Health Care Services Through Your Individual Health Insurance Plan

May 10th, 2009 by admin Leave a reply »
Health Care Services Through Your Individual Health Insurance Plan

An individual health insurance cover, simply stated, is an agreement between you and the insurance firm, aimed at protecting you against any financial constraints on account of a medical emergency. The one pertinent question you need to ask yourself is -what are the factors to be analyzed before deciding on an individual health insurance policy?

It is indeed a fact that medical and preventive sciences have made rapid advancements in today’s world. Nonetheless, it would be prudent to arm yourself with the best individual health insurance cover to protect yourself against any unforeseen illness. Indeed, America’s best health insurance companies are vying with one another in putting together some of the most imaginative individual health insurance policies designed to overcome any medical contingency. If you are unemployed, or self-employed, an individual health insurance policy is the right choice.

Consult with your insurance company if you can have your individual health insurance policy incorporated in its group policy. You may be paying a higher rate but the terms would be more advantageous than if you had to buy your own individual health insurance policy. If you are married, find out if your spouse’s employer is willing to include you in its group policy. If you are left with no option, then it is wise to buy an individual health insurance policy. Even though the insurance cover may be limited and the rates high, you would still be ensuring protection for yourself or your family against financial problems if you are suddenly confronted with a serious illness or medical emergency. Search for a good health insurance professional to help you with the best individual health insurance policy that offers you good value for money.

You have plenty of choices while selecting individual health insurance plans – The PPO Plan or the Preferred Provider Organization, the HMO Plan or the Health Maintenance Organization, the HDHP or the High Deductible Health Insurance and HAS or the Health Savings Accounts Qualified High Deductible Plan.

When considering individual health insurance plans a worthwhile option may be a health savings account plan which has few unique benefits. With individual health insurance plans, you can trade lower deductible health insurance for a plan that has a higher deductible. This will help you save money each month by lowering your premium. Besides the lower cost, higher deductible health savings account plan also has the added benefit of a tax favored savings account. Yet another interesting aspect of these individual health insurance plans is that the money you save rolls over year after year.

Even if you are already covered by your employer’s insurance scheme, you may still need to get additional coverage through an individual health insurance plan. This becomes necessary because employer-sponsored programs often fall short of individual needs. Extensive coverage for self and family can be achieved through a separate individual health insurance plan.

Individual health insurance plans are of two types: – Indemnity plans – Managed care plans. Indemnity plans are costlier but best suited for those who have particular health issues and need to be treated by specific doctors. Managed care plans cost less because you will be visiting a doctor or a hospital that is provided under the plan. If the treatment requires you to visit a specialist, you will need special permission from the insurance service provider. This plan is best suited for individuals without specific health problems, and wanting to pay less.

Here this nice Video about health insurance

Very touching ad from Thai Life Insurance. Thx angelaaaaa for translation ^^.

Find your answer for your own question related to health insurance

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41 comments

  1. aviomaster says:

    —– Kennedy the man ….. DENNIS KUCINICH president 2008 ,…. ALLLLLLL CHILDREN should be covered ….. IT IS outrage ….what is happening ….

  2. Cage71 says:

    america is just smoke screen money for weapons but not to look after their citizen what a shame

  3. ent199 says:

    to get health care–GET A JOB!!! You can choose where you work!!! If the company doesn’t have Health Care then MAKE YOURSELF more marketable, and get a job with a company that has health care! Don’t steal anymore of MY!!!!!! MY!MY!MY! Money

  4. Neoconhater says:

    Dumbya has just proven he has no integrity. Most Americans and at least %95 of the world already knows that fact. Funny thing is Dumbya has his health care paid by the tax payers, he doesn’t seem to mind that one bit.

  5. aryaxt says:

    Depends what you are looking of, where you live and how much coverage you need. Some people want more dental coverage, some people want more para medical services covered (IE: massage, chiro, etc).

    Your best bet is to contact a lisensed insurance broker who can take a look at what you want and find the best company to suit that.

  6. chan_jay says:

    1) Most employer provided health insurance is deducted "pre-tax" so there is no deduction on the tax return.

    2) Your parents must be your dependents (or would have been your dependents except for the gross income test) for you to take a deduction anyway. So, unless you are supporting them: No.

  7. susancoyotesfan says:

    Um…$80,000 doesn’t go very far in this economy any more. Out of that $80K very probably goes day care, gas expenses, food, mortgage or rent (rent is more expensive than a mortgage where I live), and so on. I don’t think it’s unreasonable to cover ONLY the children.

