Senators precisely how I feel about America’s health care system today. my ring finger at $12,000, I’ll choose to have my middle finger sewn on first just so I can visually demonstrate to U.S. And if, like one person featured in the film, I ever have to choose between reconnective surgery for my middle finger [...]
There are many different types of health insurance, and some of these can seem confusing. Here are types of health coverage, what each type of health coverage means, and how to understand them.
Information about the limitations placed on pre-existing condition exclusion periods.
An index of Articles for the Health Insurance guide site.
Find out why COBRA premiums may be higher than you thought they would be.
Ultimately all health care is paid for by business activity. Business provides the wages, the return on investment, the insurance, the taxes that pay directly for health care, and the insurance and taxes that fund government programs. When the government manages to provide services at all, it can give you nothing that it does not take from you or others, or from your employer and other employers. The total added value the government creates for your benefit is nothing.
The government now uses your money to pay for 50 percent of health care. That is up from less than 10 percent, forty years ago. The increase in health care costs that has accompanied this process is largely caused by government…the actual origin of the “health care crisis,” discovered and proclaimed by Richard Nixon and Edward Kennedy in 1971. Their proposed solution was more government. They got it.
The “crisis” was created by government, not just through its own reckless spending, but through the consequent destruction of much of the free market.
In a free market, if you did not have much to spend on insurance premiums, you could buy a policy that simply covers you for a major illness or a severe injury. Many people worry about the financial ruin that might result from such misfortune and want coverage only for that. They are willing to take their own risk for routine medical expenses if they have reasonable coverage for emergencies.
Such policies are often forbidden by state governments. In California, for example, such policies are not available. Legislators and regulators have imposed 49 specific coverage requirements on all insurance companies. Many states have such requirements. It does not matter if you do not want coverage for chiropractic, or in vitro fertilization, or electronic shock or hypnotherapy for mental illness…you may still have to pay for it. That is, providers in the insurance business are not allowed to offer a policy that you might want and that they would like to offer…they are forbidden. If those restrictions drive the cost of insurance up to more than you can pay, you can thank the government. Insurance policies will get even more expensive in California if the recent proposal of the Governor to require coverage of such “wellness” care as gym and Weight Watcher memberships becomes law.
There are those in the insurance business in other states who could help you with a policy that meets your needs at a cost you can afford. But they cannot, because policies from out-of-state providers are outlawed by your state government. When bills were proposed in Congress to allow for a national market for health insurance, insurance commissioners and other state officials around the country rallied in opposition, because consumers in each state would lose the protection of their state’s regulations. It appears that state officials are horrified at that thought of leaving the citizens of their own states to the tender mercy of the regulators in other states.
But relief is on the way. Massachusetts passed a law that you must buy insurance with these expensive regulatory burdens or pay a fine. Isn’t that helpful? California now wants to do the same thing and also wants all physicians and hospitals to pay a new tax…not on net income but on gross revenues. That will increase their billings and your insurance premiums further. But who cares?…you would have to buy the insurance, and imposing coverage on everyone is all that matters.
As a consumer, it is your right and responsibility to review what a plan includes to ensure it meets your individual needs and lifestyle.
California residents who are in the market for health insurance make sure they are aware of what they are buying before they make a purchase. If a consumer is buying a plan through their employer or as an individual, they should always be aware of what is covered under the plan and what is. They should have a good estimation of what would happen to them financially in the event of various scenarios such as a chronic illness requiring long-term care or a catastrophic accident. This can be done by making sure you are familiar with the plan’s deductible, covered services, and out-of-pocket limits.
California health insurance consumers should also make sure they are aware of the types of preventive care covered under their plan. For example, at what age does the plan cover a mammogram for women? At what age does it cover a prostrate specific antigen test for men? Does the plan offer a website where you can find information about health conditions and symptoms? What types of prenatal care are offered? Does the plan offer coverage for vision benefits such as visits to the eye doctor, or for dental services?
Other questions to ask include: Does the plan offer prescription drug coverage, and if so does this coverage help pay for birth control pills? What doctors and providers are part of the plan? What will happen if you receive services out of network?
Does the plan offer support services such as counseling, drug and alcohol rehabilitative services, or an 800 number for assistance with personal issues? What types of treatment – for example, homeopathic – are excluded by the plan?
Knowing beforehand what to expect for their health insurance plan can help California health insurance consumers make the best choices.
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