Showing posts with label health insurance. Show all posts
Showing posts with label health insurance. Show all posts

Wednesday, 25 March 2015

What Are Dental Saving Plans ?

A dental savings plan functions a lot like a membership at a warehouse club. You pay an annual fee and get access to significantly reduced rates. And dental savings plans offer many benefits over traditional dental insurance. Things like no annual caps or limits and absolutely no paperwork.

Choose from 40+ different plans from the healthcare brands you already know and trust like Cigna, Aetna and more. We have affordable plans to fit any need and budget. And, depending on the plan you choose, you'll save 10% to 60% on your next visit.

Our plans cover more than 140,000 dentists nationwide. These quality providers have agreed to charge reduced fees on the dental services you need. So you’ll get the quality care you deserve at a bigger savings than you ever imagined possible. Watch our video to learn more.


Compare Dental Saving Plans & Insurance

 

Advantages Dental Savings Plans Dental Insurance
Quick Plan Activation YES NO
Vision, Hearing & Prescription Discounts* YES NO
No Annual Limits YES NO
No Paperwork Hassles YES NO
No Waiting for Dental Care YES NO
Cosmetic Dentistry Savings* YES NO


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Vision Discounts

Your path to deep discounts couldn’t be clearer with AARP Vision Discounts provided by EyeMed. Simply present your AARP membership card or your insurance card from a plan that carries the AARP name at any of the following retail locations to receive exclusive savings.



  • Save with glasses.com:
    • Save 25% off $200+ purchase + FREE basic lenses OR 25% off lens upgrades.
    • Free basic lenses include CleanShield™ anti-glare hard coating. When coated in CleanShield™, it is scratch resistant, durable, provides UV protection and reduces glare.
    • Free Shipping
    • Free returns for 30 days - If you find something unsatisfactory about your glasses, glasses.com will do what it takes to make it right.
    • Some exclusions apply, see provider website for details.
  • Save up to 60% off Eye Exams*
    • Routine eye exams provided at a cost of up to $45
  • Save 40% on Transitions® lenses
    • Transitions lenses darken automatically when you step outside
    • They continuously adapt to changing light, bringing out the best in everything you see, so life looks more vibrant
  • Save 30% on a Complete Pair of Eyeglasses*
    • Choose from a wide variety of designer frames and styles, including prescription sunwear
    • A 90-day money-back guarantee
    • Please note: complete pair (frame, lenses and lens options) purchase required to receive 30% off. Items purchased separately will be discounted at 15%.
  • Save up to 20% on Contact Lenses
    • 10% off disposable contact lenses and 20% off all other contact lenses
  • Save up to 15% on LASIK
    • 5% off promotional pricing or 15% off regular pricing on laser vision correction performed through the U.S. Laser Vision Network, which is owned and operated by LCA-Vision
    • To learn more visit www.eyemedlasik.com, or to locate a provider, call 1-877-5LASER6
  • Save an additional $5 off the best in-store offer
    • In the event Luxottica Retail corporately owned locations offer a promotion that beats your AARP Vision Discount, you will receive an additional $5 off making it the best offer in the market.
    • Luxottica Retail locations include LensCrafters, Target Optical, most Pearle Vision and Sears Optical locations.
    • Some exclusions apply, see provider for details.
*This represents savings based on average cost of an eye exam nationwide. The cost of an eye exam will vary.

About Our Providers

  • Network of experienced optometrists and ophthalmologists credentialed to NCQA (National Committee for Quality Assurance) standards
  • Convenient accessibility with providers in all fifty states, D.C., Puerto Rico and the U.S. Virgin Islands - many with evening and weekend hours
  • Discounts on mail-order contact lenses through Contacts Direct by calling 1-800-987-5367

Virgin Island locations:

  • Sterling Optical, 3000 Golden Rock Shopping Center, Suite 14, Christiansted, VI 00820
    Phone: 340-773-8880
  • Sterling Optical, Lockhart Mall, St. Thomas, VI 00801
    Phone: 340-774-8500
  • ST Thomas Eye, 8000 Nisky Center Drive, Suite: 19, Saint Thomas, VI  00802
    Phone: 340-776-2020
  • ST Thomas Eye, 255 Tutu Park Mall, Saint Thomas, VI 00802
    Phone: 340-775-6211
  • ST Croix Vision Center, 4500 Sion Farm Island Med Center, Christiansted, VI 00820
    Phone: 340-773-2020
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Exclusive Dental Coverage

The best health insurance puts the power of choice in the hands of the member - this coverage is no exception. The AARP® Dental Insurance Plan, administered by Delta Dental Insurance Company*, provides benefits tailored to meet your needs while providing the best possible combination of dental benefits and cost savings.


This dental plan is designed especially with the needs of AARP members in mind. Visiting a dentist regularly can help you maintain your oral health. Regular dental checkups may provide clues to your overall well-being. Many medical conditions, including heart disease, diabetes and certain types of cancers, can be detected early on by a dentist1,2,3.

