If your health insurance has maxed and is no longer paying but you are still paying premiums to stay covered should you receive insurance-covered rates at the medical facility?
I would say YES. It seems similar to me, that it's the same question as, what if the insurance isn't paying because it's below the deductible? I know for a fact there that you get the Insurance Negotiated rate.
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Can you waive the group health insurance offered by your employer and receive more pay because they do not have to pay a premium for you?
Traditionally, medical benefits are offered on a "take it or leave it" basis, meaning that you have the option to waive the insurance - but will not receive increased pay because of it. Increasing your salary because you waived benefits is a newer, more progressive concept that some businesses (typi…cally, smaller businesses) are leaning toward. Ask your employer about their policy on this. No. For a detailed explanation on an ATtorney's site visit sgilaw.com for more information visit www.steveshorr.com ( Full Answer )
Can an employer offer the same insurance to employees but fully cover the premiums for some and require others to pay half of the premiums?
No, if they are similiary situated individuals. It could be done by class - say management vs. salaried For more details http://www.steveshorr.com/dictionary.htm#Similarly_Situated_Non-COBRA_Beneficiaries
Answer . What are you asking? Answer . Probably 52. I'm not sure though, I haven't had to look at those in a while.
Generally NO. In CA it's in violation of AB 1672 - Insurance Code 10700 If you're the ONLY employee that might work. If there is more employees, individual plans have the disadvantage of being medically underwritten and there is some employee now or in the future who won't be eligible. In a group pl…an, ALL employees are covered regardless of medical conditions. Also all "similarly situated individuals" must be treated equally.. A different Perspective . It is possible if the employer is using a Health Reimbursement Arrangement (Section 105 Plan) for all employees. As stated above, the employer can not discriminate and must treat all employees equally. Generally what they can not do is have both an employer sponsored insurance plan for some employees and an HRA plan to reimburse some employees with their own individual plan. ( Full Answer )
The secondary insurance cover both pays and co-pays of the primaryinsurance depending with the insurance company.
Cancellation of health insurance policy can be more complicatedthan most other types of insurance. so following the rightprocedure when cancelling a health policy can ensure that you don'tface any problems along the way. 1. The policy holder need to call the insurance company to cancelthe policy. A…part from submitting cancellation request and e-mail. 2. Make sure to get the name of the customer service representativethat you speak with, and write down the confirmation number at theend of the call. 3.Read through your policy carefully to determine what the refundrequirements of your policy are. Most new policies have a graceperiod when you first purchase it, where you can cancel and obtaina full refund, usually within the first 10 to 30 days, depending onthe insurance company. 4.Some states do not allow a refund of an annual policy that you'vepurchased. Check with the public health department of your ownstate to understand the basic rules governing insurancecancellation. 5. Call your insurance company directly instead of calling yourinsurance agent. Now the last on list keep a follow up the phone call with writtennotice regarding your request to cancel the policy And also mentionthe phone call with the name of representative that you spoke with.Write that you are sending the letter to submit a written record ofyour cancellation as a follow up to the phone call. ( Full Answer )
If you are on two medical insurance plans and the primary will not pay for a prescription can the secondary be used to cover it?
Answer . Depends what the 2nd policy pays for. Doesn't hurt to send in the claim forms. Try reading the policy or brochure.
That is a decision made by your employer. If you are receiving benefit payments from Comp, the only deductions permitted by law are court ordered payments such as Child Support. If you have a co-pay or a benefit you want to keep, you should either make your premium payment to the company or authoriz…e the Work Comp Carrier to deduct it from your check.. Check with your HR department and find out how long you will have until they cease your benefits. ( Full Answer )
Will you insurance premium go up if you claim a parking lot hit and run accident and pay 500 deductible and insurance covers 1000?
Answer . Yes, most likely, your premium will raise to some degree. If you don't claim it through insurance, there would be no premium hike.\n. \nParking lot incidents are almost ALWAYS considered 50/50 fault, sad to say, unless you can PROVE otherwise!
Your daughter was covered by your insurance till she was 19 She turned 19 eight days before giving birth to her baby. Should the insurance still pay?
