Insurance on the internet

Posted on 28th December 2011 in Articles

If you listen to the commentators, they all sing the same song. We’ve now entered the internet age. This is supposed to convince us something new and wonderful has happened. It’s such a complete break with the past it heralds the beginning of a new information age in which, somehow, we can all get ahead and do things never possible before. This is, of course, pure rubbish. The only difference between the digital age and the hard-copy age that went before it is the ease of access. Having a PC or some other online device gives you access to a vast library with a search engine to help you find the pages you need more easily. But, when you have the right page on the screen in front of you, it’s the same words you could have found in a book or some other written material. All that’s changed is the way the words are presented to you.

So, if you go back in time, printed words have always been used to manipulate people. They sell ideas to you. This means real power lies in the power to control access the means of publication. If a group can control what gets printed and distributed, the words can always tell the same story. But if the means of publication is open to other voices, this can give a completely different view of the world. This is why reputations can be made or unmade depending on who has the power to publish.

The problem for modern companies is anyone today can start up a blog or website. Many internet services are free to use. Similarly, the networking sites like Facebook allow people to write their opinions and describe their experiences. In the past, we would never get to hear Anne from Denver bought a steam cleaner that sprayed boiling water over her hands. Now she can write it and thousands of people can tweet it. It makes it very difficult for manufacturers and service providers to protect their reputations. This explains, in part, why insurance companies very rarely allow interaction on their sites. Since they cannot control what sometimes angry customers may say, they try to deny them a voice. Except there are now some very high profile sites on which people can complain about bad products and services. This movement is not yet sufficient to damage the vast insurance industry, but individual companies are finding it more difficult to prevent their reputations from slowly washing away.

This makes the recent announcement of a new online forum all the more encouraging. The intention is to allow people from both sides of the insurance relationship a chance to ask questions and have their say. Instead of a blank screen on which insurers give you the news they think you should hear, you can now ask about how to get more affordable car insurance rates, what to do if a claims adjuster low-balls the fair market value offer, and so on. This does not mean everyone on the forum will be an “innocent” consumer. There will inevitably be anonymous industry experts giving balancing views and opinions. But this is a hopeful sign of change. You may even get cheap car insurance quotes because of pressure through forums like this.

comments: 0 »

Managed care plans explained

Posted on 29th November 2011 in Articles

When it comes to insuring ones health there’s no denying the fact that this form of insurance is a must for everyone even though it’s not legally required and is purely optional. It’s hard to imagine the current healthcare system without insurance because otherwise people couldn’t afford most medical services and doctors wouldn’t get their high salaries, which are among the highest all over the world. Thanks to insurance both customers and service providers are pleased, and everyone’s getting the thing they want. Among many types of insurance available managed care plans are the most widespread, so let’s take a closer look at some of the most common forms of insurance offered by insurers:

Health Maintenance Organizations (HMO)

This is the most common form of managed care plans as it provides the lowest price and a wide range of services included. It’s main drawback is the lack of flexibility in what concerns the places you get care from. Under HMOs you are limited to a network of facilities and specialists you may get care from and covered to the full extent. If you choose to get your services from someone outside the network your costs won’t be covered at all. Moreover, you are required to choose a primary care physician who will refer you to all the required specialists, so there’s more paperwork involved with this type of plans. Yet, you usually pay lower premiums for that so it’s really worth the effort.

Preferred Provider Organizations (PPO)

Preferred Provider Organizations offer more flexibility but for a higher price if compared to HMO plans. You are still limited to a network of providers to get care from, however if you choose to go out of network there will still be some part of your bill covered only to a lesser extent compared to in-network services. And you aren’t obliged to choose a primary care physician so there’s not so many office visits to do under this type of managed care plans. If you have the additional money and want more flexibility with your health insurance this plan type will definitely appeal to you.