Benefits of the AARP Dental Insurance Plan

  • Guaranteed acceptance for all AARP members.
  • Premiums guaranteed for two years.
  • Two plan choices, with individual and family enrollment options. Compare plans to see which one is right for you.
  • No waiting periods on preventive services including three cleanings and exams per Calendar Year4,5.
  • Dental implants are covered after 1 year of continuous coverage5. Once you have been an enrollee for 1 year, other major services6 are also available.
  • Fewer out-of-pocket expenses when you visit a Delta Dental dentist because the dentists agree to our negotiated fees.
  • Four out of five dentists nationwide are contracted Delta Dental dentists7, or you can choose any licensed dentist if yours is not in the network.
Now is your chance to protect your smile and budget with a dental plan that is designed just for you. Act now and take advantage of the largest network of dentists and coverage you can count on.
Please see the Disclosure* below for the insurance company in your state.
1 Healthy Gums, and a Healthy Heart: The Perio-Cardio Connection,” American Academy of Periodontology, 2009.
2 American Cancer Society, cancer.org, 2011.
3 AAP Supports the International Diabetes Federation Guidelines on Oral Health for People with Diabetes, American Academy of Periodontology.
4 Annual deductibles, copayments, and maximums may apply.
5 No other limitations apply.
6 Limitations and exclusions may apply.
7 Report by Ignition Group, 2010.
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Tuesday, 24 March 2015

Health and dental insurance in Dubai

Nationals and foreign residents have access to state medical care, but need a health card.


Application forms for health cards are obtainable from clinics and from the Ministry of Health (PO Box 1853, Dubai, Tel. 971 (4) 3966000). Completed forms should be returned to the Rashid Hospital, with two passport photographs, your passport, two photocopies of your passport, a copy of your visa (employment or residency) and the appropriate fee. If you arrived on a visit visa, you can obtain an employment or residency visa either by exciting and reentering the UAE, or by paying a fee to the Immigration Department.
Expatriate workers tend to choose private treatment if they’re covered by the necessary medical insurance – private care can be very expensive. In a country where the majority of the population comes from the Indian sub-continent, many private clinics are run by doctors from that region. Costs at these clinics are reasonable, but westerners are usually required to pay more than non-westerners, who generally earn less.
There’s a large number of international companies specialising in private health insurance in Dubai and elsewhere. Comprehensive health insurance costs from around AED180 ($50) per month for regional coverage. However, price shouldn’t be your only consideration when comparing policies, and you should also consider the benefits of different policies.
As with all insurance, when taking out a health insurance policy do some homework and check the small print, particularly regarding what is and isn’t covered.
All policies include limitations and restrictions; for example, ‘pre-existing’ medical conditions are unlikely to be covered, certain occupations are often excluded or attract surcharges, and high-risk sports aren’t usually covered, although the definition of ‘high risk’ does vary from one insurer to another. Many companies also limit costs for a particular treatment within a calendar year, in addition to having an overall annual limit for all treatment. Be suspicious of
policies that restrict the number of days that you’re allowed to spend in hospital.
There might be an upper age limit on acceptance for a scheme and, if you’re offered a private health policy that terminates at retirement, it would be wise to avoid it; if you’re forced to obtain a new policy at the age limit, it will be very difficult to find one at a reasonable premium – perhaps at all. Note that some companies terminate your policy at the end of the stipulated period if they believe that the costs they’ve incurred have become too high. If you’re purchasing an international policy, note also that some policies exclude cover in the USA, owing to high medical charges there. You can often pay to have different areas or types of cover added, but it might be expensive to do so.
Bear in mind that insurance companies can be very particular about their claim forms and are strict about them being filled out fully by the relevant doctor or dentist. Many medical professionals understandably find this tedious, but you must insist that it’s done to order.

Dental Insurance

Full dental insurance can be very expensive and if, you want extensive cover, you must purchase a ‘gold standard’ health plan. Emergency fillings and extractions are normally included in standard health plans, but when it comes to more specialised treatment involving crowns, bridges and other prosthetics, the costs escalate substantially. Even ‘gold standard’ policies have exclusions, sometimes with regard to the content of fillings, the number of visits to a dentist and the volume of work carried out in any year. Policyholders also need to check that cover includes x-rays and simple cleaning. Cosmetic procedures and children’s orthodontics aren’t included in most plans (if they are, the premiums are usually high).
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The Advantages of Offering A Dental Benefits Plan

Dental health is a key factor to preserving one's general health. Employers and other plan sponsors offer dental benefits for a variety of reasons. Offering a dental benefits plan makes economic sense. A frequently overlooked reason for employee absences or poor work performance is dental disease or discomfort. And as every human resources professional knows, days lost can mean money lost. A quality dental benefits plan can aid in the recruitment and retention of employees. Dental benefits are consistently cited as one of the most sought after employee benefits.
Most medical needs and treatments are unpredictable, catastrophic, high cost and an insurable risk. Most dental needs and treatments are predictable, non-catastrophic, low cost and low risk. Dental disease is most often preventable; with the exception of damage due to an accident, dental treatment begins with relatively low-cost diagnostic procedures, such as exams and x-rays. If decay or disease is detected, the sooner it is treated, the less expensive that treatment will be. The dental needs of an employee group are highly predictable. For this reason, a dental benefits plan can often be self-funded. Extremes in cost and utilization (evident in many medical benefits) are rarely observed with dental statistics.

