Archive for the ‘Health insurance’ Category
HMOs or PPOs?
In case you have the possibility to opt for employer-sponsored group health plan there’s a really important decision to be taken. Most employers, especially big companies or small businesses within purchasing pools, offer their workers a wide range of plan types, which typically include both HMO and PPO health plans. Being the most popular of all plan types, these two have distinct features, and understanding the difference between them is really important for having adequate insurance coverage for you and your entire family. So let’s take a closer look at each to have better knowledge of pros and cons they deliver.
Health Maintenance Organization
HMO is an alliance of medical workers and facilities that have a contract with the insurance company for providing their services for a fixed price.
HMOs are generally regarded as having many rules and restrictions for their users. The person having an HMO plan is required to choose a single physician who will be responsible for all your healthcare matters. The primary physician should be a member of the HMO network, which means if your current doctor doesn’t make part of the association then you will have to find another one who does. In case you have to visit a specific specialist, you will first have to visit your primary doctor for a referral, otherwise you won’t get the care you need. Read the rest of this entry »
Passionate debate about healthcare reform
Watching politics is a fascinating way to pass the time. People always find new ways to repackage the same basic debates in ever different forms. The media float above the fray, supposedly with a dispassionate eye. The code of the professional journalist preserves a neutral position, identifying the key facts and giving both sides of the debate a fair hearing. Unfortunately, the arrival of Fox News and the rise of the Right Wing Jocks has produced an opinion-based approach to reporting the news. This is not simply skewing the coverage. It is actually introducing new levels of venom into the debate itself, raising the profile of news reporters and commentators as demagogues, and personalising the attacks made on government. No other issue has raised the heat of passion in the debate as the proposal to reform the provision of healthcare in the US. Many on the right of the political spectrum see these proposals as a direct attack on their individual liberties and as promoting big government. They approve the rise of activism that has seen groups around the US protesting in the Town Hall Meetings run during the summer and in the so-called Tea Party protests which focus on the rise of big government and the redistribution of wealth through alleged socialist measures.
As a momentary aside, let us make a politically incorrect observation of fact. The membership of the Republican Party is, with the exception of the tokens like Michael Steele, mainly a party of white people. Similarly, the vast majority of the protesters in the events organized in 2009 are white. It is just a coincidence that the primary focus of their anger is Barack Obama. That said, the key measure in the reform package is some change to the current system of insurance. The supporters of reform argue in favor of mandatory insurance. As it is, a significant percentage of the young and healthy do not buy insurance. This forces a sharing of the cost of healthcare among a smaller and older group of people. If all adults were required to hold a policy, it would share the cost of care out among a larger group and so reduce the premiums for everyone. But the suggestion of a mandate to buy insurance is a red flag to the Republicans. The Fund for Personal Liberty has formally promised action if such a bill is signed into law. It will claim the law is unconstitutional, breaching Article 1, Section 8. For those of you uncertain of Section 8, it lists the powers of Congress but does not include mandates to interfere with the purchasing decisions made by citizens. The Fund will argue that the list is exclusive and this use of legislation is therefore unconstitutional. Read the rest of this entry »
Health insurance for your family
When time comes for deciding which type of health insurance coverage is most appropriate for your family there are many options you can choose from. And one of the most influential factors here is whether your employer provides you with a group coverage plan or not. In case your employer offers you family coverage through a group plan, you should think well about whether you want to apply for this group plan or get a separate policy for your family. In case there is no group health insurance coverage offered by your employer, you will have to search for a provider on your own, analyzing all the options in order to determine which plan and insurance company will cover your family insurance needs to the right extent. Read the rest of this entry »