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What is a group insurance plan?
Group insurance is typically offered at your job. It is a group of people paying considerably lower insurance premiums to the insurance company. Sometimes the lower premiums only apply to the employees, when you add on family members it can be expensive, depending on the size of the "group." Some employers will pay all of or a portion of the employee's premium, making it affordable to add on family members. Most of the time you will need to sign up for the insurance during an "open enrollement "period. In most cases, if you miss the open enrollment period you can't get the insurance until the next open enrollment period.
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Private insurance plans include all forms of health insurance that are not funded by the government.
Does an employee with existing group health insurance have to enroll into Medicare at age 65 buy a supplemental plan then drop the group health insurance?
You have a choice to stay in your employer's plan or join Medicare. When you do stop working and lose your group health plan, make sure you enroll in Medicare within 8 months.… You could also enroll in Medicare Part A (hospital coverage), and postpone enrolling in Part B (physician coverage) until you are done with your group health plan. Part A does not cost you a monthly premium. You would be over-insured, but the Part A benefit is available to you at age 65, whether you have other coverage or not.
Answer (applies to the United States only) NO! If you are having any trouble with group insurance and a pregnancy not being covered, contact your insurance commissioner…'s office IMMEDIATELY! Here's the deal: Under HIPAA (Health Insurance Portability & Accountability Act of 1996) GROUP insurance plans CANNOT by law consider pregnancy pre-existing. For example, if your husband is working at a job for several years, and has never added you to their group insurance plan and then you find out you are pregnant, the plan MUST allow you to be covered during their open enrollment. If they do not, CALL THE INSURANCE COMMISSIONER! REFERENCE: "Moreover, under HIPAA, preexisting condition exclusions cannot be applied to pregnancy, regardless of whether the woman had previous health coverage." from http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html However, if you are on an individual health plan, this is all out the window. Be prepared for the insurance company to fight like mad if you've bought the plan within the last 12 months, they will attempt to get out of covering everything. Don't be afraid to contact your insurance commissioner and file complaints, it will lead to you getting what you deserve via the law, you are protected by it, so take advantage!
Generally, group plans pay for more medical services and have lower co-pays and deductibles than individual plans. Group plans also are more likely to cover mental health serv…ices; individual plans may offer mental health services as a separate "rider" with a separate additional fee. The insurer can set a price for group plans, knowing that the plan will get some healthy people and some sick people. The price for individual health plans is higher because people who are buying their own plan are more likely to need medical services; there is not a mix of healthy and sick people buying individual plans, in other words. This will change when everyone is required to have health insurance in 2014. Then, insurers will have more healthy people buying individual plans.
The National Association of Dental Plans has a dental plan locator on their website. Just put in your state and search for individual insurance. It will bring up a list of com…panies and the products that they offer in your state. Call the company or go to their website.
Following the success of Preferred Provider Network (PPN) of hospitals to provide cashless transaction for health insurance policyholders
The group insurance plans are ususally NOT portable, which means you can't take them with you if you change jobs. Most group plans do not require proof of medical insurability…, while majority of individual plan will require some underwriting.
The best health insurance plans are HMO's which are provided by an employer. These include Anthem as well as Aetna.
Tricare insurance is a comprehensive insurance plan offered in the United States of America. It is renowned for service military personel and their families and services count…ries beyond the U.S.
Why have many insurers replaced retrospective health insurance plans with group plans such as HMOs and PPOs?
It helps keep the cost down for insurers as well as individuals.
Medicare is only secondary to your group coverage if you work for a company with 20 or more employees (could be a combination of part-time and full-time, based on total number… of hours per year) and you worked 20 weeks or more, in the current or preceding year. They do not have to be consecutive weeks. If you work less than 20 weeks or your employer employs less than 20 employees, or both, your medicare coverage is your primary insurance coverage. Primary status of group benefits takes place as soon as the employment and work week criteria are met. It will be primary for at least the rest of the current calendar year and all of the following year. Primary status for medicare takes place on January 1st of the following year after an employer employs less than 20 employees or you work less than 20 weeks in that year. Medicare remains primary until employment or work week criteria meet levels to make group benefits primary.
Can an employer force an employee to drop group health insurance coverage because the employee is eligible for coverage through his spouse's plan?
No. The employer cannot force you not to take the coverage. However, if you don't want you may have to sign a waiver.
Why do group health insurance plans usually have better coverage and lower premiums than individuals plans?
Since group health insurance plans usually cover say 500 heads at a time, the Insurance Company has the option to offer lower premiums for economy,than charging for an individ…ual policy. Whether group health insurance plans have better coverage is doubtful because claims are entertained on individual basis and are to follow guidelines applicable to all.
Yes, you can go to Planned Parenthood with or without insurance. They will help you find out about programs to pay for your care, and most offer sliding-scale fees based on yo…ur income. As of this writing, Planned Parenthood does work with uninsured patients on a sliding scale.
The Group Rating Panel determines which cars fall into which insurance groups. Usually, the cars are placed into the categories based on cost of the car, cost of the parts, p…erformance of the car, and car security.
Lincoln Financial Group offers three term life insurance plans. These plans are Lincoln LifeElements Level Term (2013), Lincoln LifeElements Level Term (2012) and Lincoln Lif…eElements Level Term.
Some of the most popular and highly rated companies across the US in general for group health insurance coverage include Blue Cross Blue Shield, Cigna, and Aetna. However, in …some areas particularly outside urban centers each of these companies will have limited coverage or a very small number of participating providers, so one always needs to check whether a highly rated plan is good for their area before enrolling. On a local or regional level, there are several health co-ops and provider-specific plans that are very highly rated such as Emblem Health in New York State, the Geisinger Health Plan in northeast Pennsylvania and the Group Health Cooperative of South Central Wisconsin.