Politicians are struggling to spin health insurance as one of their platforms. The news media networks, MSN, FOX News all play it up or down, depending on their point of view. While there are many ideas about health care, the fact remains that the struggle for affordable health care in America real, and it is getting worse every year.
One of the biggest myths about health care is that most of those without insurance are illegal immigrants, or are unemployed. This simply isn’t true.
The National Health Care Coalition has found that nearly eighty per cent of the uninsured in America are citizens, and eighty per cent of those come from working class families. During 2006, over 90 percent of the population or nearly five million people, were without any kind of health insurance for at least part of the year. Now that the unemployment figures are higher, that number is also larger.
America is a world leader. Why is nothing being done to guarantee health care to our working families? If you are working just to get by, then you usually make too much to qualify for Medicaid. Staying at home and drawing welfare so that you can have health insurance doesn’t make any sense to most people, and budget problems at the state level is making that harder as well.
Young adults to the age of twenty-four probably don’t give health care a second thought. They are the population group that is most likely to be without a health plan. There are families that earn over $50,000 per year and also don’t have insurance, even when it is offered by their employer, because they just cannot afford the premiums. If a family earning that kind of money cannot afford health insurance, how can a family who earning half of that be expect to pay for a health plan?
The trouble is that being uninsured means that serious illnesses may go undiagnosed or untreated. Even something like the flu can cause complications and even death if left untreated.
Someone without health insurance is more likely to end up hospitalized for an avoidable condition. The cost of that stay will be around $3000. If that person had been seen a doctor, the condition could have been caught and treated before it became a problem. Hospitals treat patients without insurance and it costs nearly $34million dollars every year. That cost is added back to the paying public through higher hospital bills. This increases insurance rates forces more people to go without.
Affordable health insurance in America needs to be talked about not only during election years. We all need to focus on it and fix it now, realistically and fairly. Health insurance should not be a luxury, or an option for a select few. It should be affordable for all.
By: Karen Enden
Posts Tagged ‘Health Plan’
Health Insurance Plans Covering Maternity
January 12th, 2010
Many families are in search of affordable health insurance that will provide maternity or pregnancy benefits. Health carriers offer such plans, but they vary in the amount of coverage provided. Many insurers will not provide benefits to the insured for at least nine months.
As with all things insurance related, you must plan ahead. Occasionally, consumers are interested in maternity policies once they are already pregnant. They are disappointed to learn insurance cannot be purchased to cover a pregnant spouse – pregnancy is a preexisting condition. Insurers simply will not take on this risk. However, a health plan can be purchased for a healthy mother and child after delivery.
When is My Pregnancy Covered?
Generally, policies will provide benefits for maternity after the insurance has been in force for nine months, but some carriers offer plan with limited benefits that begin day one. However, if you were to purchase a plan with a nine month waiting period, your pregnancy would not be covered if the child was delivered before the nine month window had expired. Again, it is prudent to plan ahead and purchase a policy with a maternity rider some months before conception.
It might be helpful to look at this from the insurance provider’s point of view. Typically, when a couple desires and pays for a maternity plan, then they are likely to use it. The insurance company is relatively certain that a claim will come in the near future. Thus, they will build the cost into the premium for the insured (you) and mandate a waiting period. That being said, some companies are offering plans that are more attractive than others.
A Popular HSA Maternity Plan with a Reasonable Deductible
One insurance company offers a Health Savings Account (or HSA) with a maternity rider and a low $1,500 individual deductible. Once the deductible has been reached and the nine month waiting period has been satisfied, the plan would cover the balance of the pregnancy. In this example, you could fund the HSA account with at least the $1,500 and write that off against your income. The $1,500 could be withdrawn tax free to satisfy the deductible and then the policy benefits would kick in. Currently, this HSA plan is one of the more popular policies available.
Another popular plan has no waiting period and provides more benefits the longer the policy is held. The maternity rider will cover $2,000 toward a pregnancy in the first two years. During years three and four, the policy will pay up to $4,000 and years five and on the policy provides coverage up to $6,000.
Another option is to simply self insure for a pregnancy. Many consumers will purchase traditional health insurance or possibly an HSA qualified plan and save each month in order to cover maternity expenses.
How are Pregnancies Billed?
At this point, clients often ask about pre-natal care and doctor’s office visits. Fortunately, most Obstetricians do not charge as you go. Doctor’s visits, pre-natal care and delivery are all included as part of the pregnancy and usually subject to one, pre-determined charge. Thus, the final bill can be run through your insurance company (assuming you purchased a maternity rider) and then settled up.
When purchasing health insurance policies covering pregnancy, you must plan ahead. There are several options available, but you will get the most from your policy if you do your due diligence and purchase the policy ahead of time.
Request a Health Insurance Quote with Maternity
By: Adam Hyers