will likely be paying more expensive premiums. That is because youngsters nowadays have different driving styles than their parents for example and they tend to be more impulsive behind the wheel and thus be more susceptible to car accidents.

Costs have just been completely shaved

When you are surfing for an affordable insurance don’t even think for a second that someone will be standing just around the corner reaching a hand towards you asking for money. This way of having your car insured is just some of the simplest and fastest ways to be at peace with yourself and you will never be asked for any supplementary costs.

If you thought that being alone is a good thing, then when it comes to insurance, it isn’t. If you are likely to be married, when compared to your un-married friends, living in worse neighborhoods (the place you live is also considered by the company) you will ultimately get some discounts, even if the place you will be living you will be better.

It’s a lightning fast process (consider your car model)

I, you, your wife and even your dog are pressed by time these days. Everyone is moving, everyone is hurrying to get from one place to another and thus a lost time is a lost profit. The fact that you can now go online and compare insurance quotes is a big bonus which will let you take the best decision.

Tips To Find Cheap Car Insurance Now

Do you want to find cheap car insurance? Imagine making big savings. In this article, we will look at how you can save big. Discover the hints and tips that will allow you to save the most, when you get your next car insurance!

There are many ways to find the best car insurance. For most people the best car insurance, is cheap car insurance! After all, you want this as a safety guard, which protects you.

Saving is possible, and the only way to save, is with research. Having options when it comes to getting cheap auto insurance quotes, is the best way to be able to get the best!

The first step to researching, is to find options through a few methods.

For example, you can go through auto magazines to find options, and you can look at billboards, where you can often find options.

The best option is to get as many auto insurance quotes as possible. The result is that you can find the best option, and it can make all the difference.

A great method to getting cheap car insurance, is to go online. There are many insurers with web sites now, and with all these options, you can be sure to save a lot of money.

All you then need to do, is to go through and select the best one!

Remember to enter same details, because selecting different options through the different car insurance companies, is something that won’t bring accurate prices that you can compare with.

How To Get Low Cost Health Insurance

For those who don’t know, health insurance is simply the coverage of medical claims of an individual, against the medical costs. Like many others you may not be able to afford an expensive insurance policy – but you can eliminate all the frills you don’t need and get the low cost health insurance you want and still be adequately covered. Health insurance, as with any kind of insurance today, whether individual, personal, business or family health insurance, is always a gamble. You’re gambling that you’ll take out more than you are paying in and your health insurance company is gambling they will pay out less.

You want to know what to look for in any type of good insurance. If you have always had a health insurance benefit where you’ve worked and especially if you were a state or federal employee and now find you have to buy your own, you may not be able to afford the level of coverage you used to have. Finding good low cost health insurance today is easier than most people think.

To start, shopping for free health insurance quotes online is the easiest and best way to find low cost health insurance coverage. If you have any permanent health problems, such as diabetes, or have had cancer at any time in your family history, your monthly cost could easily be more than your house and car payment combined, but there are many different good insurance plans available today in the US.

The cold hard facts are the older you get the more important your health insurance policy becomes; this isn’t to say that you should not be concerned about your insurance when you’re younger. In case your doctor decides that something is an absolute medical necessity and it’s not covered under your current policy, the insurance company may exercise its discretion in paying for it, but don’t hold your breath. Many report they were eventually covered yet many more people get turned down.

One of the best ways to find low cost insurance is to get free health insurance quotes online. You can generally get very fast quotes and you want to compare several companies, as they will all have different criteria. This will be the fastest way to find low cost insurance.

Most importantly, you want a health insurance provider or company that has a good track record for paying without fighting you on every little detail. Your local agents may only be able to offer what they have currently available and not be able to offer you what’s best for both your pocketbook and your health.

The death rate in any given year for someone without insurance is twenty-five per cent higher than for someone with insurance so you want to make sure you get the best coverage you can get at the lowest cost as soon as possible. Heart-attack victims who don’t have insurance are less likely to be able to get angioplasty, which is often the treatment of choice. People who have pneumonia who don’t have insurance are less likely to receive initial or follow-up x-rays or necessary consultations.

In general because people who are uninsured are sicker than the rest of us because they can’t afford proper medical care, they can’t get better jobs, and because they can’t get better jobs they can’t afford insurance, and because they can’t afford insurance they get even sicker.

