Posts Tagged ‘health coverage’

Why Women May Require a Unique Health Insurance Policy

Friday, November 20th, 2009

As men and women undoubtedly have differing health concerns, risks, and needs, many experts suggest that women particularly take advantage of key strategies to find optimal coverage to maintain their health.  With issues ranging from gynecological care to potential maternity coverage, women must actively seek out policy features that align with their personal reproductive plans and goals.  As some policies offer greater contraceptive coverage benefits, while others provide individuals with more substantial labor and delivery compensation, women from all different backgrounds, ages, and agendas should personalize their plan to ensure their policy offers the most ideal benefits and protection.

Evaluating Fertility and Family Planning

Before investigating various insurance policies and options, women can begin to proactively assess their needs by evaluating their personal family and reproductive goals.

Women who plan to have children will need to take advantage of key insurance features such as:

  • Lower office visit deductibles - Since a woman’s pregnancy demands frequent checkups and routine visits, opting for a lower co-pay can help women avoid excessive appointment costs.
  • Post-delivery coverage and protection - After delivery, infants are often at risk for minor illnesses and infections. As such, a woman’s health plan should offer adequate coverage for prescriptions, examinations, and other common health concerns.

Women who have decided not to have children (either in the short term or long term), may need to find health insurance packages with more diverse features, such as:

  • Contraceptive coverage benefits - If a woman is sexually active but does not wish to conceive, then she will need to speak with her doctor about reliable methods of birth control. With a variety of choices, women can opt to undergo permanent procedures, take hormonal oral contraceptives, or utilize other methods of protection. Ideally, a policy should allow women to take advantage of her own preference or doctor recommended method; similarly, prescription co-pays should be kept to a lower rate, as contraceptives often require monthly refills / payments.
  • Health and disease screening - While all women are at risk for various types of cancer or viruses, women who are not pregnant and / or do not have kids undergo far fewer checkups than women opting to bear children. As a result, a health insurance package should allow women to meet with their OBGYN for routine breast, cervical, and general health exams. Additionally, women who are sexually active may also want to take advantage of sexually transmitted disease coverage options.

Your College Student and Your Health Insurance

Friday, July 3rd, 2009

When your child reaches the age of 18 and graduates high school, there can be much joy in his accomplishment.  But much sadness as well if they are headed out of town or state for college.  Before your child heads out to begin higher learning you should already have a health insurance strategy in place.

For many moms and dads who have group health coverage through their employer, the insurer may agree to continue health coverage for a child as long as he or she remains a dependent, sometimes up to age 24.  That means if you are paying for the college tuition, you get to keep them on your plan.  But look closely at whether continuation on your health plan may be the best strategy.

Issues to Contemplate

There may be numerous issues for a child who lives out of state and out of the network of health providers on a PPO or HMO plan.  Some PPO’s will reimburse less for out-of-network physicians, or not reimburse at all.  And HMO companies will require a referral from an in-house physician to be treated by out-of-network providers.  If you carefully read your plan and determine that out-of-network treatment is not cost effective, you may want to consider joining a college health plan.

College and University Student Health Plans

Most larger colleges and universities offer health plans for their students.  Usually it is subsidized by tuition, thus costing parents less out-of-pocket for a student premium.  Benefits differ from school to school, and it is always best to check out what the coverage includes.  Plans may include a co-pay for office visits and lab work, and coverage usually includes basic preventative care, routine exams, urgent care, mental health, pregnancy, newborn and infant care, as well as routine AIDS and STD screening and testing.  Some universities offer their own health center right on campus.  Others may have a provider agreement with a facility off campus.

With all this in mind, it is best to do the research and find out what option is best for continuing your child’s health care coverage when transitioning to college.  Keeping your child healthy and cared for will ultimately help them succeed in their studies.

Getting Health Coverage if You Are Self Employed

Friday, June 19th, 2009

The economy is driving more and more people out of corporate employment and into their own entrepreneurial ventures.  Not necessarily by choice, however, but through layoffs and other reasons of unemployment.  When the employment market dries up and companies set hiring freezes, what is a person to do but perhaps put their expertise to work for themselves?

But going into business as a freelancer also means giving up the perks of corporate benefits.  Particularly health insurance.  Health insurance gained through corporate employment is the easiest and most cost efficient means of health coverage.  Since employers usually agree to pay all or a portion of the premium costs, employees enjoy the advantages of group health insurance.

However, as a self employed freelancer an entrepreneur must admit defeat in the group insurance world and shop for individual or family health coverage through one of a plethora of options and companies.  Here are a couple of affordable options for the self employed:

PPO - An individual or family plan through a Preferred Provider Organization (PPO) such as Blue Cross Blue Shield can be a good option.  Choices of health care providers may be limited and not include former or favorite physicians, but there is usually a wide choice of options in a variety of areas of providers who will accept the PPO insurance plan.

HMO - A Health Maintenance Organization (HMO) is a corporation who practices managed health care usually with its own health care facilities and physicians.  HMOs usually offer affordable individual and family health plans, but getting the care you need may require persistence and effort if the HMO does not feel your condition warrants attention.  Expect a lot of red tape in getting referrals and specialist care as well.

Self employment is an adventure in becoming one’s own boss and freedom in the choice of work we do.  But it doesn’t mean we have to give up health care coverage.  With many affordable plans available to individuals the self employed can still enjoy the peace of mind of health insurance.