Selecting or Changing Your Dental Plan

Before selecting or changing a dental plan, there are some important things to consider. Some plans require patients to choose a dentist from a limited list of dentists. Choosing from a list is not the same thing as freedom of choice. If your dentist is not on such a list, don't hesitate to ask why he or she has elected not to participate.
Dental plans are typically business arrangements between an insurance company and an employer. Most plans are designed to pay only a portion of your dental expenses. However, dental plans may exclude or discourage certain treatments, such as dental sealants, which can prevent tooth decay and save you money later on. Carefully read a plan and know its limitations. If a plan doesn't cover a procedure that is recommended by your dentist, this does not mean that the treatment isn't appropriate or needed.
Some plans do not cover pre-existing conditions, such as missing teeth. Others may not cover dental implants, specialist referrals and other dental needs. Even when you and your dentist agree on the appropriate treatment method for your condition, the contract provision of the dental plan may only pay a portion, or pay only for the least expensive alternative treatment (LEAT) as determined by the insurance company.
Dental plans may use the terms "usual, customary and reasonable" (UCR) to determine the portion of the dental treatment fee they will pay. UCR reimbursement levels are determined by different methods by the dental plan administrators. They may vary a great deal among plans — even when those plans operate in the same area. The fee the insurance company determines to be "customary" may be very low compared to the area's average professional fee for the same services. The plans then generally pay a certain percentage of the UCR level. The patient may then be required to pay a greater portion of the treatment costs.
Ask yourself the following questions before selecting a new plan:
  • Will employees retain the freedom to choose their own dentists?
  • Is the type of treatment determined by the patient and the dentist?
  • Does the plan cover diagnostic, preventive and emergency services? Will it cover preventive services such as sealants and fluoride treatments, which may save patients money in the future? Will it provide for full-mouth x-rays?
  • What type of routine dental care is covered? Does the plan cover crowns and bridges, braces, root canals, oral surgery and treatment of periodontal diseases?.
  • What major dental care is covered? Does the plan cover dentures, implants or treatment for temporomandibular disorders?
  • Will the plan allow for referrals to specialists? If so, will the dentist be limited to a list of specialists from which to choose?
  • How does the plan provide for emergency treatment? What provisions are made for emergency care when you are away from home?
  • If the plan requires monthly premiums, what percentage of that money goes to actual care and not to overhead or administration?
You and your dentist make the decision about treatment. While dental benefit coverage should be taken into consideration, it should not be the deciding factor in determining your choice of treatment.

Dental Benefit Plan Models

There are numerous models of dental plans. In general, they can be divided into two categories: managed care and fee-for-service. Managed Care dental plans are cost containment systems that direct the utilization of health care by a) restricting the type, level and frequency of treatment; b) limiting the access to care; and c) controlling the level of reimbursement for services. Fee-for-Service dental plans are typically freedom-of-choice arrangements under which a dentist is paid for each service rendered according to the fees established by the dentist.
Dental Managed Care Plans
Preferred Provider Organization
Preferred Provider Organization (PPO) programs are plans under which patients select a dentist from a network or list of providers who have agreed, by contract, to discount their fees. In PPOs that allow patients to receive treatment from a non-participating dentist, patients will be penalized with higher deductibles and co-payments. PPOs can be fully insured or self-insured. PPOs are usually less expensive than comparable indemnity plans and are regulated under the appropriate insurance statutes in the company's state of domicile and operation.
  • When reviewing a PPO dental plan, the plan purchaser should consider the following:
  • What percentage of the premium is used for administration?
  • Will the amount of the discount influence patients to change their dentist? Will the amount of the discount the dentist is required to offer affect the number of treatment options for the plan's covered individuals?
  • What is the liability for the employer if the plan influences provider selection or treatment?
  • What are the criteria for selection of providers for the plan? Does it have enough dentists under contract to adequately serve the group? What is the geographic distribution of patients to dentists? Does it provide for specialist referrals? Are dentists limited to referring patients to contracted specialists?
  • How does the program provide for emergency treatment? What provisions are in the program for emergency care away from home?
Dental Health Maintenance Organization/Capitation Plan
Dental Health Maintenance Organization (DHMO) or capitation plans pay contracted dentists a fixed amount (usually on a monthly basis) per enrolled family or individual, regardless of utilization. In return, the dentists agree to provide specific types of treatment to the patient at no charge (for other treatments, a co-payment is required). Theoretically, the DHMO rewards dentists who keep patients in good health, thereby keeping costs low. DHMO models typically offer the least expensive dental plans.
If the plan purchaser is reviewing a DHMO or capitation plan, the following factors should be considered:
  • What percentage of the premium is used for administration?
  • Does the employer have access to sufficient information to determine the level and amount of treatment received by each member of the group?
  • What is the utilization rate for patients in this program? What is the average waiting period for an initial appointment? What is the average period between appointments?
  • What is the dentist/patient ratio for the program? What are the criteria for selecting dentists to participate in the program? What is the geographic distribution of patients to dentists?
  • What is the ratio of dentists accepted to the program to those who applied to participate? How many dentists voluntarily withdrew from the program over the past two years?
  • What is the capitated rate of compensation for the dentists? Is it sufficient compensation for the needs of the covered patient population? What provisions are made for dentists with unforeseen utilization or difficult cases?
  • What are the benefits for patients requiring a specialist's care? How are specialists selected and compensated? Does the plan have adequate specialist participation?
  • How does the program provide for emergency treatment? What provisions are in the program for emergency care away from home?

