CHIP health insurance program explained

Posted on 10th April 2010 in Articles

CHIP stands for Children’s Health Insurance Program and was initiated by the Congress in 1997. It is a special program connecting federal and state government with the aim to provide additional health coverage to uninsured children and future mothers who don’t have the financial abilities to purchase a separate individual policy but still don’t qualify for Medicaid.

On February 4, 2009, CHIP was expanded by President Obama’s passing of law on Children’s Health Insurance Program Reauthorization Act (CHIPRA). This expansion raises the number of children within CHIP from 7 million to 11 million and extends its payment through 2013.

Who qualifies for CHIP?

CHIP is something between Medicaid and private insurance plans. Those who have too much income for Medicaid but still can’t afford private plans may use CHIP.

CHIP eligibility rules are different in each state. Still, in the majority of states, children who are younger than 18 years old and whose families earn $44,100 or less a year are eligible for CHIP.

The number of family members strongly influences the income value making it possible to opt for CHIP. For instance, a family of four can earn up to $44,100 while a family of two the upper income limit for being eligible for CHIP is $29,140 a year.

What is the cost of CHIP?

It all depends on the place you live in and how much your family earns, but in most cases you will have to pay a small fee on a monthly basis in order to receive coverage. In some states you may also encounter start-up fees and co-payments for each service received. For instance, it will cost you $35 to start the coverage in Colorado and each doctor visit or service will cost you between $2 and $5.

With CHIP health insurance you get very low fees for the services, but they are quite often related to your family’s income. For example, the monthly fee for CHIP coverage in the state of New York is only $9 and children from families with higher income may apply. In the state of Illinois however, having an income between $44,000 and $66,156 per year will result in a $40 monthly premium paid for each child.

What are the benefits provided by CHIP?

The list benefits you can get through CHIP varies from one state do another. However there’s a minimum set of requirements the program is obliged to provide regardless of the location:

  • regular check-ups
  • immunizations
  • dental services
  • hospital care
  • emergency room services
  • laboratory and x-ray visits

As said earlier, in some states you will be required to pay certain fees for getting the coverage or cover a part of services provided through CHIP. Still, it is a strict requirement that preventive care is absolutely free in all states through CHIP.

CHIP can be a possibility to get cheap health insurance for those who really need it. Children are very important to us and having their health protected is very crucial for parents. Don’t try to save money on health insurance coverage for your children because there are programs like CHIP and Medicaid that can help you if your income doesn’t allow you to get medical coverage from a private insurance company.

Fee-for-Service health insurance coverage options

Posted on 26th March 2010 in Articles

Fee-for-Service or indemnity plans are the oldest type of health coverage out there, providing you with the greatest extent of flexibility. You are absolutely free to choose the doctor, specialist, surgeon or even the place you will receive your medical service from and it doesn’t require any approvals or referrals from other institutions. So what’s the catch?

The drawback of Fee-for-service plans is that they are quite costly and usually have higher deductibles than managed care plans. Besides, you will also have to pay a large part of your actual medical bill out of pocket. That’s the price you have to pay in order to obtain the flexibility provided by these plans. But this doesn’t mean that there are completely no restrictions with fee-for-service plans.

For instance, fee-for-service health insurance plans will not provide coverage for preventive healthcare services, meaning that any vaccinations, regular check-ups and physical exams will be paid for entirely out of the customer’s pocket. This makes fee-for-service plans quite inconvenient for families who need regular medical services and doctor consulting.

Fee-for-service plans require an annual deductible to be paid in order to receive the coverage benefits from the insurance provider. Once you do so, your medical expenses are distributed between you and the insurance carrier. You will usually pay something between 20% and 30% of the entire service fee and your insurance company will cover the rest. So it’s really important to choose a plan that has a smaller co-insurance (the part you have to pay out of pocket) before actually purchasing it.

With most fee-for-service plans you also have the so-called “caps” that are basically the upper limits of your yearly deductibles. These can be anything from $1,000 to $5,000 not taking your monthly premiums into account. So it’s better to see what your plan carries before signing it if you really want cheap health insurance with fee-for-service.

On the other hand, fee-for-service plans offer comprehensive and timely coverage when you need it, especially when there’s a medical emergency. You are completely free of the bureaucratic restrictions and setbacks of typical managed care plans that can turn down any desire to receive medical assistance in the first place. However, bear in mind that fee-for-service plans won’t be suitable and attractive for everyone. If you want to get comprehensive coverage for preventive care or have a large family with diverse healthcare needs you better investigate managed care plan options instead of indemnity plans.

And don’t forget about comparison shopping when purchasing fee-for-service coverage. Try to get as many health insurance quotes from different providers as possible and compare them in detail. You will be surprised to find out that different companies have different premiums, “caps” and co-payments that will all contribute to the final cost of your insurance coverage. So it’s always better to take some time comparing you options rather than complaining that you have a costly insurance plan after purchasing it.