I would think they would pay for all of the prenatal visits. But I don't believe they would cover the hospital expenses. Unless she was enrolled at a college. Then she could remain covered until at least the birth of the child, at which time they would probably say that she has had an immancipation …event.. Answer . "Should" has more meaning in moral discussions. Insurance companies only do what they are required to do under law or agreement. Read the policy and see what they are required to do. While I would probably agree with you that they "should" pay for the delivery, they probably won't. ( Full Answer )
Must you reimburse your insurance company for medical bills paid on your behalf when you get a settlement from the other insurance company even though youve been paying premiums to cover medical costs?
Answer . normaly yes, many people dont. you can wait it out, see if they ever catch on. if not go buy some shoes, if they do, which usually takes at least a year, get ready to return the shoes. eventually the insurance companies settle their explanation of benefits, and find out who owes what.
Generally, a co-pay is a fixed amount that you're responsible for before the insurance coverage starts for a particular medical service.
Where can you get a reversal done in Ontario Canada and will you have to pay for it or can it be covered on your medical insurance?
In most provinces, sterilization procedures for both men and womenare covered. However, reversals are rarely covered by insurance,and you should expect to pay at least $7,000 out-of-pocket for areversal.
Company has health insurance. Employee gives birth and is covered during 2007 but pt has to remain in hospital in new year for additiona days. Now has new health insurance. Who pays for the stay.?
The health insurance carrier the person was with when she was in the hospital would help to pay for the stay.
Can a company stop paying health insurance premiums causing the insurance to be cancelled without notifying employees although employees are still paying for insurance?
No. I don't have the citation off hand, though. If nothing else you'd probably qualify for HIPAA.
If you have group Health through work, he maybe able to be added for more premium. Nothing is free. If you have individual health insurance and not group through work, your husband must get his own health insurance and who pays for that, is up to the two of you. He will definitely have his own premi…ums to pay.. Michael. FindYourPolicy.com ( Full Answer )
If the child support order states that you must pay for medical insurance are you also obligated to pay the dental and optical bills not covered by the insurance?
most of the time they give responsibility to CARRY the insurance on the child to one parent but also state that the other parent has to pay half of the medical bills that are aquired. Depends on the divorce papers. Its all about the legalities.. most of the time they give responsibility to CARRY th…e insurance on the child to one parent but also state that the other parent has to pay half of the medical bills that are aquired. Depends on the divorce papers. Its all about the legalities. ( Full Answer )
What best describes term life insuranceA The insured is covered during his or her entire lifetimeB The insured pays the premium until his or her death?
Which of the following best describes term life insurance? . A. The insured is covered during his or her entire lifetime.. B. The insured pays the premium until his or her death.. C. The insured pays a premium for a specified number of years.. D. The insured can borrow or collect the cas…h value of the policy.. ( Full Answer )
I believe the president gets free medical care from Government Medical Facilities and staff physicians. He doesn't have 'insurance' so to speak. I think anybody who treats the president would likely have to have a pretty high level security clearance unless it was an emergency.
We the taxpayers do. We also pay their salaries by way of the taxes we pay. I want to know how much legislators pay towards their health care.
In CA, yes. This may jeopardize the entire plan, as the Insurance Companies, generally require the employer to pay at least 50% of the premium. The employer could shop rates at http://www.quotit.net/eProGroup/login.asp?brokerID=23433638&license_no=0596610 with no obligation. Healthy employees,… no pre-exisiting conditions can shop for individual plans here http://www.quotit.net/eproIFP/webPages/infoEntry/InfoEntryZip.asp?license_no=0596610 Those with health problems would not be able to get COBRA if there is no group health plan in force. They could get HIPAA http://www.steveshorr.com/HIPAA.Rates.htm ( Full Answer )
At age 87 I would imagine you have a whole life policy and it is probably paying dividends. The dividends may be enough to pay the annual premium or at the very least a portion of it. If this is the case you could probably arrange for such and no longer make premium payments. Call the insurance c…ompanies customer service department or your agent and inquire. Be careful of churning where they may suggest using cash values of one policy to take out and pay for another policy. ( Full Answer )
Once your policy lapses, your insurance company is no longer liable should something happen to or on your property. There are several implications here: 1) any personal liabilities that would otherwise be borne by your insurance company would go against your estate (the property and/or your personal… assets) 2) any damage to the property would normally go against the estate (i.e. you would have to pay for damage caused by a broken pipe or a tree that falls on the roof, etc.) 3) Your mortgage company would eventually find out (or should...) and you would eventually be compelled to buy homeowners insurance that your lender selects for you in order to protect the lender's interest in the property. Technically you would be in default of your mortgage if you don't pay for the selected insurance or prove that you have homeowner's insurance at that point. 4) The insurance company may assess you an additional fee for coverage beyond the insurance period (for example if you let the policy lapse without informing the agency that you wished to terminate the policy by a certain date) - sounds weird, but I've seen it assessed. Bottom line, not paying the home insurance premium has fairly significant effects besides not having insurance coverage. ( Full Answer )
Yes the employer can pay the health insurance but is not required to by law. He is encouraged to for bettering the employees benefits.
