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North Carolina Health Insurance

Monday, August 16th, 2010



Nowadays, you can find a variety of health insurance plans in the United States and North Carolina, the home of many brilliant physicians, hospitals, and reliable health insurance companies.

With the cost of health care getting higher and higher, you are likely to land in deep trouble if you have a serious accident or a major illness. Buying health insurance can save you from a financial disaster. Armed with health insurance, you can protect yourself and your family if you are in need of expensive medical treatment. In that case, a third party will pay your expenses, which can be an insurance company or even your employer.

Most people receive health insurance through their jobs. Called group insurance, it is less expensive and in many cases the employer takes responsibility of the total or partial cost. Although some employers offer only one health insurance plan, some others offer you a choice of plans: a fee-for-service plan, a health maintenance organization (HMO), or a preferred provider organization (PPO). Most of the plans have some kind of managed care program to help control costs. All HMOs, PPOs, and several fee-for-service plans, have managed care. In case you don’t get this benefit from your employer, you can go for an individual policy.

Health insurance companies in North Carolina offer several plans for individuals, couples and families. In NC, you find group health insurance programs for employees of all sizes of businesses. Health insurance plans in North Carolina are not beyond your reach because you can select a policy that matches your budget. In North Carolina many public and private employers offer a managed care option to employees. The state of North Carolina offers many types of managed care options to state employees and their dependents, and it also has a portion of the Medicaid population enrolled in managed care plans.

There are a number of health insurance companies licensed and approved to do business in North Carolina. The choice is yours.

CIGNA Health Insurance Company of Arizona Review

Friday, January 30th, 2009



CIGNA Health Insurance Company of Arizona is a solid choice for those looking for affordable AZ health insurance coverage. Perhaps not as well known as many other health care companies, CIGNA has been around since the year 1792 when the Insurance Company of North America (INA) was formed by a group of citizens in Philadelphia, Pennsylvania. The company started offering health insurance when they acquired the HMO network of Los Angeles in 1978. A year later the company acquired HMO’s in Phoenix, Arizona and in Dallas, Texas. In 1982 the company became known as CIGNA when INA and Connecticut General Insurance Corporation combined.

Nowadays CIGNA has continued to grow in every state they offer coverage in, and the state of Arizona is not an exception. CIGNA covers about 500,000 members in the state of Arizona alone through their Arizona Health Maintenance Organization (HMO) network, their Preferred Provider Organization (PPO) network and their AZ Health Savings Accounts plans, not to mention that numbers continue to grow. The largest coverage area within the state is Phoenix where an estimated 150,000 members are located and the company has over 20 offices in the metro area of this city.

Based within the state in the city of Phoenix because is the largest member area within the state as discussed before, the company offers their benefits to residents of the following counties: Apache, Coconino, Gila, La Paz, Maricopa, Mohave, Navajo, Pinal, Yavapai and Yuma. Apart from the network of plans listed above they offer Medicare Advantage plans, Medicaid and Point of Service (POS) plans. Although the company itself is not a major insurance company within the United States, it has continued to grow and experts predict that it will continue its progress through 2008. With only 5 states where it offers coverage (Tennessee and Florida being the ones where it has expanded the most), it’s only expected that the company continue to expand across America.

Within Arizona, CIGNA offers only one plan that is good for the general person that is looking for a well-developed, low-cost and comprehensive coverage Arizona health insurance plan. The plan itself is available to individuals that are 18 years of age or older, families with children up to 18 years of age or 23 if the son/daughter is a full time student and children without an adult subscriber who are at least 3 months of age. In order for you to receive coverage, the company asks that a person resides within one of the service areas for at least 9 months or more, unfortunately if you recently move to a service area you must wait the specified amount of time for you to be able to purchase a CIGNA plan.

The service areas within Arizona are divided into two. The Phoenix service area incorporates the counties of Maricopa and the city of Apache Junction. On the other hand the Tucson and Southern Arizona service area covers the counties of Cochise, Graham, Greenlee, Pima, Pinal and Santa Cruz counties.

The good thing about this one CIGNA AZ plan is that it covers everything one can think of when it comes to health care. For primary care physician (PCP) services a member must pay $25 with no limit on visits through the calendar year. For specialists they are required to pay a little bit higher ($50) but like PCP visits, there is not a limit on visits. Other services that are covered by the plan for which a member won’t have to pay a single cent are lab and x-rays and blood pressure checks.

The prescription coverage side of the policy is divided into three tiers like many other insurance companies do. For generic drugs a person should be expected to pay $15, for brand name medications they should expect to pay $40 and for specially drugs they are expected to pay up to $60 dollars. The emergency care fee is $150, however there are special places within the Arizona service areas that are sponsored by the company called CIGNA Medical Group Urgent Care , that a member can go to in order to avoid the emergency room fee. In this group urgent care facilities, a member will only have to pay $75.

The coverage for Inpatient Care holds a $1,000 year deductible for individual and a $3,000 year deductible pre family. After you have met the deductible you will only be required to pay a 20% co-insurance. For Outpatient Care the member has the same deductibles and the same 20% co-insurance after the deductible has been met. The only difference is that in outpatient every diagnostic test or x-ray such as a CT, MRI, MRA or PET would include $100 copayment.

Other important things that the plan offers include chiropractor services for $50 a visit (a limit of 12 visits per calendar year), maternity care in which you wont have to pay anything for prenatal and post-partum exams, but at the time of delivery a 20% co-insurance is applied. Vision coverage is also worth mentioning, you will pay $30 for one exam per calendar year at a CIGNA vision center. It is important to note that if you have an eye exam somewhere else, you will be charged full price for it.

Family planning services are also covered, although infertility treatment is left out of the equation and you would have to go somewhere else for that. The plan also offers short term rehabilitation, mental health services, substance abuse services and detox services. Out-of-pocket maximums for this plan are $3,000 for individual and $10,000 for family and the lifetime benefit is unlimited. This last part means that if you reach the out-of-pocket maximum within a calendar year you will not be cut off coverage.

North Carolina Group Health Insurance

Thursday, January 29th, 2009



Many Americans receive health insurance through their jobs or enjoy its benefits because a family member has insurance at work. The least expensive of its kind, this is known as group insurance. In a number of instances, the employer bears part or all of the cost.

Employers can offer you different types of plans: a fee-for-service plan, a health maintenance organization (HMO), or a preferred provider organization (PPO), for example. If you leave the job, you won’t be entitled to the employer-supported group coverage and if you keep the same policy, you will have to pay for it yourself. A federal law called COBRA requires that if you work for in a company with 20 or more employees and leave your job or are laid off, you can continue to get health coverage for at least 18 months at a higher premium than when you were working.

In North Carolina, you can find many group insurance plans as they benefit both employers and employees. These plans help employers attract and retain employees while employees benefit from lower premiums and employer contributions.

There are many licensed health insurance companies in North Carolina and the highly competitive market keep premiums affordable. Because of their nation-wide networks, many regional and national insurance companies can provide coverage for North Carolina business’ employees that live and work outside of North Carolina’s borders.

Group insurance programs are flexible offering many coverage options. Employees can be provided a fixed program or offered a menu approach that gives each employee the ability to select the coverage options that best suit his/her requirements.

Apart from group medical and life insurance plans, other group insurance plans are available also from which a group program can be tailored: group medical insurance, group dental insurance, group vision insurance, group disability insurance (short and long term), group life insurance, business travel accident, and accidental death and dismemberment insurance.

To avoid employing additional staff for handling paperwork, group insurance companies these days are using toll-free telephone numbers and Internet websites for program administration.

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