  8. tnfyh says:

    most insurance will cover the costs you mention if the doctor thinks it is medically necessary.

  9. Jackie S says:

    No.
    The insurance through your husband's employer does not meet the test of having been established through the S-corp.

  10. Thanks for standing up for our kids. We need health care reform!

  11. lv says:

    I am an RN in southern IN…The biggest group I see is medicaid and medicare…LOL…But I would say Hummana is a big one and then Blue cross blue shield

  12. psych_minded says:

    what country are you in? i am in australia and i work for a private health insurer. If you do live in Australia or a country that has a similar system, it does not increase the cost of your private health insurance if you are a smoker.

    if you are however caught for claiming medication that is not for yourself under your private health insurance, your health cover will be terminated and you run the risk of legal action.

    I hope that helps!

  13. Cissy M says:

    Health Ins will always pay their allowed amount they have for that service after deductables and copays are met. Your secondary ins works the same way.but should pick up the remainder of the bill if your ded and copay are met with them. Always look at the allowed amount for that service if the Physician is not in their network then it was your choice not to go to a provider in the insurance network and therefore the provider can collect from you the uncovered amount if they informed you that they were not a provider for that insurance company prior to your appointment. What ever their car insrance worked out with your company with your consent is how the bill should be paid.

  14. redrose19 says:

    It is not the company that says this, it's the insurance company. The insurance company only allows for changes during open enrollment or if there is a significant life event, such as marriage, birth of a child, death of an immediate family member, etc. This is the only time changes can be made.

    Why does the insurance company do this? It prevents people from getting insurance only when they need it and not being insured when they don't need insurance. For example, most people only visit the dentist once every 6 months. If an insurance company allowed participants to sign up and cancel their insurance at any time, then you could sign up for dental insurance the month that you are going to the dentist (so that the insurance company will pay) and then the next month cancel the policy because after all you won't be going to the dentist for another 5 months. Then you could sign up for dental insurance the month you go to the dentist, then immediately cancel. While less common, the same thing can be true for health insurance. A person could decide to get health insurance one month, when they know they have to go to the doctor (i.e. they just came down with the flu and need to go to the doctor) and then once they are well again cancel their coverage.

    I completely empathize with your co-worker. If a person doesn't understand insurance very well, then it would make sense that the company should allow her to cancel her health insurance. Whoever helped her get health insurance through a different company should have reviewed this with her so she wouldn't have to pay premiums for two health insurance policies.

  15. sun4ever says:

    this link will help uhttp://www.archive.org/details/healthcarecovera00unit

  16. caddius says:

    “Members of Congress are risking health coverage for poor children purely to make a political point.” “the measure is too costly, unacceptably raises taxes, extends government-covered insurance to children in families who can afford private coverage, and smacks of a move toward completely federalized health care.”

    If the Congress still wants it, they can over ride. That is how it works.

  17. exweez says:

    the expantion of the program is for people who make 300% of poverty level ($80,000)per year,and for “children” to the age of 25.that is what was vetoed.any body with those 2 criteria are pathatic and criminal if they want the taxpayers to give them free health care

  18. Marcus W says:

    You may deduct qualified medical expenses you pay for yourself, your spouse, and your dependents, including a person you claim as a dependent under a Multiple Support Agreement. You can also deduct medical expenses you paid for someone who would have qualified as your dependent for the purpose of taking personal exemptions except that the person did not meet the gross income or joint return test.

    You deduct medical expenses on Form 1040, Schedule A (PDF), Itemized Deductions. The total of all allowable medical expenses must be reduced by 7.5% of your Adjusted Gross Income. For more information, refer to Publication 502, Medical and Dental Expenses.

  19. Nicole R says:

    Health insurance can be very tricky. Since I live in Utah I'm not sure about Florida laws and regulations, so I suggest you contact a nearby insurance agent. http://www.goodinternetdeals.com/Health-Insurance.html They will be able to assist you.

  20. dionysus says:

    This site has helped me. Great savings!
    http://www.premierhealthcaresavings.com/196593/

    Good luck to you!

  21. vfchicago28 says:

    All you pro socialized health care people should take care of yourselves and stop looking for a handout.

