Posts Tagged ‘term health insurance’

Secret Health Plans Insurance Companies Don’t Want You To Know About

March 25th, 2011

Medical insurance plans make money by pricing risk. They calculate how much money they need to bring in through premium to offer products and services to their clients if they get sick. Lots of different variables go into determining how much a benefit is going to cost. Essentially, the better the benefits are, the more the health plan is going to cost each month. Lower deductibles will cost more each month than higher deductibles will cost. But if you use the insurance because you get sick, you have to pay a higher deductible for the less expensive plan.

Other factors go into pricing plans such as the tax code. Most people get their insurance through an employer. These plans are benefit rich because the benefits are an incentive to keep the workers happy and the owner of the company usually wants good benefits for him or herself as well. But these plans are tax free to the company. What this means is that when companies pay for health benefits each month, they take that entire amount off of their taxes so they do not have to pay taxes on the money they spend on health insurance for their employees.

Individual and family medical insurance plans are not tax free so they are priced differently. COBRA benefits are offered to people when they switch jobs. These benefits are based on the same benefits that the individual had when their employer was paying for it. So it is a very expensive benefits package. Many people choose the expensive COBRA because they don’t know of another choice.

Insurance companies do not market or promote alternatives to COBRA because they would rather people pay the higher rate to get COBRA instead of get a lower priced plan that covers their needs. Short term health insurance plans are full major medical plans at a fraction of the cost of COBRA. People can’t usually believe how much less short term health insurance plans are because they were just quoted outrageous amounts for COBRA benefits. Agents usually tell people that they shouldn’t be shocked that short term insurance plans are less expensive; they should be shocked that COBRA is so expensive.

Insurance companies do not lie about COBRA, but they would rather get 1700 dollars a month than promote the short term health insurance alternative of $300 dollars a month for the family. People between jobs usually have a tighter budget. Short term health insurance plans are the secret that insurance companies should promote to show they care about their clients.

Health Insurance Between Jobs Or Group Benefits

March 15th, 2011

We already had a problem with health insurance in the US. I have not seen recent statistics, but even before the economy turned sour, almost 50 million Americans lacked health insurance. I am sure that those figures are only growing. People are losing their jobs and job related health insurance. Companies are slashing costs, and so they are cutting back on medical benefits, even for people who are still employed. If you lost your job, or if you lost your job related medical plan, how can you cope?

COBRA – This is actually a federal law that helps some former employees extend their group health plan benefits. Not every company is required to offer a COBRA extension, and COBRA extensions come with a hefty price tag. The reason that people say that it is expensive is because employers do not have to contribute towards premiums any longer as they did when the employees were active. So the former employee must pay the entire premium, and many of them are surprised by the cost. They had no idea how much money their old employer contributed. So while COBRA may be the best option because it extends group health insurance, many people cannot afford it and some employers do not have to offer it.

Short Term Health Insurance – Temporary major medical plans can be purchased from major health insurers. You can usually purchase coverage for 1 to 12 months. If you are layed off, but plan to return to work (and group benefits) within a year, this can be a great option. If you are not sure you will return to group benefits within a year, this may still be a good choice because many policies can be converted into regular individual health insurance plans.

Individual Medical Insurance – These are private plans which a consumer purchases on themselves, or on their family. Of course, the individual will need to pay for the entire premium. However, in the case of young and healthy families the premiums will probably be fairly low since the company gets to individually underwrite every applicant. They can offer discounts for a healthy lifestyle or higher rates for people with some health issues. They can even decline to insure other people for serious health conditions. So while healthy people can find low rates, those with health issues will pay more, or they may even be declined for coverage.

Note that group plans must conform to federal rules.These rules mean that all employees must be accepted if they are healthy or not. So if you do have a pre-existing condition always make sure you can be accepted by an individual health plan before you cancel any group benefits! If you are pregnant, or if you might get pregnant, you will probably have a hard time finding comprehensive maternity benefits on the individual market too.

Government Low Income Health Programs – The state and county governments offer a variety of health plans for low income individuals. For unemployed people, Medicaid and CHIPS may help. However, you must be within the income guidelines set by your state, and for some programs, you must have depleted most of your savings. The guidelines for children’s coverage are usually more lax than those for adults. Some children’s programs may also cover pregnant women too.

High Risk State Insurance Program – If you have a health condition and cannot find private insurance, you may qualify for the state high risk plan. This varies by states, but you should be able to find information online, or you can contact your state insurance department or a qualified health insurance agent to help you.