Although it does increase your risk, one way to lower your insurance costs is to set a higher deductible; if you’re in good health you’ll like come out ahead, barring an unforeseen event such as an accident, etc. Keeping yourself in better health will help you with less health insurance claims. All the insurance companies have to be very competitive because it’s so quick and easy to compare them with the other competing companies online.

Children without any insurance are less likely to receive proper medical attention for serious injuries, for recurrent ear infections, or for asthma for example and you want to avoid having to face a $100,000 open heart surgery without having any insurance.

So taking out insurance with higher deductibles and spending a little time online comparing at least five or more companies will make it more likely that you’ll find the best low cost insurance. There are many different health plans so make sure you get an understanding of all the low cost health insurance policies that are available from each company. Cheap or low cost insurance does mean a lower price and in some cases lower quality, but the price may be more important to some than the quality of the health plan. You don’t want to pay for more than you need but you want to consider any possible future health events you might encounter too.

Finding good, hopefully cheap, low cost insurance without giving up quality does not simply mean looking for the lowest premium but it means fully understanding all of the costs that will be involved in your policy. And finding the best health insurance is easy to do online, whether you’re shopping for long-term or short term health insurance from California, Texas or Florida.

With the rise of medical insurance costs today, most people look for low cost health insurance premiums that will ensure quality medical attention at the time of need, but at a price they can simply afford. Make sure to keep in mind that with low cost insurance options, you’ll need to compromise somewhat on the variety of services covered. Proceed surely but carefully.

Be Prepared – Get Auto Insurance Now

No matter how safe a driver thinks he is, he can still meet an accident on the road any time in Provo or elsewhere. Mishaps, after all, do not exempt anyone. Even if someone is very cautious behind the wheel, other motorists are not and they can cause an accident that may affect him.

Aside from being a very defensive driver, the best way to prevent bigger damages resulting from a vehicular accident is to get a Provo auto insurance. If he cannot totally avoid a mishap, he must be financially prepared by getting a car insurance coverage. He should get one from the leading insurance provider in Provo, Utah. This is the Bear River Insurance.

Bear River Insurance can guarantee one the urgent service he may need after an accident on the road. It is the most financially stable insurance provider in Provo. It has been in the business for three decades and it can still certainly last longer with its fiscal stability.

This firm offers a variety of coverage for someone and his car. However, if one wants total guarantee that all his cash needs be met after an accident, getting a comprehensive coverage is the best. This will shoulder expenses not just for medical bills but also for the damages on your car. Provo auto insurance agents can explain this best.

A comprehensive coverage is not limited to collisions only. One can still make claims if the causes of the damages are natural disasters and theft. Therefore, with this type of coverage, one will certainly feel more secure with his car. The premiums might be an additional burden to your budget but the security is worth it.

Bear River Insurance will be very glad to credit someone with some deductions on his premiums if he is found to be a very safe and responsible driver. They also get assured with these types of drivers, knowing that they will not be releasing money too often for accidents caused by their client.

One can even pull down the rates further if he wants. If he can just limit the mileage by driving just within the vicinity of Provo, then he may be entitled with cuts on the premium. The logic is that the more seldom one drives, the lesser the chances of a vehicular accident.

The importance of having Provo auto insurance is something that has been embedded in the minds of Provo motorists. However, they seem not to make too much fuss in choosing which the best coverage is. Although there are other providers, they seem to be one in saying that Bear River is the best option, a fact proven by its many satisfied insurance holders.

So You Need Health Insurance – Now What?

An incredible amount of layoffs and other factors have contributed greatly to the ever increasing number of individuals without adequate health insurance. There are more consumers seeking to retain health coverage now than ever before, but it’s not quite as easy to find as other types of insurance. There are several major differences between the processes of shopping for a health policy and shopping for auto, home, or life insurance.

Unlike the other types of insurance, many health insurance policies are not purchased locally and it is often difficult to find an agent that is sufficiently knowledgeable. Most health companies have widely varying limits, co-pays, and deductibles. As a result, it is often entirely too much information for an agent to familiarize themselves with. Most agents will simply look up each policy, which is exactly what a consumer can do without the waiting by comparing health insurance quotes online.

Another major difference between most insurance policies and health coverage is that additional research is often required on the consumer’s part. Although deductibles and co-pays may be easy to compare, it is also necessary to determine whether an individual’s doctors will accept the insurance. Nothing is more frustrating than finding an affordable policy only to discover that there are no local providers in a certain geographic area. It is also helpful to find out what specialists are commonly referred to, and then inquire as to whether they will accept the health insurance as well.

