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Affordable Health Insurance in Tennessee

Monday, November 22nd, 2010



Affordable health insurance in Tennessee can be obtained through Cover Tennessee, a volunteer health insurance in Tennessee which is not only affordable to the state, but is also affordable to participants of Cover Tennessee. Cover Tennessee is designed to provide affordable and obtainable health care coverage for Tennessee residents who are without health insurance because they can not afford to purchase a health plan, or because they can afford to purchase a health plan but are continually turned down for health coverage due to a pre-existing health condition or severe ill health.

States across America are struggling to help their residents find affordable health insurance. Some Americans can not afford health insurance at all, while some can afford health insurance but can not obtain it because it seems that all health insurance companies they consult deem them “uninsurable.” Tennessee recognizes that children and adults alike are in need of affordable health insurance as well as coverage for prescription medication; therefore Tennessee has developed Cover Tennessee, a program similar to other health insurance and health care programs developed by other states throughout America.

Cover Tennessee is actually comparable to a gigantic umbrella, housing the five different “parts” of the Cover Tennessee health insurance coverage: CoverTN, CoverKids, CoverRx, AccessTN, and ProjectDiabetes. Thanks to each of these Cover Tennessee components, uninsured individuals, including children, can obtain adequate and affordable health insurance in Tennessee as well as coverage for prescription medication. Also, school-aged children learn about healthy eating habits to prevent diabetes and obesity through ProjectDiabetes.

To find out more information about Cover Tennessee and its various health insurance coverage programs, visit Tennessee’s Department of Commerce and Insurance Web site or give them a call. You can also visit the official Cover Tennessee Web site at CoverTN.org or call them at 866-CoverTN.

Everyone deserves affordable health insurance, and the Cover Tennessee program is working toward making it possible for Tennessee residents to obtain it.

Five Benefits Of Having Supplemental Health Insurance

Friday, September 17th, 2010



Supplemental health insurance is for those individuals and family who are not covered by a group health insurance. If you have a disease that requires special care, you can benefit from this type of insurance; given that fact the cost of medical treatment is increasing day by day.

Supplemental health insurance is of three types — condition specific, accident and hospital indemnity. You can select the one that best suits your needs and financial situation. Although you might hesitate to take out this insurance, you do require it. Mentioned below are five benefits of having supplemental health insurance.

1. This insurance can protect your any contingency condition. Even if you have a present health condition that requires treatment, it will offer you health coverage at an additional cost.

2. You also receive monetary coverage for illnesses like heart attacks or strokes. In addition, even monetary coverage is given for accident related injuries and chronic illnesses like cancer. The claims are paid by the insurance company but there might be a waiting period before your claim is settled.

3. You can pay all types of medical bills, hospital bills and doctor’s fee under this insurance cover. You can also pay for treatment of chronic illnesses like cancer and Alzheimer’s disease through this insurance which is a benefit most health insurances do not offer.

4. If your illness or disease treatment has high costs, you do not have to shell out money from your pocket. All expenses are covered by supplemental health insurance.

5. Even accident related injuries are covered and if you need medical treatment during your recuperation period at home, the insurance will take of it.

Maternity Health Insurance Coverage

Friday, January 15th, 2010



A woman naturally gets excited when she finds out that she is pregnant. In many cases, this happiness is soon diminished when the financial burden of having a child is realized. Thirteen percent of American women who become pregnant have no maternity insurance coverage. They face the risk of inadequate pre-natal care and must find their own resources for funding the cost. If the pregnancy is complicated, this adds to the burden.

Even those with insurance may find to their dismay that maternity is not covered. A costly add-on premium may be required. Some insurers do not offer maternity coverage or consider it a pre-existing health condition. This is illegal by Federal law, and there are several loopholes.

There are many group insurance plans that do provide maternity coverage as a service to members. There may be a waiting period of three months to one year before the clause becomes effective. What happens if one becomes pregnant during the waiting period? If you are carrying COBRA (extended coverage from a previous employer), check to see if maternity is covered. This may be costly but well worth it.

Some states have plans for pregnant women like Medi-cal in California. Federally sponsored programs like Medicaid also exist, but they are mostly for low-income groups.

Another option is MaternityCard. It is designed to provide help to pregnant women and is well accepted. This covers a wide spectrum of maternity medical needs and less expensive than regular insurance.

