Guide to Buy Individual Health Insurance Plans

By Mouzzam Devraj Atiq

Most people prefer to stay without any kind of coverage than going for an individual plan as the later is costlier policy to buy.

WHEN TO GO FOR AN INDIVIDUAL PLAN?
Individual plans are not generally preferred by people as they are not cost effective. However if a person is self employed, or his family insurance does not cover him or if he is between jobs, then the only alternative that he has is to go for an individual medical plan.

TYPES OF INDIVIDUAL PLANS
While a person in such a situation has no other option, but to go for an individual plan, the choice lies in the kind of plan he opts for. There are various medical plans that are not too heavy on the pocket. Here is a look at the few of them.

- Preferred Provider Organization: This is the most popular individual plan. Though there is a network of healthcare providers, one can opt for a doctor outside the network as well. In a case of emergency, the beneficiary may not even have to pay extra for consulting a doctor outside the network.

- Health Maintenance Organization: It is a basic individual plan and is the best option when one has financial constraint. The plan focuses on providing primary and preventive treatment.

- Indemnity plan: It provides insurance based on deductibles and upto the maximum allowed for that policy.

QUESTIONS TO BE ANSWERED
When looking to buy one of the costliest type of medical plan, it is important that you are satisfied that it provides you with exactly the kind of coverage that you are looking. A quick checklist on the following and you can be assured of the coverage.

- Is your choice of doctor included in the provided network?
- Will it cover your medical expenses outside your state?
- Will your existing medical condition affect your coverage?
- What will be the deductible, premium and the co-insurance that I am supposed to pay?
- What are the benefits specific to the plan I am opting for?

TIPS TO GET YOUR INDIVIDUAL PLAN CHEAP
Agreed that individual plans are expensive, but that does not mean there is no way around. If you study carefully, then you will surely come across plans that are comparatively cheaper.

Agreeing to pay a higher deductible automatically means that you are paying a lesser premium. So if you looking for a plan that hopefully you will never use, then this is a good permutation to look for.

One can also lower the premium by excluding certain health services in the plan. For example, if you have no plans of motherhood at the moment, then why pay more for maternity benefits in your medical plans.

However, the sure shot way getting a plan at a cheaper rate is to purchase it as soon as possible. Premium depends on the medical status and age of the person which basically means the older you get, the more premium you have to pay. Hence the idea is to buy your individual plan now so that you don’t have to pay more for it later on.

INDIVIDUAL PLANS AFTER THE REFORMS
There is a common misconception that one has to pay more after the reforms are implemented. But in fact, premiums could go down by 14 to 20 % after the Act is implemented. And with the tax credits being available to the residents, individual premiums could depreciate further by about 60%. Individuals do not have to pay more for co-pays and deductibles either as there would be a cap on how much one pays from his pocket.

Individual plans will also come with a bouquet of other essential benefits. This will include prevention and wellness benefits at no extra charge, recommended vaccination and an access to the state-based Exchange. They will also allow people to choose their own doctor from the participating providers. Also there would be no prior authorization required to visit an ob-gyn.

Buying an individual medical plan can be tough no doubt, but with a cautious approach and the right research, one will be able to grab a really good deal for himself.

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Private Medical Insurance Premiums – How to Beat Rising Costs

By John T Hughes

Private Medical Insurance PremiumsMedical insurance premiums are affected by a number of different factors. Inflation is the main offender when it comes to rising costs. It affects household budgets, energy prices and luxury goods, right through to insurance premiums. Medical premiums in particular have risen most sharply in recent years – almost at twice the rate of normal inflation and for a number of reasons. Not only have consultant fee’s risen, but the base cost of medical treatments such as equipment and drugs have also – and they’re likely to keep on rising. Cancer treatment for instance, which some private medical insurance policies cover, is predicted to rise by 65% over the next decade.

Couple this with the world population which has grown at an astonishing rate over the last 100 years, putting a growing strain on our health care systems. We’re also an aging population living longer than ever before. The average life expectancy of men and women in the UK currently stands 78.2 and 82.3 years respectively. That’s 8 years higher than in the 1970s. Whilst it’s great that we’re living longer, it means that more of us requiring health care, and more frequently.

