The Healthy Bee

Florida residents who can afford health insurance pay an average of $11,480 per year for family coverage, which is about what the average minimum-wage earner brings home. Premiums are up 87% according to Kaiser Family Foundation. The days of “low-cost” health insurance are all but gone unless you have help from a professional insurance consultant.

The cost of caring for “disease” continues to rise faster than inflation according to an article this month in Newsweek magazine. It said “over 47 million Americans don’t have health insurance at all”. Those with low-cost health insurance usually get these from employers, but with costs rising, it is obvious that the health insurance situation in Florida is getting worse.

Taking care of employees is the primary concern of a good employer. But that has been perceived as “expensive” by some companies as it means providing the employee with vacations, bonuses, incentive pay, and of course, health insurance coverage. In the future, Florida businesses may be able to offer low-cost health insurance to residents who are willing to make a few changes in lifestyle.

The New England Journal of Medicine published a major study on health insurance recently that said low cost insurance rates may be made available to those willing to go through a certified “health risk assessment”. These health risk managers look at your lifestyle, and your current state of health, and certify that the person is “healthy” and a “low-risk” which can qualify the applicant for lower insurance rates. The only other way to get low-cost health insurance in Florida is to get it from your employer as part of their group health insurance plan.

There are many health insurance consultants out there who can help Floridians find low-cost insurance, such as Florida Health Insurance Web - www.FloridaHealthInsuranceWeb.com - insurance consultant, Morgan Moran said, “Change a few things about your lifestyle, and lower rates could be available”. The insurance industry believes, most people would change a few things to get lower insurance rates, and assure living a longer happier life. These changes may include a better diet, more exercise, and less high risk behavior like “skydiving” or “bungee jumping”. Until now, insurance plans rarely took behavior into account.

Many Floridians are looking for a quick fix. If they can take a pill or have a stint plugged into their heart they would, rather than change their lifestyle, after all, it does sound easier. The New England Journal confirmed what other research showed— that angioplasties and stints don’t prolong life and don’t even prevent heart attacks, yet $30 billion was spent on those last year. Mutual of Omaha found that almost 76% percent of people eligible for angioplasty or heart bypass surgery were able to “safely avoid it by making the comprehensive lifestyle changes”, saving almost $30,000 per person. It is plain to see that changing lifestyle is more cost effective than surgery.

Low-Cost Insurance Consultation

In an effort to find affordable health insurance rates, many are turning to health insurance consultants for help. In a phone interview, consultant Morgan Moran said, “The best way to find affordable, low-cost health insurance is to have an employer-sponsored group health insurance plan.” Group health insurance plans are the most affordable, low cost health insurance plans out there, aside from state-sponsored health insurance plans. If you can obtain health insurance from your employer, you will pay even less for your health insurance than you would if you purchased a group health insurance plan on your own.

Most employers have certain requirements an employee must meet before he or she can be a part of the employer-sponsored group health insurance plan. These requirements range from the number of hours the employee works, to the employee’s status, i.e., whether the employee works full-time or part-time. Employers sometimes have time requirements as well. This means the employee must be with the company for a certain amount of time before he or she is considered eligible for the employer-sponsored group health insurance plan.

Employer-sponsored group health insurance plans are usually the most affordable, low cost health insurance plans for a variety of reasons. If you have an employer-sponsored group health insurance plan, the health insurance premiums are either divided between you and your employer, or paid completely by your employer. This means one of two things. Either you are required to pay half of the health insurance premiums plus a low cost co-payment or you are only required to pay an affordable co-payment.

Employer-sponsored group health insurance plans like this have become even more affordable and low cost when you factor in your spouse and children. Rather than purchase individual health insurance policies for each of your family members, or pay out-of-pocket for health care costs, you can add your spouse and your children to your employer-sponsored group health insurance plan.

Rates on health insurance policies change daily, and vary from carrier to carrier so it’s a good idea to speak to a consultant like Moran. Their fees are paid by the carrier without passing the cost along to the consumer. Find out more at www.FloridaHealthInsuranceWeb.com





By: Zane Durant

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Getting and keeping affordable health insurance in your state is up to you. With health insurance market constant changing with new laws, new research and increasing cost of healthcare. It is up to us to do our research to understand health insurance and the ways on how we can control health insurance costs. Health insurance companies to stay competitive understand the need for affordable health insurance plans. Insurance companies are constantly changing their health plans to make them more affordable. The only real way to make health insurance plans more affordable is to exclude certain benefits. It is a risk that insurance companies are taking. Since most of the time when shopping for the health insurance plan most people do not understand what is exactly covered and what is not covered.

We have to agree that health insurance companies are not going to give away free coverage. With that in mind we have to agree that insurance companies are also not going to have a plan that cost less cover everything exactly the same as the plan that cost more. The cost of health insurance is almost the same across the board not matter which insurance company you go with. It is true that insurance companies that run more efficiently can offer better rates. What makes that largest difference in the cost of the actual plan is what and how it covers medical bills in case of emergency. The great thing is insurance companies are closely regulated by state insurance commissioner. State laws do vary and so do health insurance health plans in every state. For example in some states insurance companies can exclude certain pre existing conditions to offer you a lower rate. If you have some medical issue and it is being covered by workman’s compensation insurance then you would not need to have double coverage. In other states like California you either get approved or you will get a higher rate or you will get declined. Insurance companies in the state of California cannot exclude coverage on pre-existing conditions once you are approved.

With all of that in mind let’s look at all the options we have to make our health insurance plans more affordable. First is our deductible, which will give us largest control over health insurance premium we pay to Health Insurance Company. There are three types of plans with deductibles. One is a health plan where you have to meet the deductible to get any benefits, the second one is where everything is covered with small co-pay and deductible applies only for hospital stays and third the most popular and the most dangerous one in no deductible. No deductible plans in most cases are the creative work of the insurance companies. In most cases plans that have no deductible you will be responsible for what’s called daily fee and co-insurance. In most cases you could be more out of pocket with no deductible plans then a plan with a deductible.

Second we have more and more insurance companies offer health insurance plans with option of have brand name drug coverage or just generic prescription drug coverage. What does that mean to you? Well the simple way to explain this is that brand name drugs are the drugs that you see on TV commercials. Prescription drugs are regulated by FDA and by FDA rules after the brand name drug has been on the market for over five years over drug companies can copy it. That means that when Drug Company comes out with a new drug they can charge for it as much as they want and no one can copy their formula for that drug for over five years. The reason FDA has that type of rules is because they figure that it takes a lot of money to research new drug. By FDA regulations brand name drugs and generic drugs must have exactly same active ingredient. Basically they are exactly same drug just one cost a lot more. Talk to your doctor before you make any changes. Here is where we are getting with this is if you get a health insurance plans that covers generic drugs only you can save your self a lot of money on your health insurance premiums. With some health plans you can also customize your prescription drug deductible.

Third is health insurance plans that give you option of covering your doctor visits or not covering them. This option could save you a lot of money. What that means is some health insurance plans will allow you to pay for your own doctor visits versus having insurance company pay portion and you pay co-pay. You have to ask your self how many time do you really go to a doctor every year? Most regular doctor visit will cost you anywhere from $55 to $75. Therefore you if you go once or twice a year to a doctor and you can just pay out of pocket and save $50 a month on your health insurance, would you do it?

Well here you have it with these three options you can get affordable health insurance. There are some other options you can also take a look at like Health Saving Account qualified health insurance plans, which is a different topic. It all just makes sense, why pay for something you do not need and not going to use. With some simple decisions you can get the coverage you want at the premium you can afford.



By: Dennis Alexander

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