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Archive for December, 2008

What Health Care Benefits You Actually Have

Sunday, December 21st, 2008

Not a lot of people take the time to find out what health care benefits they really have, often assuming it’s one thing, when in reality it might not be. Find out now what they are, not later when you need them and don’t have them.

Read the fine print on your health care insurance policy. Right, that sounds like a lot of work; however, it might make a huge difference later when you need your coverage. It’s always better to know what you are actually covered for rather than need something you don’t have, and then have to pay out of your own pocket for it.

Here’s the best thing to do when searching for Texas health insurance – make a list of questions you want answers to – the more the better, as that is what the insurance agents are there for, to answer your questions. Find out about your coverage.

Just as you want to know what your coverage is, you also want to know what you DON’T have for coverage. Each supplement or plan has things it covers and things it doesn’t. If you know what it doesn’t, you have options – as in get a companion supplement, or a different plan. This is the major reason to find out what you will get when spending your health care dollars.

Basically, the bottom line is you want to know what additional coverage you need versus what might be in the plan you are considering. This is where that long list of questions come into play. If you are clear on your goals, the insurance agent is going to be able to focus your purchasing power in the right direction. This is how you get health insurance coverage that is tailored for your needs, not your neighbor’s.

You might not think reading the fine print is a great idea, and you might not think it’s that important. Keep in mind though, there are health care insurance companies that secretly hope you don’t read what type of coverage you’re signing up for.

While this might mean cheaper premiums, there’s a reason for being cheaper. It’s like that old saying, “You get what you pay for.” When it comes to health care insurance this couldn’t be more true. Be a smart shopper, ask questions, and don’t take the first plan that comes along.

Richard Cantu is with Texas Health and Life, a Texas health insurance and Texas life insurance agency in Texas. To learn more, visit http://www.texashealthandlife.com/.

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Lead Local for a Health Insurance Quote

Tuesday, December 2nd, 2008

Getting a local health insurance provider to give a quote on premiums makes more sense because they know the local conditions and can save consumers money.

Getting a health insurance quote can sometimes be a real exercise in frustration, not to mention putting a dent in the wallet. Shopping around, while a good idea, may be counterproductive if the insurance company providing the quote is from out-of-state.

It looks like consumers get better rates if they shop online with big name insurance carriers. The problem is those carriers have no idea what the local conditions are and can’t offer a policy that accurately reflects the local conditions – not like a local agent can.

Shopping for health care insurance premiums with a local agent makes far more common and economic sense than trying to deal with a company thousands of miles away, who isn’t aware of local customer problems.

A local agent is able to alert buyers about which companies honor their claims, which ones won’t, and what services the various doctors will or will not perform. These are the things a consumer needs to know before buying a health insurance policy. These are also the things a local insurance agent needs to know to be able to completely tailor a health care quote that makes sense for an individual or family.

One other thing to be wary of when surfing the Net for health insurance quotes, is many of the larger companies in other states tend to deal in generalities, not specifics. This is often the reason a consumer may get what they feel is a decent premium, when in fact it won’t do them much good later on as it really does not suit their needs.

The fact is many online health insurance quote providers don’t care about where a person lives or what pre-existing conditions may be present. They only care about the dollar value of the policy. Just imagine trying to sort out a problem with a company halfway across the nation.

Lead local when hunting for health insurance quotes and make sure health insurance coverage is tailored to individual or family needs. It’s best to deal with someone who is able to handle things right away and not have to wait weeks to get answers to questions.

To learn more, visit http://www.texashealthandlife.com/.

Texas Health and Life is a Texas health insurance agency specializing in health insurance, life insurance, and Medicare supplements in the state of Texas.

Being a Rabbit Helps Your Insurance Rates

Tuesday, December 2nd, 2008

Eating healthy is just the tip of the iceberg if you want to maintain a reasonable health care insurance premium.

It’s a fact; eating responsibly means your health care insurance premiums are lower. Now that might seem to be a bit of a stretch, but figure it this way. Eating healthy keeps you healthy.

If you are healthy then you automatically get better rates for health care insurance premiums. Those who are in the “at risk” category for serious illness and higher health care insurance rates are those who are overweight or obese. Texas has a somewhat unenviable reputation for having a fairly high overweight and obese population. In fact, it once had the 6th highest rate of overweight people in the USA – as in 68% of the entire population. Those numbers are staggering.