Most health insurance companies offer several different policies with certain options and programs that can normally be customized to meet the needs of the consumer and their family. Prospective clients are often advised to check with more than one insurer and the result can be a very tedious and arduous task. However, using an online quote comparison site can allow a user to receive multiple quotes and easily select the best coverage without further delay.

Shopping for health insurance is not a process that should be taken lightly, but it also is nothing to worry about. Contacting local insurance companies and requesting coverage information may be frustrating, but it actually is not necessary if a consumer uses an online quote service. Many individuals are uninsured and believe that they are forced to remain so because of cost considerations and affordability. The fact of the matter is that there are a wide variety of programs available and that nobody should simply accept that securing the most appropriate health insurance is difficult.

Health Savings Accounts – An American Innovation in Health Insurance

INTRODUCTON – The term “health insurance” is commonly used in the United States to describe any program that helps pay for medical expenses, whether through privately purchased insurance, social insurance or a non-insurance social welfare program funded by the government. Synonyms for this usage include “health coverage,” “health care coverage” and “health benefits” and “medical insurance.” In a more technical sense, the term is used to describe any form of insurance that provides protection against injury or illness.

In America, the health insurance industry has changed rapidly during the last few decades. In the 1970′s most people who had health insurance had indemnity insurance. Indemnity insurance is often called fee-forservice. It is the traditional health insurance in which the medical provider (usually a doctor or hospital) is paid a fee for each service provided to the patient covered under the policy. An important category associated with the indemnity plans is that of consumer driven health care (CDHC). Consumer-directed health plans allow individuals and families to have greater control over their health care, including when and how they access care, what types of care they receive and how much they spend on health care services.

These plans are however associated with higher deductibles that the insured have to pay from their pocket before they can claim insurance money. Consumer driven health care plans include Health Reimbursement Plans (HRAs), Flexible Spending Accounts (FSAs), high deductible health plans (HDHps), Archer Medical Savings Accounts (MSAs) and Health Savings Accounts (HSAs). Of these, the Health Savings Accounts are the most recent and they have witnessed rapid growth during the last decade.


A Health Savings Account (HSA) is a tax-advantaged medical savings account available to taxpayers in the United States. The funds contributed to the account are not subject to federal income tax at the time of deposit. These may be used to pay for qualified medical expenses at any time without federal tax liability.

Another feature is that the funds contributed to Health Savings Account roll over and accumulate year over year if not spent. These can be withdrawn by the employees at the time of retirement without any tax liabilities. Withdrawals for qualified expenses and interest earned are also not subject to federal income taxes. According to the U.S. Treasury Office, ‘A Health Savings Account is an alternative to traditional health insurance; it is a savings product that offers a different way for consumers to pay for their health care.

HSA’s enable you to pay for current health expenses and save for future qualified medical and retiree health expenses on a tax-free basis.’ Thus the Health Savings Account is an effort to increase the efficiency of the American health care system and to encourage people to be more responsible and prudent towards their health care needs. It falls in the category of consumer driven health care plans.

All About Affordable Health Insurance Plans

While consumers search for affordable health insurance, they have price in their mind as the top priority. A general conception among the consumers is that cheap health plans should not be costly-the cheapest health plan available in the market is their target. However, this approach is not good. Sometimes, paying for a cheap health insurance plan but still not getting the required level of coverage results only in wastage of money.

With the implementation of the affordable care act, the reach of affordable health plans is set to increase. Or at least, this is what is believed to be the objective of healthcare reforms. However, lots of consumers are still in confusion about how things would work. In this article, we will discuss some detailed options that consumers can try while looking to buy affordable health plans.

To get a hand on affordable health insurance plans, consumers need to take of certain things. First among them is about knowing the options in the particular state of the residence. There are lots of state and federal government-run programs that could be suitable for consumers. Knowing the options is pretty important. Next would be to understand the terms and conditions of all the programs and check the eligibility criteria for each one of them. Further, consumers should know their rights after the implementation of healthcare reforms, and something within a few days, they may qualify for a particular program or could be allowed to avail a particular health insurance plan. If consumers take care of these steps, there is no reason why consumers can’t land on an affordable health plan that could cater to the medical care needs.

