Health and Medical Insurance – Comparing Managed Care Health Plans

Health and Medical Insurance – Comparing Managed Care Health Plans

Health insurance plans have been forced to take action to contain costs of quality health care delivery as health care costs have skyrocketed. Health insurance premiums, deductibles and co-pays have steadily increased, and health insurance companies have implemented certain strategies for reducing health care costs. “Managed care” describes a group of stratgies aimed at reducing the costs of health care for health insurance companies.
There are two basic types of managed care plans; health maintenance organizations, or HMOs, and preferred provider organizations, or PPOs. So which health plan is best? How do you choose what type of health insurance best suits the health care needs of you and your family?
Both HMOs and PPOs contain costs by contracting with health providers for reduced rate on health care services for its’ members, often as much as 60%. One important difference between HMOs and PPOs is that PPOs often will cover the costs of care when the provider is out of their network, but usually at a reduced rate. On the other hand, most HMOs offer no coverage for health care services for out-of-network providers.
Both HMO and PPOs also control health care costs by use of a gateway, or primary care provider (PCP). Health insurance plan members are assigned (or select) a primary care practitioner (physician, physician assistant, or nurse practitioner). usually a family practitioner or internal medicine doctor for adult members or a pediatrician or family care practitioner for childern. … Read more

Affordable Health Insurance In Pennsylvania

Affordable Health Insurance In Pennsylvania

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If you have just become unemployed and lost your employer-sponsored group health insurance plan, one way for you to obtain affordable health insurance in Pennsylvania is to purchase a conversion plan.

Conversion coverage is an individual health insurance policy that comes from the same company that provided group health insurance to your employer and his or her employees. If you received employer-sponsored group health insurance for no less than three months, you are eligible for conversion health coverage. When you purchase a conversion health insurance plan in Pennsylvania, you must pay the premiums that your employer may have once paid for you under your employer-sponsored group health insurance plan; however, you can’t be denied due to any medical conditions.

Affordable health insurance in Pennsylvania in the form of conversion insurance covers not only you, but anyone else who was previously covered under your employer-sponsored group health insurance plan. This includes your spouse – even if the two if you are divorced – and your children. As long as the person is your dependent, and previously covered with your health insurance policy, he or she can also be covered under your conversion coverage plan.

You are not eligible for conversion health coverage if you are already receiving, or are eligible to receive, health insurance offering similar coverage from another group health insurance plan, or health care programs such as Medicare. In most cases, you must also use up the Federal COBRA health care coverage … Read more

Florida Self Employed Health Insurance

Florida Self Employed Health Insurance


Florida residents that are self employed and looking for health insurance have a number of options available to them.
Be aware that depending upon your health, your age, and other factors unique to your particular situation there is no hard and fast rule as to which option is best for you. However, there are some general guidelines that will help you make the best Florida self employed health insurance decision.

The first Florida health insurance option available to the self employed is to simply apply for an individual health insurance policy. The benefit to applying for an individual health insurance policy is that individual health insurance rates in Florida are very competitive. You can see that first hand by viewing instant Florida health insurance quotes.

The downside to attempting to purchase an individual health insurance policy in the state of Florida is that you must be healthy. According to FL law, a health insurance company can decline your application for an individual health insurance policy based on prior medical history (pre-existing conditions), height and weight restrictions, and other health related criteria.

That means if you have cancer, diabetes, weight problems, or a host of other physical ailments then you will be denied coverage with a Florida individual health insurance policy. (Any unscrupulous agent that tries to tell you other wise is misrepresenting whatever product he or she is trying to sell you as health insurance when in fact it is probably a discount health plan … Read more

Anyone Wants Health Insurance?

Anyone Wants Health Insurance?

Health insurance is important to every individual because one never knows when he will need it. Due to the advances in modern medicine, medical diagnostic and treatment procedures are now a lot more expensive than before. Not everyone can afford the full cost of medical treatment which could easily add up to thousands of dollars.

The tremendous increase of health insurance prices in recent years has been attributed to various health-related factors such as lack of regular exercise, unhealthy food choices, exodus of doctors away from poor areas and rural areas, alcohol consumption, cigarette smoking, the popularity of drug addiction, increased body fat leading to obesity and the sedentary life led by most individuals nowadays.

Health insurance coverage originated in 1694 by Hugh the Elder Chamberlen, who first thought of the concept of health insurance. In the late 19th century, health insurance was called disability insurance because health insurance was limited only to medical costs of such injuries that would potentially lead to disability.

Health insurance is a program in which the insurer pays the medical costs of the insured should the insured become afflicted with sickness due to diseases or accidents covered by the insured’s plan. There are private organizations and government agencies who offer health insurance.