Point Of Service (POS)

Point Of Service plans are often referred to as a mix of HMO and PPO plans as they provide the benefits of both these forms of health insurance. You gain the flexibility of PPO in what concerns the places you get services at, yet you still have to choose a primary care physician and have a network of providers to work with. One of the greatest benefits is that you may choose your family doctor as a primary care physician even if he or she doesn’t make part of the insurer specified network, which is definitely appealing to those who have long term relations with their family doctors. PPO plans may vary in price so it’s really recommended to shop around if you want to get the best rate possible.

As you see, managed care plans come in different forms with the sole purpose of giving you exactly what you need. So it’s really important to assess your individual health insurance needs before choosing the plan type to address them adequately.

The wind-water debate

Posted on 5th November 2011 in Articles

Everyone accepts the basic principle of capitalism that, if a company is run on a for-profit basis, it’s entitled to run a business model that maximizes revenue and minimizes costs. After all, it’s only fair that whoever puts up the money to start a business should be entitled to a return on their investment. But there comes a point when we should ask how much profit is morally acceptable and whether there should be limits on the means a business can use to make that profit. In the movie Wall Street, Gordon Gekko answers the first by saying there’s no such thing as “enough”. All that happens in business is money gets transferred from the losers to the winner. Later he says greed is good. Looking around at the amount of bonuses paid to the bankers and senior officers of our largest corporations, it seems they’ve learned Gordon Gekko’s lessons well.

As an example, let’s take the insurance industry. For a few years, it offers cover against all the standard perils from wind and rain. That way, if a storm hits your home, you can claim regardless whether the wind huffs and puffs it down or floods wash it away. Except, the insurers noticed there were more floods coming along, so they stopped insuring. The result? The Federal government had to set up the National Flood Insurance Program to take on the risks the private corporations rejected. Then along came a series of hurricanes that did real damage through the combination of wind and water. People living near the coast discovered to their cost that insurers were excluding so-called storm surges. That’s where the wind whips up the water and drives it inland.

These days, insurers are very careful to define exactly what wind and water damage they cover. If there’s even the slightest doubt your damage falls within the scope of their definitions, your claim will be rejected and your only remedy will be to sue. As an example of the attitude shown by some insurers, let’s travel to Mississippi where the local Supreme Court is dealing with a case in which the same insurance company paid out for wind damage to the houses on both sides of the claimant, but refused a cent to the house in the middle. The problem follows from Hurricane Camille when this particular insurer lost a lot of money. So it inserted a new term in the policy which says that if water gets involved, all wind damage is excluded even if the wind contributed to the damage. The result is rather dramatic. Suppose your home is 95% destroyed by wind and then there’s a small flood that completes the destruction, the insurance company would deny all liability.

In a for-profit business model, there’s no general requirement for the home insurance company to be fair to the customer. If the clause is clearly set out in the policy and the customer accepts the policy, this is the customer’s choice and the insurer will deny liability. So, the next time you get those home insurance quotes, make a point of reading through the policies to see what exceptions and exclusions the insurers have written into the policies. If you live in an area where wind and water may combine, you could find your claims denied.

Summer is a-comin’ in

Posted on 2nd November 2011 in Articles

Come the fall, the retired and monied folk who live in the northern regions look up in the sky and see birds getting ready to fly south. Like these snowbirds, they also seek leisure time where it’s warmer and drive or fly down to Arizona, Southern California, Florida and Texas. The same lifestyle itch affects most people as the summer months come along. This is also the time to hit the road and find somewhere by sea or lake, mountain or valley for a little rest and relaxation. But, before you set off, there are a few basic precautions to take. It starts with the vehicles. Hopefully, you had everything ready for the winter. You prepared for freezing weather with carburetor settings and the addition of antifreeze to the cooling system. Now comes the time to change the set-up for summer driving. As the temperature rises, there’s more of a chance of leaks so check the clips and hoses, make sure the belts are tight and the fluid levels are topped up. How are the tires? If you’re suddenly going to take off down the interstate at higher speed than usual, you want to avoid a blow-out. With the cost of gas still edging up toward the $4 per gallon, you want the engine running lean and change your own driving styles to a more even tempo. Less aggressive acceleration and braking saves gallons over longer distances.