Let’s discuss some options related to affordable health insurance plans state-wise:

State-run affordable health insurance programs in California

While considering California, there are three affordable health insurance plans that are run by the state government. Consumers can surely get benefitted by these if they are eligible for the benefits.

• Major Risk Medical Insurance Program (MRMIP)

This program is a very handy one offering limited health benefits to California residents. If consumers are unable to purchase health plans due to a preexisting medical condition, they can see if they qualify for this program and get benefits.

• Healthy Families Program

Healthy Families Program offers Californians with low cost health, dental, and vision coverage. This is mainly geared to children whose parents earn too much to qualify for public assistance. This program is administered by MRMIP.

• Access for Infants and Mothers Program (AIM)

Access for Infants and Mothers Program provides prenatal and preventive care for pregnant women having low income in California. It is administered by a five-person board that has established a comprehensive benefits package that includes both inpatient and outpatient care for program enrollees.

Some facts about affordable health insurance in Florida

While talking about affordable health insurance options in Florida, consumers can think about below mentioned options:

• Floridians who lost employer’s group health insurance may qualify for COBRA continuation coverage in Florida. At the same time, Floridians, who lost group health insurance due to involuntary termination of employment occurring between September 1, 2008 and December 31, 2009 may qualify for a federal tax credit. This credit helps in paying COBRA or state continuation coverage premiums for up to nine months.

• Floridians who had been uninsured for 6 months may be eligible to buy a limited health benefit plan through Cover Florida.

• Florida Medicaid program can be tried by Floridians having low or modest household income. Through this program, pregnant women, families with children, medically needy, elderly, and disabled individuals may get help.

• Florida KidCare program can help the Floridian children under the age of 19 years and not eligible for Medicaid and currently uninsured or underinsured.

• A federal tax credit to help pay for new health coverage to Floridians who lost their health coverage but are receiving benefits from the Trade Adjustment Assistance (TAA) Program. This credit is called the Health Coverage Tax Credit (HCTC). At the same time, Floridians who are retirees and are aged 55-65 and are receiving pension benefits from Pension Benefit Guarantee Corporation (PBGC), may qualify for the HCTC.

Some facts about affordable health insurance in Virginia

While talking about affordable health insurance options in Virginia, consumers need to consider their rights:

• Virginians who lost their employer’s group health insurance may apply for COBRA or state continuation coverage in Virginia.

• Virginians must note that they have the right to buy individual health plans from either Anthem Blue Cross Blue Shield or CareFirst Blue Cross Blue Shield.

• Virginia Medicaid program helps Virginians having low or modest household income may qualify for free or subsidized health coverage. Through this program, pregnant women, families with children, and elderly and disabled individuals are helped.

• Family Access to Medical Insurance Security (FAMIS) helps Virginian children under the age of 18 years having no health insurance.

• In Virginia, the Every Woman’s Life Program offers free breast and cervical cancer screening. Through this program, if women are diagnosed with cancer, they may be eligible for treatment through the Virginia Medicaid Program.

Some facts about affordable health insurance in Texas

While talking about affordable health insurance options in Texas, consumers need to consider their rights:

• Texans who have group insurance in Texas cannot be denied or limited in terms of coverage, nor can be required to pay more, because of the health status. Further, Texans having group health insurance can’t have exclusion of pre-existing conditions.

• In Texas, insurers cannot drop Texans off coverage when they get sick. At the same time, Texans who lost their group health insurance but are HIPAA eligible may apply for COBRA or state continuation coverage in Texas.

• Texas Medicaid program helps Texans having low or modest household income may qualify for free or subsidized health coverage. Through this program, pregnant women, families with children, elderly and disabled individuals are helped. At the same time, if a woman is diagnosed with breast or cervical cancer, she may be eligible for medical care through Medicaid.

• The Texas Children’s Health Insurance Program (CHIP) offers subsidized health coverage for certain uninsured children. Further children in Texas can stay in their parent’s health insurance policy as dependents till the age of 26 years. This clause has been implemented by the healthcare reforms.

• The Texas Breast and Cervical Cancer Control program offers free cancer screening for qualified residents. If a woman is diagnosed with breast or cervical cancer through this program, she may qualify for medical care through Medicaid.

Like this, consumers need to consider state-wise options when they search for affordable health coverage. It goes without saying that shopping around and getting oneself well-equipped with necessary information is pretty much important to make sure consumers have the right kind of health plans.