Health insurance is classified into private or non-government coverage or government-sponsored. A private health insurance is purchased from a private health insurance company and it is further classified into employment-based health insurance, which if offered through one’s employment. … Read more

Public Health Nursing

Public Health Nursing

Isn’t it good health one of our priorities in the family among other things? With that in mind, wouldn’t it be very comforting to know also if the community where we live in also promotes public health nursing? Even if your eyebrows meet and your forehead carries a large question mark because you don’t know exactly it means and what it can do to your community, but if you read it between the lines, I’m sure you would say yes right away!

But, what really is public health nursing? For some, the words may sound familiar, while others may find the words confusing. Actually, public health nursing is the practice of upholding and protecting the health of the community by using the knowledge learned from nursing, social, and public health sciences. Given the good intention of public health nursing, it is not surprising to know that you can find public health nursing almost anywhere in the country.

Public health nursing is, in fact, developed to describe its specific roles and to provide a guide for public health nursing practice in the ever growing health care system. However, the public health nursing practice can be affected by certain factors, such as environmental, biological, cultural, economic, social and political aspects of a community. Due to the fact that public health nursing is an integral part of the healthcare system, the former is also responsive to these factors by way of working with the community in promoting health and preventing … Read more

How To Compare Health Insurance Plans And Get Affordable Health Insurance!

How To Compare Health Insurance Plans And Get Affordable Health Insurance!


Everyone needs an adequate health insurance plan; however, in America, everyone doesn’t have the same health insurance plan.
Actually, the health insurance plan that’s available to one person may not be available to another person. One reason this is true is not all health insurance plans are affordable to all people.

There are three practical ways of obtaining a good health insurance plan – you just have to compare the health insurance plans and get the most affordable health insurance for you.

Group Health Insurance

You can obtain an affordable group health insurance plan in a variety of ways. Most employers offer group health insurance plans as benefits to their employees; many of these types of group health insurance plans allow you to add your spouse and your children onto the health insurance policy.

Various organizations and associations offer group health insurance plans as benefits to their members. Some businesses, such as credit card companies, offer group health insurance plans as benefits to their customers.

Find out if your employer offers group health insurance. Or, if you belong to any clubs or are associated with a particular business, ask if they offer group health insurance plans.

Individual Health Insurance

Unfortunately, employers aren’t required to offer group health insurance plans to their employees. When this is the case, consider purchasing an individual health insurance plan. With the broad range of health insurance companies specializing in affordable individual plans, you will … Read more

Affordable Health Insurance For People Who Live In New York

Affordable Health Insurance For People Who Live In New York

2018.12.29 Grey Goose Parkrun
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If you are not eligible for COBRA, HIPAA, insurance policy conversion, state continuation, Medicaid, Medicare, or any type of state-sponsored health care program, but are in need of affordable health insurance in New York, you may have to purchase an individual health insurance plan.

Most people groan at the thought of purchasing an individual health insurance plan – and for good reason. Individual health insurance plans are usually more expensive than the ideal health care coverage – employer-sponsored group health insurance plans. However, in New York, you can purchase an affordable individual health insurance plan for a couple of reasons.

First, when you set out to purchase an individual health insurance plan in New York, you can not be turned down due to your particular health conditions. This is great news because many people with pre-existing health conditions tend to have a difficult time finding health insurance companies that will sell health insurance to them. Health insurance companies view people with pre-existing or serious health conditions as higher risks to insure. They view them as potentially lost money. Yet, in New York, there are health insurance companies that will not turn you down regardless of any pre-existing health conditions you may have, or the severity of the health condition.

Second, you will not be charged a higher health insurance rate due to your pre-existing health condition, regardless of the severity of your pre-existing health condition. This is more … Read more

Affordable Health Insurance In Michigan

Affordable Health Insurance In Michigan

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If you are having trouble finding affordable health insurance in Michigan, you may want to look into enrolling in a discount health care plan. Discount health care plans are not health insurance plans; health insurance companies do not normally offer discount health care plans. Rather, discount health care plans are offered by businesses specializing in the insurance industry to plan members for a monthly or annual fee. These businesses have contracts with certain health care providers who have agreed to honor the discount health care plan.

Obtaining affordable health insurance in Michigan may seem tough at times. The good news is that you can find discounts for medical, dental, and vision care, as well as discounts on prescriptions with a discount health care plan. The health care providers to whom you have access with the discount health care plan are usually in some form of agreement with the company from which you purchased the discount health care plan. Make sure this is true for you and your discount health care plan before you start signing or paying for anything. If there are no health-care providers in your area who participate with the discount health care plan in which you are enrolled, the plan will be practically useless. Unless, of course, you are up to traveling all over the state to see a health care professional who does honor the discount health care plan.

It is very important to remember that a discount health … Read more