Dental Fee-for-Service Plans

Direct Reimbursement
Direct Reimbursement (DR) is a self-funded dental benefits plan that reimburses patients according to dollars spent on dental care, not type of treatment received. It allows the patient complete freedom to choose any dentist. Instead of paying monthly insurance premiums, even for employees who don't use the dentist, employers pay a percentage of actual treatments received. Moreover, employers are removed from the potential responsibility of influencing treatment decisions due to plan selection or sponsorship. DR is the ADA's preferred method of financing dental treatment.

Insurance Benefit Gaps

Patients often are surprised to find that their insurance benefits do not cover all the treatment their dentist recommends. Dental insurance benefits for the most part have remained at the same level for more than two decades, leaving patients to pick up any added costs out-of-pocket. In recent years, payment options have emerged to help patients bridge the gap between what their insurance covers and the total cost of care. Most dental practice will accept cash, personal checks or major credit card, but many also offer outside monthly financing programs. These payment plans have rapidly gained popularity.
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What Is Dental Insurance?

What is the best dental insurance plan for me?
 
Although there is no perfect dental insurance plan, some plans will be better than others for you and your family. Dental insurance plans primarily differ in how much you have to pay. Although no plan will pay for all of the costs associated with your dental care, some plans will cover more than others. With any dental insurance plan, you will pay a basic premium, usually monthly, to buy the dental insurance coverage. In addition, there are often other payments you must make. These payments will vary by plan, but they are essentially deductibles, copayments, and coinsurance.
 
What questions should I ask?
 
Consider these questions when selecting a dental plan:
  • How much will it cost me on a monthly basis?
  • Are there deductibles I must pay before the insurance begins to help cover my costs?
  • After I have met the deductible, what parts of my costs are paid by the plan?
  • Which dentists are part of the plan?
  • Where will I go for care? Are the offices near where I work or live?
  • If I use dentists outside of a plan's network, how much more will I need to pay to receive care?
If you have access to dental insurance, it's a good idea to elect coverage. But if you can't get dental coverage through work, you might be able to buy an individual dental insurance policy.
 
What types of dental plans are available?
 
Dental insurance plans usually are described as either indemnity (fee-for-service) or managed care. Indemnity and managed care plans differ in their basic approach. The major differences concern choice of providers, out-of-pocket costs for covered services, and how bills are paid. Usually,indemnity plans offer a greater choice of dentists than managed care plans. Indemnity plans pay their share of the costs of a service only after they receive a bill. Managed care plans have agreements with certain dentists to give a range of services to plan members at reduced cost. In general, you will have less paperwork and lower out-of-pocket costs if you select a managed care-type plan and a broader choice of dentists if you select an indemnity-type plan. Managed care plans are dental PPOs, POSs, and dental HMOs. Some dentists, called non-participating or insurance-free dentists, do not accept any insurance in their practice.
 
What is a dental discount plan?
 
A number of companies offer dental discount plans. For a monthly or annual fee, you get access to a network of dentists who will work for discounted rates. However, there are no guarantees that your dentist will provide services for the discounted rate for the entire term of your plan membership. Be sure to check with your dentist to make sure he or she is a member. You also may want to talk with your dentist about other financing arrangements. Many dentists are willing to work with your financial constraints.
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Should You Bite On Dental Insurance?


There's no question that dental work is expensive - especially when you need to have major work done. If you're not covered through your job, you may have to purchase it on your own. However, purchased privately, dental insurance can be a huge waste of money if your plan doesn't match your needs. In this article we'll show you how to drill through these plans to find out if dental insurance is right for you.
SEE: Should You Bite On Dental Insurance?
Overview of the SystemFirst, here's a breakdown of how private dental insurance works. You select a plan based on the providers (dentists) you want to be able to choose from and what you can afford to pay:
  • If you already have a dentist you like and he or she's in the insurance company's network, you'll be able to opt for one of the less expensive plans.
  • If you don't have a dentist at all, great! You can choose from any of the dentists who are in-network, and again have the option of a less expensive plan.
  • If your existing dentist is not in the network, you can still get insurance, but you'll pay significantly more to see an out-of-network provider - so much more that you may not have any chance at coming out ahead by being insured.
The monthly premiums will depend on the insurance company, your location and the plan you choose. For many people, the monthly premium will be around $50 a month. This means that you're spending $600 on dental costs each year even if you don't get any work done.
SEE: How An Insurance Company Determines Your Premiums

Things to Consider
Now, you may be thinking that most people don't come out ahead with most kinds of insurance, and you may be right. After all, if insurance companies didn't make a profit, they would all go out of business. Insurance is designed to protect you in a worst-case scenario. Dental insurance is significantly different from most other kinds of insurance, however. With policies like health insurance or homeowners insurance, the potential downside is so high that almost no one can afford the risk of not being insured. With dental insurance, the potential downside is fairly low - and so is the potential upside.
In a good year when you only need the standard cleanings, exams and x-rays, you are likely to lose about $200 by having dental insurance. While these services will generally be completely covered by your insurance because they are considered preventive care. If you paid out of pocket for them you would probably only spend around $400 for the year instead of the $600 you're spending on insurance premiums.