Think about the costs associated with being heavier. The costs to deal with those who are at risk for a variety of diseases related to obesity could rise from over $10.5 billion in 2007 to over $39 billion by the year 2040. That means the 68% total from above will hit close to 75% making a rough total of 20 million people who need the health care system to treat diseases and conditions resulting from being overweight or obese.

The dismal overweight numbers have taken a bit of a dive and gone down to 12th place, but not because overweight Texans pulled up their socks and got on the fitness bandwagon. It took a drop because other states stepped up to the bar and ranked ahead of them.

These numbers are of great concern for the health care industry, both in terms of insurance premiums and the rising costs of coverage, and in terms of over-utilization of the health care system. The U.S. health system is hauling a heavy load to begin with and throwing more fuel onto the fire, thanks to questionable lifestyle choices, isn’t helping.

The figures discussed so far have referred to adult obesity, but another problem is the ever-escalating rate of obese children; not a good prognosis for the future of the health system. The obese children of today are future health care users bringing their health problems forward with them.

If consumers want good insurance rates they need to prove to health insurance underwriters they are good risks. If they are unable to do so, the rates are going to be higher. An insurance company is a business and a business cannot afford to insure a high-risk person who is making questionable lifestyle decisions about their health.

When faced with insuring an overweight or obese person, the insurance broker’s options range from declining to increasing the rates and/or rider/waver some conditions. The bottom line is they are not in business to lose money through insuring people.

To learn more, visit http://www.texashealthandlife.com.

Texas Health and Life is a Texas health insurance agency specializing in health insurance, life insurance, and Medicare supplements in the state of Texas.

Just When You Thought You Knew the Rules, They Change

Tuesday, December 2nd, 2008

Just as you get used to something that applies to your health care coverage in the U.S. and understand the rules – someone pulls the rug out from under you and changes something. This shouldn’t be too much of a surprise since the U.S. health care system is run by various entities that do not seem to communicate with one another.

Say the word health care in the U.S. and get ready to have a debate about the merits of the existing system. What we have now for a system is overworked, over-utilized, over-priced and overdue for a serious overhaul.

This of course affects you, the consumer, because you pay the freight to keep the system going. When the price of everything starts creeping up with no end in sight, the system becomes a hostile place because no one can afford to use it.

The way the system runs is part of the problem. There are way too many cooks trying to make the chili look palatable and in the process making a hash out of it. The health insurance industry is comparable to a game of 52-pickup with a deck of cards.

There are numerous entities who want money and who want to lead in the health care system, but who don’t pull together as a team to serve the general public. The competition for health care dollars is positively cut throat, so it should be of no surprise that each separate insurance company/business is only interested in their own vested interests.

If you want another truth about what is going on in the health care system, consider this. The U.S. is known to spend more health care dollars than ANY other world nation on a per person basis. Again, this is because we are over-using a system originally designed to handle just the major “uh-ohs” of life.

If our system is in such rough shape now, consider what it will be like in the future. Not a pretty picture is it? Remember, too, that the shape of the health care system of any country is intimately tied to their economy. If the economy is in a mess, then so is the health care system. This is very evident in the U.S.

What do we do about the future of health care in the U.S.? We tighten our belts, take more personal responsibility for our own personal health care, start making wise choices that promote wellness, vote for smart economic management of our country, and get out of the way of change for the better by working together instead of at cross purposes.

Richard Cantu is with Texas Health and Life, a Texas health insurance and Texas life insurance agency in Texas. To learn more, visit http://www.texashealthandlife.com.

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Fit or Fat Makes a Difference in Insurance Rates

Tuesday, December 2nd, 2008

Your Body Mass Index makes a huge difference in your insurance premium rates. Seriously, think about that for a moment and it will make some sense. If you weigh too much, your health risks increase.

It’s true, your body mass index, or BMI, is an important rating factor when it comes to buying health insurance premiums; meaning, if you are far too heavy for your height, it will cost you more money to get decent health insurance.

