• major medical insurance

    Major Medical Insurance Plans In One Easy Step

    Major Medical Insurance Plans In One Easy Step

    The trend of major medical insurance plans from top companies, is hitting hard though plenty of insurance firms are now emerging with the most innovative approach. Thus, no matter how in debt you are, there is always a solution to your problems. There is no doubt that you will come across affordable medical insurance plans.

    Major Medical Insurance Plans: Tips I – Never buy the first thing that insurance agents offer

    Always find out and ask them to send you the conditions, total costs, etc. Compare products listed from other major medical insurance plans and take your time. By contrast, remember to stay tuned to enjoy medical insurance deals that appear online and beware on fine prints and details. Reading policies  and insurance plans will help you avoid frustration in the future. Now, let’s move forward.

    Major Medical insurance plans: Tips II – Your body, your power

    Let’s proceed by analyzing everything you need, to feel at your best. Thanks to the most affordable medical insurance plansyou can now start taking care of your body; with an espresso maker.

    As far as major medical insurance plans are concerned, the increased cost of health services, service frequency, coverage and use of technological health insurance 101innovations in development or use after your signing up, will no longer be a problem. Since you have the power to make selection prior to selecting any major medical insurance plans.

    Major Medical Insurance Plans: Tips III – Fine print and more tips

    It is typically to see in the offers of major medical insurance plans, big letters on their medical insurance plans offerings and basic aspects of their health coverage. But in the fine print, is where you are expected to put down all the exclusions in medical insurance coverage or information such as vesting periods (must be taken into account especially in pregnancies) that may affect the type of coverage you want to employ.

    It is very unpleasant to learn what is not covered, by medical insurance plans once hospitalized or whenever you require the health care services. It is about having confidence in the health insurer, and what looks too good to be true or attractive should be well investigated. 

    For this reason, it is important to take time to read all kinds of details in the contract or plan. Many major medical insurance plans experts make emphasis on the fine print and recommend you ask questions. You need to clear all your doubts from the medical insurance plans before signing any insurance contract.

    Before formalizing the medical insurance plans, the Policy holder and or insured must make and sign the statement. This statement is necessary for the insurer to know in advance if there is a medical risk to evaluate and assess.

    Major Medical Insurance Plans: Tips IV – Change your strategy 

    Depending on your age, change your strategy. If you are a young adult, opt for one with low deductibles. If you are older than 50 years, go for the high deductible health plan. Thus, analyze carefully and avoid problems.

    You can go ahead and start by comparing extras, premiums, travel assistance, major medical insurance plans discounts and much more. Begin now and change your lifestyle!

  • obamacare 101

    Obamacare 101: All that you should know

    Obamacare is an affordable healthcare act that was passed by the congress and signed by the President during early 2010. The act comprises of a set of reformed health insurance schemes and policies. It was promoted to increase the number of individuals with legit health coverage. Obamacare works by overhauling current health insurance service providers and expanding Medicaid. Officially, Medicaid is meant for citizens with very low incomes. The policy offers minimum essential coverage. Conversely, it falls in line with medical facilities offered by employer-based-coverage, Medicare, Medicaid, and many more players in the marketplace. Nevertheless, Obamacare is much more than any ordinary health coverage policy. It covers almost everyone in the healthcare industry, from doctors to patients to restaurants to hospitals or even chocolate shops (this is because all food joints are expected to display calorie listings)!

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    Obamacare has received widespread commendation and few criticism from a few. Such includes;

    “Obamacare is working. I talk to a lot of hospital directors. It is working.

    By: Magic Johnson

    I support health care for people. I want people well taken care of. But I also want health care that we can afford as a country. I have people and friends closing down their businesses because of Obamacare.

    • Donald Trump

    Obamacare 101: How does it Work?

    Obamacare focuses on two important artifacts. Initially, it expands the horizons of the current health insurance industry. Secondly, it alters the wayobamacare doctors are paid. According to a recent estimation, nearly 25+ million citizens will benefit from the Affordable health care program. The enticing coverage program offers three major facilities:

    It expands Medicaid in a strategic manner.