Now let’s come to the insurance policy. You can plan your road trip for months but, if things go wrong, there can be a mass of unexpected bills to pay. The first step is to make sure your policy covers you for out-of-state driving. Now assume you are stuck. What might you need? It could be something simple like a helpful mechanic to jump start the vehicle when the battery has run down or to deliver fluids to temporarily solve a problem of overheating. Even more annoying, suppose you locked yourself out of the vehicle. Solving any one of these problems involves a basic callout fee plus expenses plus an hourly rate plus the cost of any materials supplied. Then what do you do while waiting for essential repairs. Did you budget for overnight accommodation? Can you afford a rental replacement while the repairs are done?

There are a range of additions to the standard auto insurance policy that cover interruptions to your journey. But be careful what you buy. Some policies require you to be at least one-hundred miles from home or have other conditions to fulfill before you can claim. Then look at the amount of the cover. Most pay expenses up to $1,000 for the cost of essential repairs, accommodation and food. Are you feeling unlucky? More importantly, watch out for the anti-fraud conditions. Some policies ask whether the problem is one you should have fixed before you set out. It’s not unknown for dishonest drivers to try claiming the cost of routine maintenance as emergency repairs while on holiday.

Just as your vehicle could do with a tune-up before you set off, so your auto insurance policy should be reviewed to ensure you have the right terms and reasonable limits on the amount you can claim.

News from Pennsylvania

Posted on 30th October 2011 in Articles

So here’s a simple question for you as a fantasy decision-maker in charge of a state’s finances. Let’s say you go to court against Big Tobacco and come out with a big win. Because the court finally agreed to accept the medical evidence, Big Tobacco was ordered to pay money into a massive settlement fund. Every year, this pays out a big chunk of change to your state. What do you want to spend it on? It could be education except you really want to fire all the bad teachers first. Then you can use the extra money to pay higher salaries to attract better people into teaching and raise education standards. Ah, but that’s going to provoke a fight with the unions, so we’d better look for something less controversial. What about health? This would be ideal politics. The tobacco industry has made so many ill, it’s only right its money should be used to improve health care for all. Except how is that going to be done? Even a big lump of change gets lost in the total cost of running health care in a state. . .

Pennsylvania decided to use part of the money to fund adultBasic. This was an outreach plan for adults who would otherwise fall through the cracks. Their income is too great to qualify for Medicaid, but they can’t afford the premium rates for a private plan. The way it worked was simplicity itself. The state funded its own health plan. The actual cost per person was $600 per month, but the state only charged each person $36. The total cost of this plan in 2010 was $166 million. To give you an idea of the popularity of the plan, the state was subsidizing some 40,000 people with half-million people on the waiting list. Remember, there are some 50 million people without any form of insurance across the country. It should not surprise you there were so many people who felt they met the entry requirements for adultBasic in one state.

However, in February, the Pennsylvanian government announced it was looking at a big deficit, so Governor Tom Corbett looked around for cuts. Presumably feeling the 40,000 enrolled in the plan were freeloaders, he ordered the plan shut down immediately. Big Tobacco’s money now flows directly into the state’s coffers and is mixed in with general revenue. Curiously, the state has now discovered it will have a surplus of more than $750 million in the current year. It’s remarkable how quickly the fortunes of a state can turn around. One of the immediate consequences has been a 30% increase in the number of people walking into ERs around the state. This adds significantly to the cost of running the health care services. Ironically, this additional cost alone may be more than the state was spending on adultBasic.

The Democrats have been frustrated at their failure to get adultBasic reinstated. It was one of the few state-funded health insurance plans for the low-income group. Yet a Republican governor will always get political traction out of cutting such a high-profile example of “big government”. Adult Americans should pay for cover out of their own pockets and not look to the state to provide cheap health insurance (even with money from the tobacco industry).