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Colorado Health Insurance Insider

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You are here: Home / Archives for Individual/Family Health

Individual/Family Health

McCain Health Care Hangs States Out To Dry

May 21, 2008 By Louise Norris

In Colorado, we’re lucky to have Cover Colorado available for uninsurable residents who do not have access to other coverage. At least our state has a high risk pool that is open to new enrollees and provides health insurance for people who would otherwise be uninsured. But it’s far from ideal. The policies are expensive and the out of pocket costs are higher than […]

Filed Under: Health Insurance Reform, Individual/Family Health, Maternity/Pregnancy, Policy

Rescinded Health Insurance Policies Getting Reinstated

May 19, 2008 By Louise Norris

I’m curious to see how the situation in CA will affect our health insurance industry practices here in Colorado. I firmly believe that health insurance companies should do their homework before approving a policy, and that once a policy is issued by the insurer and accepted by the member, it should be a binding agreement. I know that would cost the health insurance companies […]

Filed Under: Health Insurance Reform, Individual/Family Health, Insurance Companies, Kaiser Permanente

High Deductible Health Plans Are Popular In Colorado

May 1, 2008 By Louise Norris

A study conducted by America’s Health Insurance Plans (AHIP) shows that Colorado ranks fifth in the nation for health savings account and high deductible health plan membership as a percentage of the state’s total private health insurance population […]

Filed Under: Anthem Blue Cross, HSA, Individual/Family Health

Pre-Existing Conditions a Serious Issue For Health Insurance

April 30, 2008 By Louise Norris

…in Colorado, Cover Colorado provides a reasonable coverage option, although many people find that the only deductible they can afford is much higher than they would like. But what about people who live in the 40% of states that don’t have a high risk pool? Or the ones who live in states where the high risk pool was financially swamped ages ago and hasn’t […]

Filed Under: Group Health, Health Insurance Reform, Individual/Family Health, Policy

Genetic Testing Anti-Discrimination Law

April 28, 2008 By Louise Norris

InsureBlog made some good points last fall about the bill, and why it’s not really all that helpful. In terms of the small group market, I would agree, since small group plans are guaranteed issue, and in Colorado, the state has restricted insurers from increasing premiums for small groups based on medical history – regardless of how the medical information was obtained […]

Filed Under: Group Health, Health Insurance Reform, Individual/Family Health, Policy

Midwifery Care Is Good For Health Insurance Carriers

April 25, 2008 By Louise Norris

…in Colorado there is no such thing as home-birth coverage on individual policies. In fact, there are only a handful of health insurance carriers in Colorado that offer maternity coverage on individual policies at all, and for most people, the coverage provided isn’t worth the extra premium […]

Filed Under: Individual/Family Health, Insurance Companies, Maternity/Pregnancy

Recycling Drugs To Fill Prescriptions for The Uninsured

April 10, 2008 By Louise Norris

I’ve seen several articles recently about prescription drug donation/recycling programs, which I think is a great idea. True, it may be like trying to move a mountain with a spoon, but doesn’t that beat not trying at all? The articles I found didn’t mention anything about Rx donation and recycling programs here in Colorado, and… Read more about Recycling Drugs To Fill Prescriptions for The Uninsured

Filed Under: Individual/Family Health

Bureaucracy Wielding Its Sword Over The HSA

April 9, 2008 By Louise Norris

The House Ways and Means Committee met today to discuss HR 5719 – the “Taxpayer Assistance and Simplification Act of 2008” (I love when they come up with names like that – it sounds like the whole thing will be warm and fuzzy and make life easier for all of us). One of the many… Read more about Bureaucracy Wielding Its Sword Over The HSA

Filed Under: Dental, HSA, Individual/Family Health

Health Care For All Pregnant Women

April 8, 2008 By Louise Norris

I just came across a great article from Midwife With A Knife (The RHI Health Blog of the Week on Regulating Health Insurance). It’s about the frustration felt by a doctor dealing with non-compliant patients – in this case, pregnant diabetics who don’t manage their blood sugar and insulin during pregnancy, and end up with… Read more about Health Care For All Pregnant Women