  22. h0mgrts says:

    No. The premiums will not go up for that. Usually health insurance is up for renewal once a year and the cost increases at that time, but not just because you use your policy. The cost of group health insurance where I work has had double digit increases in the premiums every year for 10 years now. The health insurance companies are out of control.

    If you have insurance and need health care – go get the care you need.

  23. AllstonPete says:

    Another reason to have Clinton, Obama or Edwards in the White House! This is America’s best and last chance to have health insurance for all! You go, Ted!
    nationalized

  24. davidgherron says:

    Premiums are tax deductable as a part of your medical expenses if you are filing long form. You add up every co-pay you made to doctors, hospitals, and prescriptions and the total cost you paid for these premiums and then you get a percent of that total back on your taxes. Anything that you paid for any type of health care is deductable as long as you have a receipt (or in the case of health premiums you pay) they are on the W2.

  25. montcoguy0o says:

    Ask your employer. They will tell you. Actually they should provide a form for you to sign every year verifying your benefit selections and how you want to have your healthcare premiums treated.

    Nearly all healthcare insurance through a job are part of a Section 125 plan and are deducted pre-tax. You generally have the option to pay them with tax paid dollars but I'm at a loss to explain how that could be beneficial to anyone.

  26. 2edgesword says:

    Children need health coverage! We must teach familys to eat correctly and try not to make them dependant on prescriptions! Congress needs to raise wages so people can eat better! Stop taxing people so heavily so they can support themselves! Stop spending so much money insuring the rich congressman, and pay attention to the poor! Stop spending money on the war!

  27. John S says:

    Yea it sucks how our health-care system hasn't caught up yet. It makes me furious. Anyhow, I've heard Blue Cross/Blue Shield is good and I believe it's the most inexpensive. I had Cigna for a while and that was good. Health-Net is pretty good only if you don't have any pre-existing conditions otherwise they really raise the premium. Look into Eatna as well. I've heard there a little more pricier in comparison to the others but I've also heard that they seem to cover more.

  28. Agila says:

    Check your domestic health insurance (if any) and bank (if you have a "premium" type account); the might include travel insurance.

    If not, try the people who you buy home/car/pet insurance from; they might offer you travel insurance at a reduced rate.

    In the UK, the Post Office usually has the best deals on travel insurance, but I don't know how common this practice is in the rest of the world.

  29. Boomdog14 says:

    Awesome. The man. Go Kennedy.

  30. Emily K says:

    When you get health insurance, there is what is called a premium. This is the amount you pay on a scheduled basis. For instance, if you get insurance through your employer, you would pay your part of the premium each payday.

    If you pay your premiums on time, you get to keep your insurance. Now, when you use your insurance, there is what is called a deductible. This is an amount of money you must spend before the insurance starts paying anything. A typical deductible might be $250/year for the policy holder and $500/year for the family. So, if your dad had the policy and went to get a prescription, if it was his first prescription of the year and it cost $100, he would pay $100. Every time he used stuff under the plan, he would pay everything until he hit the $250 deductible, then the insurance would kick in. (the same goes for the family coverage, until the $500 was met by everybody in total – not separately – you would pay 100%).

    Now, once the deductible is met, the insurance starts picking up some of the costs…usually the costs are based on what doctor or provider you use. If you use someone who is called "in network" the insurance company pays more of the bill. They do this because they have negotiated lower costs with that provider. For example, let's say you need to have some tests done and your family has met all your deductibles. Let's also say the tests normally cost $200. If you go to an in network provider, the insurance would cover 80%. If you go out of network, the insurance might only cover 70%. Now the nice thing is, by going in network, you get the discounted price, let's say $160. So, if you go in network, you would pay $32 for the tests and the insurance would pay $128 (totaling $160). If you went out of network, you would pay the 30% of $200 or $60 and the insurance company would pay $140. So, by staying in-network, both you and your insurance company save money.

    Also, there is something called an out-of-pocket maximum. This just means that if someone in your family gets real sick or injured, the most you can pay for that year is the out-of-pocket max…say $5,000. Once you hit that, everything after that is covered 100% by your insurance and you don't pay anything.

    Last, there is a co-pay – what this means is that if you go to the doctor for a routine visit, it is usually covered without worrying about the deductible and you pay just the co-pay. usually this is $15 or $20 on say a $100 office visit and the insurance company pays the rest (based on a negotiated amount).

    And that's the short version of how insurance works.