This means that we are responsible, in large part, for what we pay for health care. Radical thought that it may be, the health care system is in the mess it is today because we are over-using it and abusing it. It’s time we took responsibility for our personal health care choices.

The truth of the matter is, if we are overweight, our risk for serious illnesses shoots up exponentially. Yes, health care insurance is all about covering you for potential sickness; however, if you choose to be heavier than what the insurance industry considers to be the norm, your rates go up to cover you for those personal choices to take risks with your health. Yes, there are exceptions based on the reasons for your condition.

This is mostly a business decision and the bottom line is why would an insurance company, who operates on profit, want to take a risk on offering coverage to someone who is overweight and looking at some serious health issues as time passes? In other words, since insurance is a business, they will take smart risks on insuring those who will likely not have too many problems, but balk at covering someone who they know will not provide them with a profit.

Here are some industry averages; they will give you a snapshot of what to expect if you are curious about your BMI. Say the average BMI for a man who is 5 feet 11 inches tall should be 215 pounds, if he weighs less, it is better for his wallet in the long run.

The average BMI for a woman who is 5 feet 5 inches tall indicates she should weigh about 180 pounds, which is really rather high on such a small frame. However, if she weighs less, she gets a better insurance rate overall.

Again, these are just general examples and there are always exceptions to every rule. If you want to know for sure where you are in the greater scheme of things, talk to a qualified health insurance agent who is able to explain how the system works.

If you don’t like eating your veggies, fruits and nuts, exercising and doing things in moderation, be prepared to pay more when you go to sign-up for health insurance. If you want to save money, then lose weight, keep fit and eat right.

Richard Cantu is with Texas Health and Life, a Texas health insurance and Texas life insurance agency in Texas. To learn more, visit http://www.texashealthandlife.com/.

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Mat Leave Isn’t Easy to Get

Tuesday, December 2nd, 2008

While you may think getting maternity leave would be easy, you are wrong. You may be in for a challenge.

Maternity leave is actually hard to get, so the best way to figure out your options is to talk to an insurance broker who knows their stuff. This isn’t to say you cannot get mat leave, just that is isn’t the easiest health insurance benefit to land when you want it. There are also some hoops you need to jump through to qualify and some restrictions that you need to know.

You may think it’s odd that maternity leave is difficult to obtain and wonder why that would be. Let’s take a look at a couple of scenarios. Say, for instance, you are employed or have benefits under group health insurance that offers maternity leave. This is the best case possible for you and you’d be good for coverage when the time comes.

If you want individual insurance, this is something totally different. It’s not impossible to get, but you certainly need to find out what the extent of your coverage actually is. At this point, ask questions to figure out what you are actually covered for and what you are not. Often knowing what you are not covered for is as important as being aware of what is covered.

Mat leave coverage for individuals is harder to get simply because a great many health insurance companies would rather decline to cover this event for a solo person as compared to a group medical insurance situation. The reason has to do with profit for the insurance broker.

Understand as well that employers must treat pregnant women exactly the same as other employees who are unable to work for a period of time. If someone breaks their leg and cannot handle being at work for a time and must be off work, a pregnant woman is allowed leave under the same set of circumstances. These rights are enshrined in the Family and Medical Leave Act.

If you have read any of the Family and Medical Leave Act, you will immediately realize it actually does two things. The first is that it mandates certain companies/employers to offer medical, family and parenting leave for qualified workers. The second thing it covers is that a qualified person may take up to 12 weeks of unpaid leave. Note the emphasis on the word “qualified.”

Qualified under the Family and Medical Leave Act means that a person must have worked at a business with 50 or more employees; must have worked for at least a year and worked at least 1,250 hours during that year, before they are eligible for leave.

The good news is this type of leave is open to men or women. It covers births, seriously ill family members, adoptions, getting foster kids, or to attend to a critical health issue. If you do take advantage of the Act’s leave provisions, you aren’t allowed to save benefits while on leave. However, any benefits accrued before the leave will remain with you.

To find out how to get mat leave for an individual, what qualifications the are and the requirements, talk to your local insurance broker. He will walk you through the process.

Richard Cantu is with Texas Health and Life, a Texas health insurance and Texas life insurance agency in Texas. To learn more, visit http://www.texashealthandlife.com

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