Filed Under: Health Insurance Reform, Individual/Family Health, Maternity/Pregnancy

It Pays To Be A Non-Profit Hospital

April 7, 2008 By Louise Norris

At least two of the blogs we read have posted articles relating to a Wall Street Journal feature about how non-profit hospitals in America are doing pretty darn well on the money front. Schwitzer Health News Blog and GoozNews have both written about this eye-opening story, and I had to go read it for myself…. Read more about It Pays To Be A Non-Profit Hospital

Filed Under: Individual/Family Health, Providers

Why Is There A Balance To Bill In The First Place?

April 4, 2008 By Louise Norris

In CA, regulators are working to impose a ban on “balance billing” – the practice of billing patients for amounts over what their health insurance companies will pay for a given procedure. While most health insurance networks prohibit balance billing, there are only eight states that regulate the practice, and a good number of patients… Read more about Why Is There A Balance To Bill In The First Place?

Filed Under: Health Insurance Reform, Individual/Family Health, Medicare, Policy, Providers

Colorado Lawmakers Addressing Health Insurance Premium Increases

April 2, 2008 By Louise Norris

Colorado lawmakers have proposed legislation that would tighten restrictions on health insurance carriers regarding premium increases and the timeliness of claims payment. The bill to limit premium increases was sponsored by state representative Morgan Carroll (D), who cited a 60% increase in health insurance premiums in Colorado between 2001 and 2005. During the same time,… Read more about Colorado Lawmakers Addressing Health Insurance Premium Increases

Filed Under: Health Insurance Reform, Individual/Family Health, Insurance Companies

Capping Health Insurance Premiums

March 31, 2008 By Louise Norris

David Williams at the Health Business Blog has written a post about Clinton’s plan to cap health insurance premiums at 5% – 10% of a family’s income. With a US median income of nearly $50,000/year, health insurance premiums would be somewhere in the range of $2500 – $5000/year, which as Mr. Williams points out, doesn’t… Read more about Capping Health Insurance Premiums

Filed Under: Group Health, Health Insurance Reform, HSA, Individual/Family Health

Sunscreen, A Swimsuit, and Your Health Insurance Card

March 19, 2008 By Louise Norris

According to a Business Week article, most of the major US health insurance carriers are moving towards including overseas hospitals in their provider networks, in an effort to encourage policy holders to utilize the much less expensive services that can be found in many of Asia’s top-notch private hospitals. Most of the hospitals are accredited… Read more about Sunscreen, A Swimsuit, and Your Health Insurance Card

Filed Under: Anthem Blue Cross, Individual/Family Health, Insurance Companies, Providers, Travel

When The Lottery Becomes A Matter Of Life And Death

March 13, 2008 By Louise Norris

In OR, over 91,000 people have signed up to be included in a lottery that the state is holding to fill 3,000 available slots in their state health plan. The plan is low cost (zero to $20 per month) and provides health and dental benefits to people that would otherwise be uninsured. For the 3,000… Read more about When The Lottery Becomes A Matter Of Life And Death

Filed Under: Individual/Family Health

Lower Share Prices For Humana And Wellpoint

March 12, 2008 By Louise Norris

Humana and Wellpoint – both major players in the Colorado health insurance market – lowered their 2008 earnings projections on Wall Street this week. In both cases, higher-than-expected claims volume is partially to blame. Humana’s earnings drop is mainly tied to claims with their Medicare prescription drug program, which the company says will reset after… Read more about Lower Share Prices For Humana And Wellpoint

Filed Under: Anthem Blue Cross, Humana, Individual/Family Health, Insurance Companies

