Understanding the Open Enrollment Period of the ACA

Posted on: Thursday, January 9, 2014  Comments (0)

The Affordable Care Act is officially in effect, and the clock is now ticking down to the end of its first Open Enrollment period. If you do not have health insurance coverage, or wish to change your existing coverage, then you have until March 31st to sign up through the Health Insurance Marketplace. The next Open Enrollment period is scheduled for October 15th to December 7th. 

Psychiatrists and Health Insurance

Posted on: Wednesday, January 8, 2014  Comments (0)

Mental illness and its treatment unfortunately still carry a stigma in many quarters of our society. With so much news focusing on calls for better observation and treatment of mental disorders, it may have surprised many when a recent study revealed that barely 50% of all office-based psychiatrists accepted any form of health insurance compared with physicians in other specialized fields. On December 10, Vice President Joe Biden announced new initiatives to increase access to mental health services with $100 million in government funding. Still, many observers wonder why this problem is so prevalent.

Why Some Health Insurance Plans Were Dropped

Posted on: Wednesday, November 20, 2013  Comments (0)

 With just over a month to go before the Affordable Care Act is fully implemented, many people are finding that their plans have been dropped.  Even those whose plans were "grandfathered" in are being affected.  How did this happen and what does the government plan to do to rectify this situation?  

The Facts about Supplemental Health Insurance Products

Posted on: Thursday, November 14, 2013  Comments (0)

Health insurance policies are designed to to help you and your loved ones cover medical costs in the event of an emergency.  Some costs, however, might be considered as non-medical and therefore might not be covered by your policy.  This is why having a supplemental insurance policy is vital for you and your family. 

What is the Minimum Medical Loss Ratio?

Posted on: Wednesday, October 30, 2013  Comments (0)

Since 2011, insurance providers have been required to spend a minimum percentage of their adjusted premium revenues on patient care claims and quality improvement expenses. For large group insurers, this amount is 85%, and lowers to 80% for individual providers. Failure to meet these requirements will result in these providers issuing rebates to their enrollees. This is known as the Minimum Medical Loss Ratio, or MLR, provision of the Affordable Care Act.

Will the ACA change Emergency Medical Treatment?

Posted on: Wednesday, October 9, 2013  Comments (3)

Visits to trauma centers, ambulance calls, and all other emergency medical services are fully covered and protected by the Affordable Care Act, but that is only part of the story. What emergency services are covered in the Affordable Care Act? Read on to learn about the coverage. 

The Affordable Care Act and Clinical Trials

Posted on: Wednesday, September 25, 2013  Comments (0)

Clinical trials provide participants with the opportunity to test a drug or devide at little to no cost during the trial.  In January 2014, participants will no longer be denied, or have limitations placed, on regular benefits while conducting the trial.  Here are a few tips to ensure that you maintain health coverage while participating in a clinical trial. 

What are Transitional Reinsurance Programs?

Posted on: Thursday, August 29, 2013  Comments (1)

Beginning in 2014, insurance companies can no longer base rates or eligibility on medical history. Under the Affordable Care Act, each state must establish a transitional reinsurance program in an effort to help insurance companies that insure more high risk individuals offset some of their claims, and to help stabilize premiums for coverage of pre-existing conditions.

The Affordable Care Act and Millennials

Posted on: Wednesday, August 14, 2013  Comments (0)

The under-thirty crowd has a lot at stake in terms of health insurance as the Affordable Care Act takes effect. We examine some of the issues that they face and choices they will need to make for 2014. 

What Are Health Insurance Marketplaces?

Posted on: Wednesday, July 31, 2013  Comments (0)

If you receive health insurance through your employer, which is the case for a majority of U.S. citizens, the Affordable Care Act likely will not affect you directly. However, beginning in October, people without this option will be able to shop for health insurance on what have come to be known as marketplaces (formerly called exchanges). These marketplaces serve as an alternative to buying coverage directly from individual health insurers, and will act as the principle system helping individuals and small businesses purchase health insurance coverage.