Will It Be There When You Need It?
What about when you need some work done? In a really bad year, your dentist may inform you that you need a couple of fillings, a root canal and a crown. On top of that, you'll still have to pay for your usual cleanings, exams and x-rays. This is the time to be insured, right? Unfortunately, your insurance may not be as helpful as you'd expect. Many dental insurance plans have very low annual maximums of around $1,000 (this will vary by plan and by provider, of course). This means that once your dental bills exceed $1,000 in any given year, you're stuck paying the rest of the bills in full.
You may still pay a lower negotiated fee for the work you need as a benefit of having insurance, but even the negotiated fees are quite high. For example, if the dentist's regular fee for a filling is $150, the negotiated fee might be $100. In this situation, your regular oral maintenance and fillings will use up most or all of your annual maximum, so only a fraction of your large dental work bill will actually be covered. You're likely to still pay $1,000 to $2,000 out of pocket, plus your annual $600 in premiums. On top of that, while you may pay 0-10% in co-pays on preventive maintenance and 20% in co-pays on fillings, the co-pay on expensive procedures like root canals tends to be a whopping 50%. Even if you haven't used up your annual maximum by the time you need the expensive procedure, you'll still have to pay several hundred dollars for it.
Dental insurance also rarely covers expensive procedures like orthodontics and cosmetic dentistry, even if you try to argue that you need a procedure to alleviate emotional pain and suffering. When insurance does cover them, the annual maximums still often prevent you from saving very much, if anything, after you factor in your biannual cleanings and exams.

Waiting Could Be Worse
If you're thinking that you'll just hold out and then purchase dental insurance when you need it, think again. Because of what's called a waiting or probationary period, this strategy won't work (you didn't really think you'd found a way to outsmart the insurance companies, did you?). Waiting periods mean that, for example, one year after you first become insured, your insurance will not cover any major work (like crowns or root canals) and for three months after you first become insured, they won't pay for any minor work (like fillings). Insurance companies know that when you need a filling or a crown, you need it now - you won't be able to find out you need a crown, buy insurance, wait 12 months, and then get it taken care of. If you tried to do that, you'd probably suffer from a lot of discomfort and ultimately lose your tooth (and you'd have to pay full price for that extraction, too).
SEE: Are Vision And Dental Plans Worth It?
Considerations for Group PlansSurprisingly, even if your employer offers dental insurance, you might be better off skipping it. Many people assume that employer-sponsored benefits are automatically a good deal because you're receiving a group rate, but this isn't necessarily true. When evaluating your employer's dental plan, make sure to really look at the monthly payments, the annual maximum and the co-payments. Your employer may offer you a great plan that's only $20 a month to cover your entire family with a generous annual maximum, or a mediocre plan that's $40 a month with a $1,000 annual maximum. With the former, you can really benefit, but with the latter, you're probably wasting your money. Do the math for your own situation to determine whether you're likely to come out ahead.
There is one situation where it can make sense to get dental insurance regardless of whether it seems like a good deal in the long run, and that is if you are someone who is currently living from paycheck-to-paycheck with little or no money in savings. When you don't have dental insurance, you have to be able to pay a $1,600 bill when you have the work done (if not in full, then in prompt installments). If you can't do it and your options are to overpay for dental insurance, neglect your only set of teeth or put dental work on a credit card that you'll have trouble paying off, your best bet is to get the insurance. You'll probably waste less money on insurance than you would paying interest on a credit card, not to mention that you wouldn't want to ruin your credit score over a few fillings.
Parting ThoughtsIf you can't participate in a quality group plan - either a preferred provider plan (PPO) or a Dental Health Maintenance Organization (DHMO) - the best way for most people to come out ahead on dental expenses is to pay for everything out of pocket. Brushing and flossing regularly, switching to an inexpensive electric toothbrush, getting professional cleanings every six months and going to a dentist who does high quality work that lasts for years can be the most effective ways to save money in the long run.
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Thursday, 12 March 2015

Guide to health insurance

How does health insurance work?

In most cases, companies provide health insurance to their employees. Different insurance companies will have varying policies on matters such as which hospitals you can be treated at, how much of the medical cost the policy covers and whether they accept direct billing (the insurer pays the medical provider directly, rather than you paying and you insurer reimbursing you). However, not all companies provide health insurance or, if they do, the cover may not extend to spouses and/ or children.
There are many health insurance providers but it is critical to compare and search for the right insurance policy for you and your family.
[Compare health insurance in the UAE | Compare health insurance in Saudi Arabia]

So what are the things you should consider in a health insurance?