The Pros and Cons of Group Health Insurance

The health insurance marketplace is certainly challenging, but count your lucky stars that at least you have choices. To that end, this article is going to explore the pros and cons of group health insurance.

Group Health Insurance Pros

Group health premiums are subsidized by the employer. Generally, an employer must contribute at least 50% of the “employee only” premium. As such, if you are the employee, you can likely get a richer health plan for less premium than you would pay in the individual health marketplace. However, the cost to add your dependents to the employer’s plan, may be cost prohibitive. In this case, and assuming that your dependents can qualify, then you may want to put them on an individual health plan.
Group health premiums for large families are the same as for small families; whereas in the individual market, you pay a separate premium for every family member. So, if you have a large family, you may be able to get a better deal by adding them to your employer’s plan. As with any insurance change though, don’t make any changes without consulting with an experienced insurance advisor in your state.
Group health insurance in most states is guaranteed issue – meaning that you can’t be turned down because of pre-existing health conditions. This is a real blessing if you or a family member has a medical condition that prevents you from qualifying for a individual plan. But, this is a double-edged sword. While being guaranteed issue is a huge benefit for those with pre-existing medical conditions, it does come at a price. This one feature alone accounts for most of the disparity between group and individual insurance premiums. Yes, that is right – in most states, individual health premiums are almost always less expensive than group health premiums.
Most group plans cover maternity. So, if you are planning on having more children, you should definitely consider hopping on to a group plan. While you can add a “maternity rider” to individual plans, these riders tend to be expensive, restrictive, and otherwise provide less value than the coverage you can get in a group health plan. That being said, if you are considering having more children, we recommend that you contact a health insurance advisor in your state for advice about what is best for your family. The right answer is different for each unique family.
Economies of scale can benefit employees of large employers. It is true that the larger the group, the larger the risk pool is in which to share the risk which CAN result in lower premiums than are available in the individual health market. However, the guaranteed issue “issue” CAN wreak havoc on this type of plan. For example, a large employer with good benefits tends to retain employees for long periods of time. Eventually, the average age of the group starts to creep up and so do premiums. In addition, people with large medical needs (expensive medical conditions) tend to be attracted to large plans because they are guaranteed issue with good coverage. And so, over time, not only is the group’s average age increasing, but the group is also attracting employees with large expected health costs. This is the dilemma that we see with large health plans like the U.S. auto-makers and even government plans. Eventually, those with lots of medical needs begin to outnumber those with little or no needs and so premiums are driven higher and higher.

Group Health Insurance Cons

Group health insurance can be more expensive than individual health insurance. ln fact, if you don’t factor in the employer’s contribution towards premiums, then individual plans are almost always more affordable than group plans. However, as we discussed earlier, not every one can qualify for an individual plan.
What happens if your employment is terminated (by you or your employer)? Yes, you will likely have some benefit continuation rights (through COBRA or state continuation programs), but these benefits can be very expensive and the term limited. So, eventually, you either have to secure another job with benefits, an individual health plan (assuming you are insurable), or possibly join a government health insurance program for the uninsured (if you are not insurable). Let me emphasize, that you should NEVER be without some form of major medical health insurance. Being without this insurance puts you and your family in serious financial jeopardy. In fact, a recent Harvard University study found that 50 percent of all bankruptcy filings were partly the result of medical expenses.¹ To the same point, every 30 seconds in the United States, someone files for bankruptcy in the aftermath of a serious health problem. Don’t let this happen to you.
Group health insurance premiums are rising faster than individual health insurance premiums. Why? Because most group plans are guaranteed issue and since they accept “all comers”, they tend to attract those with high medical costs. On the other hand, most individual health insurance plans are medically underwritten. This means that the insurance company can say “no thanks” to any application that it deems to not be in its interest. Put yourself in their shoes – would sign a contract to provide $30,000 in annual benefits to someone that was only going to pay $3,000 in premiums (for a net loss of $27,000) if you didn’t have to? Hmm…let me me think about that one. The answer is a resounding “NO!”. Because of this underwriting process for individual health insurance, insurance companies can control their risk and more effectively manage their profitability, resulting in more stable prices.

As you can see, there is no clear cut answer as to which type of insurance is the best. The answer depends on a number of factors and is different for every unique situation. The best advice I can give you as you consider your health insurance options — get good advice from an experienced health insurance advisor.