Ideally, maternity coverage begins immediately. There are some women that naturally get excited when they finds out that they are pregnant. In many cases, this happiness is soon diminished when the financial burden of having a child is realized. Thirteen percent of American women who become pregnant have no maternity insurance coverage. They face the risk of inadequate pre-natal care and must find their own resources for funding the cost. If the pregnancy is complicated, this adds to the burden. There are some plans

that have a 30-day waiting period. Always study the package that is offered before accepting it.

Illinois Health Insurance Plans and Pre-Existing Conditions

Tuesday, September 29th, 2009



How does an Illinois resident with a pre-existing health condition find a quality Illinois health insurance plan? Why does it seem like it is so difficult to find a pre-existing condition Illinois health insurance plan?

Pre-existing conditions are defined as illnesses in which the person has gone to a physician, clinic, or medical facility and has received medical care in the past. Insurance companies are using these questionnaires as well as an exclusion period in order to defend themselves from people with pre-existing conditions that are seeking medical insurance.

In the state of Illinois people that are applying for an individual health insurance plan can be turned down at the insurance company’s discretion due to pre-existing conditions unless that person is eligible for an Illinois HIPAA health insurance plan.

In the state of Illinois they follow HIPAA laws very strict. The Health Insurance Portability and Accountability Act created in 1996 and effective in 1997 provides protection for people that have medical pre-existing illnesses. The law protects people by limiting their exclusion period when purchasing health insurance, lowering the chances for a member with a pre-existing condition to lose coverage, providing protections when they change jobs and guaranteeing that your health insurance policy gets renewed at the end of your coverage year.

The law however, has not eliminated the ability of individual carriers of denying health insurance to pre-existing condition people or exclude medical conditions. The only guarantee issue provisions lie in State sponsored plans and insurance company funded plans. What HIPAA does provide is for guaranteed acceptance health insurance coverage for people that meet 6 HIPAA requirements. When someone meets these 6 requirements they are considered “HIPAA eligible” and can qualify for a guaranteed issue HIPAA health insurance plan. The 6 requirements for HIPAA eligibility can often be the only avenue of health insurance coverage available to some high risk individuals with major pre-existing health conditions.

Some of the most important insurance companies in the state of Illinois handle pre-existing conditions a little bit differently, because of this it is important to do some research and actually shop around for a policy before deciding to apply. Individual plans have more exclusion that group plans and that is why they are quite a bit less expensive, because they are more restrictive.

Aetna Health Insurance who is one of the “big dogs” in the health insurance business across the United States is a primary example of exclusion period. They offer a 365 day period starting from the day of enrollment, in which a person with a pre-existing condition is not covered. It is important to note however, that if the person that has a pre-existing condition has had prior creditable coverage within 63 days immediately before the signature of the application; then the exclusion period will be waived.

Another example of this can be seen with Blue Cross and Blue Shield of Illinois, who is one of the 39 independent, community-based insurance companies that make up the national Blue Cross Blue Shield network. Since they are independent that means they might not have the same provisions as Blue Cross Blue Shield companies in other states. In Illinois, BCBS requires a member with a pre-existing condition to wait a 365 day exclusion period from the day that they sign the policy before receiving coverage for their illness.

Compared to individual coverage, group plans are a little better. They cannot turn you down due to a pre-existing condition, which makes group plans more expensive. Under HIPAA law an employer can only deny pre-existing condition coverage if the person is diagnosed, receives treatment or has care and treatment 6 months before the enrollment date. A good thing to note is that pregnancy cannot be accounted as a pre-existing condition by an employer insurer.

The total time a person can be excluded from a group health plan if they have a pre-existing condition is 12 months after enrollment (18 months if they enroll late), for this reason it is important for a person to sign up for health insurance as soon as they are offered it (if not you can be subject to 18 months instead of 12). Fortunately for some, the time can be less in case that they were covered by an insurance company for the 63 days before enrollment. Also, an insurer cannot deny coverage to a small employer (2-50) under HIPAA law.

Finding Illinois health insurance coverage when one has a pre-existing condition can be very tough. Not to mention that pre-existing conditions cover everything from cancer, HIV, Hepatitis C and even high cholesterol. It is key however, for a person that has a pre-existing condition to know all the exclusions and their rights that are provided under the HIPAA law. This is important because once you know your rights, you will be able to be more knowledgeable about the subject and avoid long exclusion periods.

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