Hints on easy health coverage shopping for newbies

Posted on 28th February 2010 in Articles

Health insurance market sure looks confusing to those who have to deal with it for the first time in their life. But as with anything that seems complicated at first, health insurance is quite easy to understand when you take some time to learn the basics of it. Of course, don’t expect to become an insurance market specialist overnight but the following tips will certainly help those inexperienced with health insurance shopping to get a decent policy for a fair price.

What you can get?

Individual insurance plans – the most common option for people with normal income, especially those who aren’t offered with group insurance by their employers. The vast majority of insurance companies offer such policies and the diversity of coverage options is very wide here. However, make sure to learn what are the requirements in your state and check if the insurance company is licensed in your area before getting the plan.

High risk pools – some pre-existing conditions will make it hard for you to get typical individual health insurance. That’s where high risk pools may come in handy. Such plans are available only in certain states, so make sure to learn if there are any in your area. If yes, then it would be a good option for those who are considered to be a high risk policy-holder. The rates are relatively high here, but for some it may be the only option for adequate coverage.

HIPAA coverage – this type of insurance best appeals to those who have been recently dropped of employer sponsored group coverage and don’t fall under COBRA coverage too. Health Insurance Portability and Accountability Act (also known as HIPAA) health insurance can be purchased in any state and is particularly useful to those who have pre-existing conditions. Thus, it’s a good alternative to high risk pools or an option where the pools are unavailable. Speak to your insurance agent to decide which option is better for you.

Where you can get it?

Insurance agents – these are independent individuals that provide health insurance quotes and plans from numerous companies. Each insurance agent has his own selection of companies he provides services of, and if there are any question he is the person to ask. However, first make sure that the agent you’re speaking with is licensed to work in your area before getting any services or signing policy contracts. You can do that at your state’s insurance department.

Department of insurance – while not being a direct seller of health insurance, the state insurance department can give you valuable information on local agents and providers you can buy from safely. If there are any complaints about any particular provider, this is the place to learn about them.

Online sellers – the recent trend in many insurance companies going online, as well as the development of independent sources can be a very helpful and easily accessible source of information regarding health insurance. It is very easy to get health insurance quotes online with these sites and shopping for a plan takes you only a couple of minutes.

You’re a freelancer? Get insured!

Posted on 29th November 2009 in Articles

When you’re working as a freelancer, you’re not only thinking about the orders you have to manage y to do. There’s a question hitting your mind day by day: how in the world can I get health coverage?

Of course, it will take some time and you will have to do some research in order to get yourself health coverage policy. As any other big decision, you will have to explore your options thoroughly, choosing the plan that fits best your and your family’s needs.

However, freelancers may take one of several ways when trying to get insurance coverage for their health.

1. Refer to Independent Agents

Seek and acquire health coverage quotes with the help of independent agents. You might wish to begin with agents from your local area, so that you might be sure of their abilities and probably even get answers to all of your questions in one meeting.

You can use the Internet alternatively. Rate quotes are easily obtainable on the Internet. This option permits you to research lots of plans all together. One of the most comprehensive places to start your searches with for a provider is The National Association of Health Underwriters.

2. Consider Joining a Group

If you join a writers’ guild or union, or an association of independent contractors, it will reveal some group insurance opportunities to you.

For example, The National Writers Union proffers certain options (in Canada it’s The Writers Union of Canada).

Another alternative is the National Association for the Self Employed that proffers free quotes to their members. Some also advise joining AvantGuild at Media Bistro. You can also consider the Author’s Guild – it offers reduced insurance for issued authors in chosen states.

3. Take a Look Inside High Risk Pools

Lots of states are offering high risk health insurance policy pools for people not suitable for coverage via an employer, or can’t get their selves insurance anywhere else. This could also be an alternative for people that can’t acquire insurance because of their pre-existing conditions or other risks. In case you were acceptable for CONRA advantages via an employer, you might need to discharge that policy before you’re acceptable for state high risk pools. You can get more information about high risk insurances at the Health Insurance Resource Center.

4. Take your COBRA coverage in account

COBRA is a federal warrant that demands your boss to proffer you supplementary coverage of the health, vision and dental care, which you acquired while hired with them at the collective rate that the boss obtained for you. COBRA coverage’s time period is 18 to 36 months depending on several factors. Though it’s sometimes costly, sometimes it might turn out a good deal and cost not as much as some other insurance plans. If you want to become a freelancer and are leaving your full-time position, it can be a good opportunity, so talk to your employer about this.

By the way, as the American nation pays that great attention to health insurance coverage, there are some new and absolutely awesome developments for Independent Contractors and freelancers that look for insurance. So be certain to get yourself familiar with the new developments in COBRA coverage and group insurance coverage.

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