Posts Tagged ‘coinsurance’

In-Network, Out-Of-Network, and Preferred Providers – Read This Before Buying a Health Plan

Kelley-Jensen2In-Network, Out-Of-Network, and Preferred Providers – Read This Before Buying a Health Plan:  One of the benefits of a health plan is decreased rates for services with certain doctors and health care providers.  The terms for these relationships are:

Preferred Provider Organization  – Insurance carriers establish a list of contracted health care providers that have agreed to a discounted fee schedule for their health plan members.  This PPO list is referred to as a provider directory of participating doctors and health care providers.

Health Care Reform – Women’s Preventive Care

Author: Kelley Filice Jensen

The Patient Protection and Affordable Care Act (PPACA), otherwise known as Health Care Reform, otherwise known as Obamacare, requires health plans to cover certain preventive care services for women without any cost sharing.   Thus, there are certain services provided by your doctor that you do not have to pay for if you have a health insurance plan, even if you have a copay’s, deductibles, or coinsurance.

When Does This Take Effect?

The additional preventive care guidelines for women take effect for plan years beginning on or after Aug. 1, 2012. If your plan operates on a calendar year basis, the new rules will be effective on Jan. 1, 2013.

Health Insurance 101 – Video Tutorials, Brought To You By Humana

Author: Kelley Filice Jensen

Sponsored by Humana, these short videos provide concise answers to common health insurance questions received by health insurance providers, health insurance agents and health insurance brokers.  Learn more, make sure you can answer these questions about your health insurance needs.

Can You Change Your Health Plan Anytime You Want? – Video Link

How Can You Get The Most Out Of Your Health Insurance? - Video Link

How Did Healthcare Come About in the United States? - Video Link

How Do Deductibles and Copays Work? - Video Link

HEALTH INSURANCE 101 – Common Insurance Terms

Author: Kelley Filice Jensen

Most things have a language all their own, and when you know the language, everything becomes shockingly less confusing.  Here is a partial list of common terms used when discussing individual health insurance plans and group health insurance plans.  Learn more by watching health insurance informational videos sponsored by Humana.    And, make sure you can answer these questions about your health insurance needs.

CARRIER – An insurance company that provides a health plan.  Examples would be Blue Cross, Aetna, Health Net or several others.  A carrier could also be a Health Maintenance Organization (or HMO) which may not technically be an insurance company, but HMO’s are also carriers that provide health plans.  See More Carriers, and get quotes now.

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