Unfortunately, the way we are living is also exacerbating the system. Our modern lifestyle choices mean that we are exercising less, eating more unhealthily and probably washing it all down with too much alcohol. Often, this will lead to health problems such as obesity and illnesses such as diabetes which will ultimately require hospital treatment.

Finally, huge advances in medical treatments over the last couple of years have also pushed up costs. Although more of us may be suffering from serious health conditions, these medical advances mean we are no longer dying from them. Now, certain drugs can help patients control illnesses preventing death or at least prolonging life. This ongoing treatment however, comes at a cost. Figures from 2007 show that the US pharmaceutical industry spent nearly $60 billion on drug research and development but only 2 out of every 10 drug of these drugs which make it onto the market produce enough revenue to match their research or sale costs.

All these increases consequently means that health insurance premiums are going up. Talking to the Sunday Times, health care expert Keith Pollard said: “A combination of an older population and higher costs for new medical treatments is pricing many people out of private medical care all together.” Although latest figures from analysts Laing & Buisson in 2010 show fewer people are taking out medical insurance, there are still 6.5 million people in the UK have private medical insurance. 2.9 million of these are employer-funded policies. So although prices are on the rise, there is still a large number of people who want to take advantage of these medical advances and treatments that may only be available through private medical institutions.

Customers can still obtain competitive deals but need to be aware that some medical insurance providers are lowering premiums by increasing excesses. Insurers usually charge around £50 per claim, but providers with higher excess may charge up to £2,000. Opting for a higher excess can reduce monthly payment costs significantly. Consider how comfortable you are sacrificing a lower premium for a higher excess.

Savings on premiums can also be made by tailoring your contract – known as a ‘modular’ policy. This means that you can customise your level of cover. For instance, a policy which does not include physiotherapy or cancer treatment could cost a lot less than a fully comprehensive one. This means weighing up your financial options and whether you can afford to risk certain elements of a policy. Searching for tailored private medical insurance can be both time consuming and confusing and it most cases may be most efficiently done through an independent private medical insurance specialist.

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Health Education – Know Medical Equipment Types

By Bucky Squire

Without a doubt, medical professionals working in hospitals, offices and other health facilities heavily depend on medical equipment in caring for their patients. As such tools are fundamental to perform their job duties, it is best to be aware that there are different types of medical equipment. Ranging from x-ray machines to heart monitor equipments, all take part in just as an important responsibility in patient care as the doctor, nurse or technician who uses them.

Diagnostic medical equipment is a scientific kind of equipment used in the early process of health care which is diagnosis stage. Such instruments embrace ultrasound machines, magnetic resonance imaging, computer-assisted tomography, and x-ray machines.

Therapeutic medical tools instrumentation, which aids in healing, is also known as life support equipments. Such machines include infusion pumps, lasers, and LASIK surgical machines. These kind of medical instruments maintain bodily functions when patients’ body can no longer perform these functions on their own. Such life support machines also include heart-lung machines, Extracorporeal Membrane Oxygenation (ECMO), dialysis machines and ventilators.

Medical monitoring instruments are crucial as medical staff use these to constantly monitor a patient’s medical state. Such equipments include the electrocardiogram (ECG), electroencephalogram (EEG), and blood pressure.

Another critical type of medical equipment is the automated medical laboratory equipment. Such tools are used to analyze blood, urine, and genes samples. These instruments available to hospitals, physician offices, and laboratories are made available through the research of diagnostic corporations.

Nowadays, many companies are involved in providing these different types of hospital equipment. It is a booming business as hospital equipments like catheters; stomach tube, rubber sheets, surgical rubber bulbs, etc. are commonly used.

Nonetheless it is an imperative that all suppliers strictly comply with Health Insurance Portability and Accountability Act whatever kind of medical equipment they provide. This is essentially to protect patients’ privacy and records.

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