    New insurance exchange policies are designed. Many online portals are set up to help Americans search and buy coverage.

    All individuals in the country are expected to have a health insurance policy. Else, they will be forced to pay a hefty penalty.

    Obamacare 101: Who Gets Benefited?

    Obamacare is for everyone! It expects individuals to buy a major medical insurance plans, which is also known as the minimum essential coverage. The major insurance should be paid throughout the year and a small fee during the months you go uncovered. This is a primary requirement, which is also known as the “Individual Mandate”. CHIP and Medicaid enrollment is around the year. Your income will state if you are eligible for the health insurance scheme or not. To know if you qualified for Medicaid or not you should navigate to HealthCare.gov.Affordable Care Act

    Obamacare 101: How Do You Enroll?

    According to the Act, individuals can buy a private medical insurance plans only through open enrollment. However, you will be exempted from this condition if a major change has happened in your life. This en covers over marriage, shifting locations or losing your current source of income. In such situations, you can opt for special enrollment.

    The Act decides Cost assistance based on your annual income. Individuals qualify for cost assistance if their income falls between 138% and 400% of FPL (Federal Poverty Level). Meanwhile, “Out of Pocket Assistance” is provided only to individuals with silver plans. People who have availed the Cost Assistance benefit must fill a special file called Form 8962 during taxes.

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    Obamacare 101: Picking the Right Plan

    While choosing a healthcare plan from Obamacare, you must keep the plan open till next enrollment (open). Always verify if the plan meets all your requirements. For instance, check if drugs, doctor visits, medical services and major surgeries are covered by the healthcare plan.

  • healthcare kickbacks

    5 Charged in Massive $580M Health Care Kickback Scheme

    Injured workers were treated like livestock by doctors and hospitals who paid or accepted kickbacks and bribes in exchange for referrals – Insurance Commissioner Dave Jones

    Health Care Fraud

    KQED News

    Five people, including a former hospital executive and two surgeons, are charged with a massive kickback scheme that resulted in billing $580 million to the government and insurance companies, authorities announced Tuesday.

    Two already pleaded guilty and the others have agreed to plead guilty in connection to the scheme, which involved paying tens of millions of dollars to dozens of doctors, chiropractors and others to refer patients to two Southern California hospitals for spinal surgeries, according to a statement from the U.S. attorney’s office.

    Over an eight-year period, Pacific Hospital of Long Beach and Tri-City Regional Medical Center in Hawaiian Gardens billed thousands of operations to California’s workers’ compensation system, the U.S. Department of Labor and workers’ compensation insurers.

    “Some of the patients lived hundreds of miles away from Pacific Hospital, and closer to other qualified medical facilities. The patients were not health insurance agencyinformed that medical professionals had been offered kickbacks to induce them to refer the surgeries to Pacific Hospital,” the U.S. attorney’s statement said.

    “Injured workers were treated like livestock by doctors and hospitals who paid or accepted kickbacks and bribes in exchange for referrals,” California Insurance Commissioner Dave Jones said in a statement.

    Pacific Hospital’s former owner, Michael D. Drobot, pleaded guilty last year to taking part in the fraud. He also has acknowledged bribing state Sen. Ron Calderon, who has pleaded not guilty to bribery, fraud and money laundering charges that carry a maximum sentence of 396 years in federal prison. Calderon is awaiting trial next year.

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    Calderon (D-Montebello) allegedly accepted about $100,000 in exchange for promoting legislation to expand Hollywood tax credits and to protect the financial interests of Pacific Hospital, which benefited from a provision of the workers’ compensation law.

    In the other cases, charges were filed against two people on Tuesday, and three previous cases were unsealed Monday.