1. List of hospitals covered

Depending on the type of cover you go for, each provider has a specific list of hospitals and clinic that they cover. Generally if you take a ‘local’ cover (geography-wise), the insurance policy will only cover certain list of hospitals, which do not always include the premium private hospitals. A regional plan, on the other hand, will cover all hospitals and clinics. Make sure you have the provider send you the list of which they cover before you sign up. You may like to pay more for international cover – covering medical care in the USA is the most expensive option; Europe, the UK and Canada can be included at a premium but still tend to cost less than US coverage.

2. Deductible

Health insurance providers will give you options of different cost deductibles, and your policy will vary accordingly. A deductible is the amount of the total medical bill that you have to pay – the insurance provider will cover the rest.

3. Maximum claim amount

Not something you normally think to check, but it is important to plan for the future when taking a health insurance policy. Therefore ensure that the maximum claim amount that the insurance provider is offering you covers what you would think you may end up needing. In the worst-case scenario where you use up the full amount, you will need to continue paying out of your own pocket.

4. Pre-existing conditions

When taking out a new policy, your health insurance provider will ask you to disclose any pre-existing conditions. If you do have any, there is a high probability you will be asked to undergo medical check-ups before the provider approves you and you may pay a higher price for cover. Most insurance providers do not cover any pre-existing conditions for the first nine to 12 months and, after that, they will set a cap on cover. Be sure to mention any pre-existing conditions when asking for a quote, to ensure they will be covered and that you do not risk coverage for your pre-existing condition being disqualified or your insurance later being canceled altogether.

5. Maternity/ pregnancy cover

It is important to plan ahead, as most health insurance providers will only cover maternity-related health issues nine to 12 months after the start of the policy. Before planning a child, you will want to ensure you have health insurance coverage in place.
[Related: Maternity cover: Questions to ask | How much is your baby costing you?]

6. Ambulance cover

Calling out an ambulance is not always covered – check when you’re getting quotes.

7. Dental care, alternate medicines, optician, eyeware

There are always additional elements to consider when taking a health insurance policy, such as dental care cover. If you wanted alternate medicine such as acupuncture or osteopathy, is that covered? Check when getting quotes.

8. Covering your maid

Don’t forget your maid needs health insurance too. You need to consider whether to go for basic cover or get your maid her own plan – it’s a massive saving in the long term if it means uninterrupted childcare. There are even some dedicated maid insurance polices.
[Related: Why it is wise to insure your maid in the UAE | Why it is wise to insure your maid in Saudi Arabia]

9. Senior health insurance

Getting senior health insurance for the over-50s – yourself or your parents – can be costly. Sixty-five is a common cut-off age and pre-existing medical conditions matter more than ever. Pick the right senior health insurance plan from the start: changing service providers later on will cost you more.It’s well worth shopping around and, if you have moved your parents here from overseas, it may be worth leaving them on an international plan – check the costs.
[Related: Senior health insurance]

10. Umrah and Hajj

Check whether your health insurance covers you for Umrah and Hajj, and check what vaccines you will need and whether those are covered too. If traveling from the UAE for Umrah, you may want to get travel insurance for your journey.

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Sweeping New Health Insurance System Proposed for U.S. Residents

(NaturalNews) The Commonwealth Fund, a health policy research group that represents the interests of health insurance companies, has proposed a sweeping new program that -- surprise! -- would require all Americans to buy health insurance.

The new program would mandate that Americans buy health insurance, even if they don't need it. Those who don't buy it would be penalized by the government for failing to participate in the new program.

The new program does nothing to end the censorship of free speech about nutritional supplements or teach Americans about disease prevention through nutrition or herbal remedies. As such, it joins the cacophony of all the ignorant health "experts" who claim to be solving our nation's health care crisis by simply forcing everyone to pay for more "sick care" coverage.

Leave it to Big Government punish people who take care of their own health and opt not to participate in a pill-pushing, scientifically corrupted Big Pharma health care system that only enriches insurance companies and drug companies while ignoring the real causes of disease.

Authors' Quotes on Health Insurance and Reform

Below, you'll find selected quotes from noted authors on the subject of Health Insurance and Reform. Feel free to quote these in your own work provided you give proper credit to both the original author quoted here and this NaturalNews page.
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Ten Tips: When You Lose Your Health Insurance

(NaturalNews) Economic times are tough and many are facing layoffs. Even more are being told that their employer will be eliminating or reducing health benefits. As a result many people are losing their health insurance coverage. Legislation is currently being proposed that can help those without health insurance but sometimes your health cannot wait and you need help now.

1. Use COBRA if You Are Laid Off - If you get laid off from your job and need health insurance you can Use COBRA (Consolidated Omnibus Budget Reconciliation). COBRA is available for 18 months after loosing your employer health coverage. COBRA allows you to keep the health plan that your employer used to provide as long as that plan still exists. If your employer is still in business and offering some health insurance to current employees you can usually qualify. COBRA will be more expensive than the premiums deducted from your paycheck but this is sometimes necessary if you are unable to get health care elsewhere. COBRA is often cheaper than private and individual health insurance plans.