If an employer pays the premium on medical insurance and forces an employee to take that coverage is there anything the employee can do if they are covered under another plan?
Contact your human resource or personnel department people. If you have to self-pay for your health insurance coverage at your workplace you may be able to select not paying for it and decline the coverage. It depends on the insurance laws in your state and what is the policy at your workplace. If y…our employer pays for the insurance for you and you don't have to pay anything then why turn it down? Medical care is very expensive. And if you lose your job you may be able to continue that coverage until you have coverage from a new job. ( Full Answer )
Some states allow it and some states offset your benefits by the amount of severance pay.
If you are addressing orthodontic braces, typically it does not; you would need to rely upon dental insurance. At that, much dental insurance pays only a portion of the cost of braces (half is typical). While the coverage and exclusions of the medical/health insurance policy control, there may be …a valid argument that can be made for coverage of braces if they are necessitated by an otherwise covered occurrence, such as an auto collision. That is, if injuries are such that braces are "medically necessary" to return the injured person to full function, it may be argued that coverage exists (subject to all other terms, conditions, and limitations of the policy). If you are addressing prosthetic/orthopedic braces, they are generally covered by a medical/health insurance policy, subject to all other policy terms, conditions, and limitations, and provided that they are "medically necessary". ( Full Answer )
its paid on the value of goods travelling in it n value of the ship
Part of it is used to pay the wages of the people who work for the insurance company, part of it goes as earnings to the people who own the company, and some goes out to cover damages that insurance holders claim compensation for.
The answer depends on your location, income, and the medication.Access to low cost medication is restricted by federal law. Contactyour local office for information specific to your situation.
Health savings account are tax free, and the money that wassupposed to pay the taxes can be used for long term care expenses
Contact your life insurance company and they can tell you if you can pay online
This depends on the company and its policies. Sometimes the company pays half and employees pay half. Sometimes, company pays full amount and sometimes, there are no insurance benefits for employees.
No, unless it specifically states in the mortgage contract the last insurance premium is to be paid with the loan payoff. If you don't pay it all they can do is cancel your insurance which you don't want anymore.
Yes, of course you can. You can take your prescription to a diffrerent pharmacy and you don't even have to tell them you have insurance. You can specifically ask that your pharmacy doesnt submit your prescription through insurance... but they still might inform them or at least inform the doctor. Th…ey do that to make sure you are not getting a controlled substance too soon. But if you are worried about it, just have the doctor call in that medication to a different pharmacy or have them give you the prescription and you take it to any pharmacy you want. When they ask you if you have insurance, so no. Hope that helps. :) ( Full Answer )
Only if it is considered medically necessary or if it is for an emergency room visit.
Insurance coverages vary from state to state and this sounds like one that may be a hot item in one state but not another. In most states whether or not the driver received a DUI would have no effect on the payment of medical payments coverage. Med Pay was designed to offer quick payment for emergen…cy room type claims no matter who is at fault. Med Pay covers only you and your passengers and the payment limit is usually rather small to take care of the scrapes and bumps without getting into liability. ( Full Answer )
It is a deduction. If you have your insurance deducted from your paycheck then it will show when you get you tax papers from your employer at the end of the year. If not then you will need to do the "long form" and not the EZ Form at tax time. If unsure have a Tax office so it for you. But the answe…r is YES. ( Full Answer )
My son in entering rehab for 60 days. I provide medical insurance that covers the admission. Must I still pay his child support payments while he is in rehab?