  31. bigj says:

    Nothing can compete with free. It's not very difficult. All these left-wingers that come up with all these theories about how it will force private companies to lower their standards is just BS. Why would anyone stick to a private health insurance plan when their tax dollars are already paying for another one?

  32. synchronised says:

    You've asked a very broad question. There is no simple answer.

    In truth, health insurance works a little differently in each state.

    To answer your specific questions:
    1) No, health insurance is not compulsory for everyone. If you're lucky, you are able to join a group policy at work. (If you're really lucky, it's a good policy and the employer pays at least half of it.) Some states have recently made it compulsory, but that's such a recent change that there's no clear cut answer yet for how that's going to work.

    2) What happens if someone can't afford it is… they don't get it, usually. Except if your income puts you below the "poverty level", in which case you qualify for Medicaid. (In some states there are programs that typically provide assistance with insuring children, though they are few and far between for covering adults.)

    3) Health insurance rarely covers all the bills when you have a procedure done. Most plans cover 50-80% after you meet your deductible. The deductible amounts vary widely (but the trend is that the deductibles are getting higher and higher to keep the premiums down.) If you're really, REALLY lucky, you don't have a deductible (which is only an option on group plans), and you may only have to pay 10% of covered charges. (These plans are few and far between. As in, you might have them if you're in Congress.)

    4) Yes, the patient has some say over procedures. However, if the patient opts for an "experimental" procedure, or one that isn't deemed "medically necessary", then health insurance may refuse to cover any charges at all.

    In the end, as with most things, the middle class takes the brunt of these costs. This has become such a problem that more than 50% of all bankruptcies are as a result of medical bills (and of those, more than 75% had health insurance.)

    ** Edited to add:
    It's not ALL about the money when a procedure is involved. If it is, the state keeps track of complaints filed on behalf of consumers with "managed care" (ie. any type of network arrangement including Preferred Provider Organizations, Health Maintenance Organizations, and Point of Service organizations — also known as PPO, HMO, and POS) and may very well revoke a company's charter to do business in the state should the company be turning down too many legitimate claims.

    However, insurance companies are sticklers for following the "standard" for medical care. This is what makes it difficult to answer your question. Because they should not deny anything that's considered standard for care in the given circumstances (should not and will not being two completely different things, of course.) And there may be several options that would be considered "standard." If the patient wants treatment that isn't yet considered "standard", they would balk. Period.

  33. John A says:

    They would definitely shrink, but they would still be around. Look at Medicare, they have supplement polices which the individual has to pay. If you think the government is going to pay for Heart surgery, Cancer treatment, you're in for a rude awakening.

  34. TreeAngel says:

    Thank you, Ted Kennedy and God bless you!!! We will keep fighting the Good Fight!!!

  35. LOVER says:

    Well, if she's 40 and perfectly healthy, it's going to cost her about $500 a month to have a low/no deductible plan that covers checkups.

    You BUY it on a month to month basis. If you want low monthly payments, you have to cut the coverage – like take a $10,000 deductible. Or higher. That would cut payments down to maybe $200 a month or less.

    The older she is, the less healthy she is, the more it costs.

    Your best bet, is to find a local, independent agent, who can help you balance cost with coverage.

  36. prizice24 says:

    Multiple member LLC's can be taxed 3 different ways:

    1. As a partnership
    2. As a C corporation
    3. As an S Corporation

    The deductability of health insurance premiums for your LLC will depend on which of the 3 types of entities your LLC elected to be taxed at (the default is the partnership form of taxation).

    Typically, you will be able to deduct 100% of your health insurance premiums although there are some specials considerations for owner/officers of S Corporations who own more than 2% of the company.

    If you speak with a CPA or qualified tax advisor they should be able to give you plenty of good tips. One thing that you may want to mention is a medical reimbursement plan. Here is some more detail on medical reimbursement plans:

  37. Instead of our tax dollars going to $400 screwdrivers and wingnuts, let’s have health care for all working Americans!

  38. sharron says:

    You can compare the quotes of various company here:

    For Life Insurance :
    http://free-best-life-insures-comparator-usa.blogspot.com/

    For Health Insurance
    http://top-usa-health-insurance-comparator.blogspot.com/

    Hope this help

  39. vanessa h says:

    A surgery like that will cost lots of money.. so you'll definitely want to search EVERY health plan..

    You'll want to know what the pro's and con's are of each service…

    I had neck surgery 2 or 3 weeks ago..

    this is the site i used:

    http://hot-auctions.info/healthplancomparison.php

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