2. Continue Preventative Measures - Without health insurance it is now more important than ever to live a natural and healthy lifestyle. Use preventative measures such as regulating weight, exercising, eating healthy, lowering your cholesterol (http://www.naturalnews.com/025715.html), and reducing stress from your life. When possible you can resume other preventative measures such as regular checkups and diabetes & cancer screenings.

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Health insurance companies invest billions in fast food chains

(NaturalNews) Did you ever wonder how health insurance companies drum up future business? It's easy: Just invest in companies whose products cause chronic degenerative disease, driving people towards more health care needs and therefore more health insurance.

And that's exactly what the health insurance industry is doing. A new article published in the American Journal of Public Health reveals that U.S. and Canadian health insurance giants own nearly $2 billion worth of stock in fast food giants like McDonald's, Burger King, KFC, Taco Bell and others.

So profits made by health insurance companies are reinvested in industries that make people sick and diseased, bringing them back to buy more health insurance down the road. It's a pretty clever business model for an industry that seems focused on the almighty dollar and obviously has no concern whatsoever for the actual health status of its customers. If anything, these health insurance companies hope you get sicker!

Corporate conspiracy to keep you sick and diseased

These unholy alliances among corporate giants that conspire to keep you sick are more common than you think. In addition to health insurance companies owning billions of dollars worth of shares in fast food companies, pharmaceutical companies now own major shares of popular vitamin companies -- the ones that produce the cheap, useless chemical vitamin supplements sold at places like Wal-Mart and Walgreens.

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Health insurance companies botch up to 20 percent of claims

(NaturalNews) Many NaturalNews readers have likely experienced, if even just once, the hassle of having their health insurance company improperly file a insurance claim, which can result in filing disputes, delayed payments, and other administrative problems. According to the American Medical Association (AMA), as many as 20 percent of health insurance claims are improperly filed, which reportedly adds an additional $17 billion a year to the overall healthcare burden.

The new AMA report explains that insurance company filing errors have increased two percent over last year's figures, now topping 19.3 percent. Among the top insurers, UnitedHealth had the lowest error rate of 9.77 percent. Regence Group Blue Cross Blue Shield was next at 11.59 percent, followed by Health Care Service Corp. at 12.96 percent. Anthem Blue Cross Blue Shield had the worst error rate at 38.95 percent.

"A 20 percent error rate among health insurers represents an intolerable level of inefficiency that wastes $17 billion annually," said Dr. Barbara McAneny, an AMA board member and medical oncologist from New Mexico, to the Chicago Tribune. "Health insurers must put more effort into paying claims correctly the first time to save precious health care dollars and reduce unnecessary administrative tasks that take time and resources away from patient care."
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Almost one in ten employers to drop health insurance coverage under Obamacare

(NaturalNews) One of the elements of Obamacare critics have been most vocal about is the so-called government-sponsored "insurance pools" the law creates. Now that it's largely been upheld by the U.S. Supreme Court, these pools will soon become a reality.

So what? That's the basis of the law, to provide insurance for everyone, correct?

Yes, but not necessarily the type of insurance you want. Or that you have now, say, through your employer.

One of the law's selling points uttered by everyone in the administration paid to defend it, especially the president himself, promised Americans they could keep their current health insurance.

In his Weekly Address on August 15, 2009, Obama said of his health care proposal, "First, no matter what you've heard, if you like your doctor or healthcare plan, you can keep it."

That was then. By July 2012, the administration was singing a different tune, admitting that, "as a practical matter, a majority of group health plans will lose their grandfather status by 2013."

That includes, of course, that employer plan you love so much.

Wait - Weren't you supposed to be able to keep employer insurance?

The Federal Register, dated Thursday, June 17, 2010, notes that the "mid-range estimate is that 66 percent of small employer plans and 45 percent of large employer plans will relinquish their grandfather status by the end of 2013."

Learn more: http://www.naturalnews.com/036638_employers_health_insurance_Obamacare.html#ixzz3U4ck0bu5
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Health insurance rates to double as Obamacare fully kicks in

(NaturalNews) Writing on the blog of the Department of Health and Human Services on the third anniversary of the passage of the Affordable Care Act, more popularly known as Obamacare, HHS Secretary Kathleen Sebelius had this to say about the impact of the law on insurance rates:

As a former state insurance commissioner, I know that for too long, too many hard-working Americans paid the price for policies that handed free rein to health insurance companies. For more than a decade before the Affordable Care Act, premiums rose rapidly, straining the budgets of American families and businesses. And insurers often raised premiums without any explanation. ... The Affordable Care Act is working to bring affordability and fairness to the marketplace by barring insurers from dropping your coverage when you get sick or placing a lifetime dollar limit on coverage.

Sebelius goes on to imply that provisions within the law (requiring more "transparency" from insurance companies, for instance) will eventually help lower rates (though she never says so directly). In other words, she's dodging the issue of rising premiums, and with good reason: Premiums under Obamacare are likely to double for most Americans, according to health insurers who are being forced to comply with Obamacare's stringent coverage requirements.