No Out Of State Health Insurance For Colorado Residents

March 11, 2008 By Louise Norris

The Colorado House of Representatives rejected a proposal yesterday that would have made it possible for Colorado residents to buy health insurance from out-of-state carriers not licensed in Colorado. The vote was close, but failed 6-5 in the committee meeting. I think that the state-by-state system of health insurance in this country is ridiculous, considering… Read more about No Out Of State Health Insurance For Colorado Residents

Filed Under: Health Insurance Reform, Individual/Family Health, Policy

Mental Health Coverage on Health Insurance Policies

March 10, 2008 By Louise Norris

The House voted last week to require health insurance companies to provide equal coverage for mental and physical health on policies that cover both types of illness. This is heralded as a big step forward by mental health advocates, but it will also place a strain on health insurance carriers, policy-holders who pay their own… Read more about Mental Health Coverage on Health Insurance Policies

Filed Under: Health Insurance Reform, Individual/Family Health, Policy

Retirement And Health Care

March 5, 2008 By Louise Norris

A recent study by Fidelity Investments estimates that a 65-year old couple retiring in 2008 will need $225,000 set aside in order to cover medical expenses during their golden years. And yet 39% of Americans over age 55 have less than $25,000 in total retirement savings. This presents a troubling picture of the financial future… Read more about Retirement And Health Care

Filed Under: Individual/Family Health, Medicare

Health Care For All

March 3, 2008 By Louise Norris

Does having health insurance guarantee that someone has access to health care? Not really. This article does an excellent job of comparing auto insurance and health insurance, and explaining how the health insurance industry hasn’t really been able to keep up with the changing face of health care over the last several decades. In addition… Read more about Health Care For All

Filed Under: Health Insurance Reform, Individual/Family Health

They Should Have Just Paid For The Chemo

February 27, 2008 By Louise Norris

HealthNet in CA has been ordered to pay $9 million to an insured who had her policy canceled midway through treatment for breast cancer. The bulk of the award – $8.4 million – was punitive damages, which should leave health insurance companies all over the country feeling a little nervous. Patsy Bates got her HealthNet… Read more about They Should Have Just Paid For The Chemo

Filed Under: Individual/Family Health, Insurance Companies

Grand Rounds and the Cav are Hot Off the Press

February 27, 2008 By Jay Norris

The latest issue of Grand Rounds is up at Science Roll.  A post I found interesting was from Bob Coffield at the Health Care Law Blog about the pilot project between Google and the Cleveland Clinic. Also, check out the latest Cavalcade of Risk put up by the wise wench.  That is where I noticed… Read more about Grand Rounds and the Cav are Hot Off the Press

Filed Under: Group Health, Health Insurance Reform, Individual/Family Health, Policy

Physical Therapy Expenses

February 22, 2008 By Louise Norris

We’ve started getting EOBs for Jay’s knee surgery, and I’m finding it very interesting to see first-hand what all these medical procedures cost. The anesthesia was billed at $1155, (our Humana network price was $748) and the initial physical therapy that was done on the first day after the surgery was billed at $637 (reduced… Read more about Physical Therapy Expenses

Filed Under: HSA, Humana, Individual/Family Health, Providers

Without A Paddle

February 21, 2008 By Louise Norris

As health insurance brokers, we talk with people every day who have various pre-existing medical conditions. We go over options with them, although it’s usually a case of picking the lesser of two evils. I just read Kyla’s story about her family’s struggle to get health insurance for their little girl. She wrote more details… Read more about Without A Paddle

Filed Under: Group Health, Individual/Family Health

If You Break It, You Buy It

February 20, 2008 By Louise Norris

I read somewhere recently that compliance with hand washing standards in American hospitals is less than 50%. That alone is enough to make me thankful that Jay and I have chosen a home birth for our baby this spring, but it also raises lots of questions about medical care in general. If something as simple… Read more about If You Break It, You Buy It

Filed Under: Anthem Blue Cross, Health Insurance Reform, Individual/Family Health, Policy

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