Yes, you still pay. She still needs to maintain the household where he lives, provide clothing and other necessities, incur expenses, etc., while he is in rehab. You can't decide to cease child support payments without permission from the court that issued the child support order. Yes, you still pa…y. She still needs to maintain the household where he lives, provide clothing and other necessities, incur expenses, etc., while he is in rehab. You can't decide to cease child support payments without permission from the court that issued the child support order. Yes, you still pay. She still needs to maintain the household where he lives, provide clothing and other necessities, incur expenses, etc., while he is in rehab. You can't decide to cease child support payments without permission from the court that issued the child support order. Yes, you still pay. She still needs to maintain the household where he lives, provide clothing and other necessities, incur expenses, etc., while he is in rehab. You can't decide to cease child support payments without permission from the court that issued the child support order. ( Full Answer )
You have the option to get a mortgage insurance for the length of your mortgage contract, or you can choose 10 years, 15 years, 20 years, 40 years, etc.
What do you do when the noncustodial parent has stopped paying third-party medical insurance premium for their child?
It depends upon how the court order is worded. If the non-custodial parent is responsible for health insurance for the child, then you would need to go back to court. If he is responsible for paying the medical bills, then you would send him the bills. In any case, he remains on the hook for the chi…ld's medical bills. ( Full Answer )
A lot of people purchase health insurance because they think it will help them when they become ill. Many people do not understand that when purchasing a particular health insurance provider many of them won't cover their health cost. Some people who are not covered are people who are pregnant, peop…le who are going through cancer, and many other services may not be covered. ( Full Answer )
Group life premiums are generally paid by the employer, or the owner of the master policy (business owner, Association, Fraternal organization, etc).
Health insurance is a form of insurance you can opt to purchase upon meeting different criteria set forth by the state you currently work in. Health insurance generally doesn't pay you anything it however covers a majority of not all of your costs were you to get injured well at home or at work.
An abdominoplasty is a medical procedure that is also known as a tummy tuck. No, medical insurance does not normally pay for an abdominoplasty. However, a procedure known as panniculetomy may be covered by some medical insurers if it is deemed medically necessary.
If ownership of the policy is assigned, the assignee is liable for future premium payments.
Much like many insurance pricing questions. It will vary quitewidely depending on many factors that would reflect the overallrisk exposure of the doctor in his profession. A few of the more prominent rating Factors in the medicalprofessions might be. Previous claims history The type of medicine pr…acticed Type of procedures performed Volume or scope of services provided A physician with a smaller general care practice who performs fewprocedures a year may pay very low single digit premiums while aSpecializing Neurosurgeon performing or supervising hundreds orthousands or more procedures a year may pay triple digit premiumsin the hundreds of thousands. It's really dependant on the overall risk. As in any profession oreven commercial concerns. higher volume and increasing complexityof a venture can increase the likelihood of a failure at some pointin the system. Even though the doctor himself may not have made anerror in an operation, The doctor may be held financially liable ifothers under his or her direction make an error as well. Medical professionals engaged in certain Cutting Edge or Researchactivities, and those fleshing out the next proven avenues oftreatments can see premiums in the millions. ( Full Answer )
Actually the above is not totally true. The President, as a federalemployee, is automatically enrolled in the Federal Employees HealthBenefits (FEHB) system. This is a partially subsidized health plansimilar to those offered by corporations- the employee pays aportion which is automatically deducted… from their paychecks, andthe government pays the rest (about 70% if memory serves). The planalso covers his spouse and children. All federal employees except military and postal employees are inthe FEHB system, including myself. Congress used to be on the planbut Senator Grassley (R-IA) added an amendment to the ACA whichforced Congressmen and their staffers off FEHB, and requires themto use the new exchanges system. Like anyone else, the President can choose to forgo this coverageand buy his own plan, but he would be required to pay for itentirely by himself, without the subsidies. ( Full Answer )
In health insurance a copay (copayment) is a fixed amount you payfor covered services, typically when you get the service. e.g So ifyour policy says, 10% Copay and your claim amount is Rs.1,000/- youwill have to pay Rs. 100 and the balance Rs. 900 will be paid bythe Insurance Company. Generally, The… co pay clause is found in health insurance plan.Each plan treats copays differently, so it's important tounderstand if your plan offers copays, what services they offerthem for, and how many of one service you can get at that copay perpolicy period. ( Full Answer )
Generally, it's depend on the health insurance policy you buy fromthe insurance company. If you buy policy of high premium thanof-course you have to pay a lot. so choose the policy with lowerpremium by comparing it with the help of platforms available inmarket such as Coverfox.com, policybazaar.com,… policylitmus.cometc. ( Full Answer )