Wait - weren't premiums supposed to go down?

"Health insurers are privately warning brokers that premiums for many individuals and small businesses could increase sharply next year because of the health-care overhaul law, with the nation's biggest firm projecting that rates could more than double for some consumers buying their own plans," The Wall Street Journal reported March 22.

Insurers made those projections in sessions with agents and brokers; they provide some of the most damning evidence so far of just how much Obamacare will force companies to raise rates when major provisions of the law kick in next year - just as scores of industry experts and economists warned would happen.

Learn more: http://www.naturalnews.com/039651_health_insurance_Obamacare_double.html#ixzz3U4cPi0Xq
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Americans in state of shock as 80 million more health insurance cancellations

(NaturalNews) In the days of Richard Nixon, amidst the chaos and scandal of Watergate, the president uttered this most famous of all political quotes in an interview with the Washington Post, the newspaper that broke the story: "I am not a crook."

Well, of course, it turns out that Nixon may not have been a "crook" in the stereotypical sense, but he damned sure was crooked.

Fast forward to the present time. Nixon's quote has been supplanted by the presidential whopper of the century: President Obama's promise, "If you like your health plan, you can keep it."

As the official Oct. 1 roll-out date for Obamacare came and went, millions of Americans with private health plans were learning that their insurers had to cancel their policies, because they did not comply with minimum coverage requirements mandated in the Affordable Care Act.

Initial reports were that perhaps only about 5 percent of the American people would be affected. That is enough to call Obama's lie a lie.

But it's an even bigger lie than that.

The truth is, the Obama administration's own internal estimates, as recorded in the Federal Register in 2010, projected that tens of millions of Americans would actually lose their coverage. That's because even those with employer-provided plans are affected by the law's minimum coverage requirements.

But what's so disturbing about this is not just that employer plans will have to change, too, but that, in changing to the higher coverage, those plans will become more expensive.

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Obama delays health insurance mandate for mid-sized businesses until 2016

(NaturalNews) The Obama administration has issued yet another delay to a key provision of the Affordable Care Act, a move that has thrown further confusion into an already complex - and deteriorating - healthcare situation.

The Treasury Department said on Monday that it was further delaying an Obamacare mandate requiring employers to provide insurance coverage to their workers. It is the second time that the mandate has been pushed back by the administration; initially, the requirement was set to kick in January 1.

The new rules allow mid-sized employers - those with between 50 and 99 employees - to put off providing them with health insurance coverage until 2016. That also means that those employers won't be penalized by the federal government until then as well.

Larger companies are getting a break too, as reported by The Washington Post:

Companies with 100 workers or more are getting a different kind of one-year grace period. Instead of being required in 2015 to offer coverage to 95 percent of full-time workers, these bigger employers can avoid a fine by offering insurance to 70 percent of them next year.

Another political ploy by the White House?

According to reports, the administration is trying to sell the new delay as pragmatic; officials said the decision was made in response to concerns from businesses that were likely going to struggle financially with the requirement to cover their workers. As such, the dual-phase-in period was required.

Critics of the decision were quick to note that it appeared, once again, that the administration was attempting to provide political cover for Democrats who supported the unpopular law in the run-up to the 2014 (and now 2016) elections.
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Looking for a new health insurance plan? - look within

(NaturalNews) Modern day health insurance policies are payment plans intended to cover high cost emergency medical procedures. Somewhere along the way, consumers started to believe that these payment plans protect their own health. These payment plans set the mind's sail on a course of reliance on a medical industry that manages disease, instead of empowering individual quality of life. By paying into these insurance plans, blind trust is put into a medical system that is now fundamentally controlled by drug companies, time demands, and a cut, poison, burn approach to health. The practices taught at medical schools do not focus on prevention, but rely on medical label diagnostics.

Many high cost medical procedures can be completely thwarted, avoided altogether through alternative health philosophies. Nutrition education and the availability of pure water and whole foods could reduce unnecessary drugging and surgeries. While chemotherapy and radiation may be covered in part by a modern insurance policy, these procedures cannot scientifically cure cancer.

To save the medical system, new health insurance philosophies must be implemented, practiced, and taught. Honing in on the epigenetic factors of disease and building the body's immune system should be top priority. Chopping off body parts in fear of cancer, as seen in hysterectomies and mastectomies surgeries, is not preventing cancer. Self mutilation is not the answer and neither is radiating and burning the body. These philosophies alone drive up the cost of medical care and insurance while perpetuating disease.

Modern insurance makes people more apt to see doctors and undergo unnecessary tests, drugs, and surgeries

The more a person pays into an insurance payment policy, the more likely they will seek the services of the medical system unnecessarily, as they hope to receive a benefit. Sadly, there's rarely a benefit from the current setup - just more tests, drugs, and co-pays that bring more bills, side effects, and wasted time.

The sad part about today's "health insurance plans" is that they provide no true insurance from disease and cancer. A modern hospital does nothing to boost the innate power of the human immune system. Hospitals typically feed patients processed food with little nutritional value while injecting mercury, aluminum neurotoxic adjuvant virus strains right into a patient's blood stream, all in the name of preventing the flu.
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