    James L. Canedo, Pacific Hospital’s former chief financial officer, pleaded guilty in September to conspiracy to engage in fraud, money laundering and other crimes. Paul Richard Randall, a health care marketer previously affiliated with Pacific Hospital and with Tri-City Regional Medical Center, pleaded guilty in April 2012 to conspiracy for recruiting chiropractors and doctors to refer patients to Tri-City.

    Orthopedic surgeons Philip Sobol of Studio City and Mitchell Cohen of Irvine and Alan Ivar, a Las Vegas chiropractor who used to live in Southern California, have agreed to plead guilty to conspiracy or other charges.

    Under terms of their plea agreements, Sobol could be sentenced to up to 10 years in federal prison while Canedo, Ivar and Randall could get up to five years. Cohen faces up to three years for filing a false tax return.

    “Health care fraud and kickback schemes burden our health care system, drive up insurance costs for everyone, and corrupt both the doctor-patient relationship and the medical profession itself,” U.S. Attorney Eileen M. Decker said in a statement.

    “The members of this scheme treated injured workers and their spines as commodities, to be traded away to the highest bidder. This investigation should send a message to the entire industry: patients are not for sale.”

    The five defendants will have to pay restitution, which in Canedo’s case will be at least $20 million, authorities said.

  • health insurance

    Cervical Cancer Linked to Affordable Care Act

    Rise in Early Cervical Cancer Detection Is Linked to Affordable Care Act

    WASHINGTON — Cancer researchers say there has been a substantial increase in women under the age of 26 who have received a diagnosis of early-stage cervical cancer, a pattern that they say is most likely an effect of the Affordable Care Act.

    Starting in 2010, a provision of the health law allowed dependents to stay on their parents’ health insurance until age 26. The number of uninsured young adults fell substantially in the years that followed. The share of 19- to 25-year-olds without health insurance declined to 21 percent in the first quarter of 2014 from 34 percent in 2010 — french press coffee, a decrease of about four million people, federal data show.

    Researchers from the American Cancer Society wanted to examine whether the expansion of health insurance among young American women was healthcare kickbacksleading to more early-stage diagnoses. Early diagnosis improves the prospects for survival because treatment is more effective and the chance of remission is higher. It also bolsters women’s chances for preserving their fertility during treatment. And women with health insurance are far more likely to get a screening that can identify cancer early.

    Researchers used the National Cancer Data Base, a hospital-based registry of about 70 percent of all cancer cases in the United States. They compared diagnoses for women ages 21 to 25 who had cervical cancer with those for women ages 26 to 34, before and after the health law provision began in 2010. Early-stage diagnoses rose substantially among the younger group — the one covered by the law — and stayed flat among the older group.

    About 79 percent of the younger group had an early-stage diagnosis in 2011-12, up from about 71 percent in 2007-09. For the older group, the percentage dropped to 71 percent from 73 percent, a change that is not statistically meaningful.

    The study was not aimed at proving that the change was a direct result of the law. But the size of the database, and the fact that the share of young women with health insurance had increased so substantially, led researchers to conclude that the law was having an effect. (Pap tests are a part of most routine medical checkups for young women.)

    “It’s a very remarkable finding, actually,” said Dr. Ahmedin Jemal, one of the researchers. “You see the effect of the A.C.A. on the cancer outcomes.”

    The effect for younger women looked even stronger when analyzed by year. About 84 percent of the younger group had early-stage diagnoses in 2011, compared with 68 percent in 2009. Early-stage diagnoses dropped to 72 percent of the group in 2012, a drop that Dr. Jemal said was typical during increases in screenings, because many of the early-stage cases have already been detected.

    For several years, researchers have been trying to test whether the law is working to improve health, but isolating its effects has been tricky. A study this spring found that the number of new diabetes cases identified among poor Americans had surged in states that embraced the Affordable Care Act, but not in states that had not.

    Since November 2009, the American College of Obstetricians and Gynecologists has recommended that cervical cancer screening begin at age 21, the only cancer screening recommendation for that age group. Dr. Jemal said that change made it impossible to compare the total number of women who got screened before and after the health care law came into effect.

    The New York Times