Sunday, October 18, 2009

Beware the Instant Quote

While it’s nice to get an instant Illinois health insurance quote online, people need to be wary about where their personal information is going.

There are many options for Illinois health insurance that may be purchased privately or publically, depending on what suits the person shopping for health insurance. There are also equally as many insurance agents and brokerage firms to choose from when searching for Illinois health insurance quotes. In addition, the selection of products available will provide even the most well versed Internet surfer with a gigantic headache when faced with the list of health insurance plans.

In some ways it’s a real boon to have as many choices for insurance as Illinois health insurance brokers offer; such as CHIP health insurance quotes, disability insurance, senior health, small group health, employer-based group health plans, student health, and kid’s Illinois health insurance quotes. Selecting an Illinois insurance quote that suits the individual or the situation is only part of the process. The next step is to determine what websites to visit to get a quote. Those sites could include Short-Term Medical, BCBS of Illinois, Humana One, Unicare, etc.

It’s not so much that people searching for online Illinois health insurance quotes won’t find sites to get quotes. They will find quotes, but if they land on a lead capture page, their names will be sold to other businesses in the health care industry. To be safe and get the best information possible, one needs to go to a website where they can pull up to four quotes at once and do a side-by-side comparison. This will give the person a starting point in their search for health insurance. For further information, it’s the smart choice to speak to the insurance agent running the website.

Online forms usually ask most of the basics like age, height, weight, sex, whether a person is a smoker or not, some details about any current Illinois health insurance plans, medical conditions and other miscellaneous information. In most cases the company chosen uses the information to provide a quote for what may be the best plan in the circumstances. That would include rates from different kinds of plans and also different Illinois health insurance companies.

Keep in mind that there are usually two ways to get a quote: quick or instant quote, and a custom quote. Quickie quotes come back instantly with general details, but do not factor in any medical history or other underwriting requirements. They don’t include benefit options or include maternity benefits. Opting for a custom quote would provide more in-depth information.

While this all sounds on the up and up, remember there are companies on the Internet that only want personal information to collect data to sell as leads to insurance agents or who will turn around and sell the information provided to other companies in the health care market. They provide you with a quote in some cases, but by then personal information has been sent elsewhere.

If a person isn’t totally clear where their personal information is going, they should think twice about hitting that submit button. It makes the most sense in this case to call the phone number listed on the site(s) and speak to an insurance agent to make sure information is going to a legitimate insurance company and not some data collection outfit.

To learn more about Illinois health insurance, Illinois health insurance quotes, Illinois group health insurance or to get an Illinois health insurance quotes, visit Focusinsgroup.com

Wednesday, October 14, 2009

The Different Parts of Medicare

Medicare parts A and B provide complete protection or comprehensive coverage. Many Americans believe the combination offers complete protection. This isn’t the case.

While many people have both parts A and B of Medicare, they are making a mistake by thinking that they have complete protection. What they have is comprehensive coverage, but this is not the same thing as complete protection.

If you go back a bit in history, Medicare has never covered outpatient prescription costs, with the onetime exception in 1989. Things mostly remained that way until 2003 when a new act was brought into force – the Medicare Prescription Drug Improvement and Modernization Act. All that whole mouthful means is that it expanded Medicare to include a prescription drug benefit that started in 2006.

You might be wondering why the change wasn’t implemented earlier. This has to do with the fact that Medicare has the right to definitively outline the care it will cover, and that includes part D. This brings up another interesting point, the one that says all medical treatments and procedures must be approved by Medicare. This is the major reason why you need to have a good working knowledge of Medicare to really understand the program.

Not many people seem to realize that every part of Medicare offers benefits for different types of care and that Medicare parts A and B each have different co-payments, out-of-pocket expenses and limits. What this really means is that you almost have two different insurance policies.

What do you need to know to have your medical expenses covered by Medicare? The first thing you need to know is that your treatment is medically required and deemed appropriate for the condition you have. Medicare must approve your treatment and it must have been prescribed by a doctor.

They won’t OK coverage of unique procedures or experimental treatments. If however you feel you have been wrongly denied, you do have the right to appeal the decision. Why is this stuff important for you to know? It is significant for you to know because Medigap and/or Medicare supplement insurance only pays a claim if Medicare accepts the expenses as reasonable.

Keep in mind that no matter where you buy Medicare plans and/or Medicare supplement plans, they are all the same, all standardized. The only differences will be what one company charges versus another. The thing to pay attention to is that since the plans were standardized, plan F has become the most popular because customers value the full coverage. This isn’t to say that there aren’t other viable alternatives such as plan C, D or G because many hospitals and physicians don’t demand the patient pay more than what Medicare approves.

Randy Gillespie is with Illinois health insurance agency, Focus Insurance Group. To learn more about Illinois health insurance, Illinois health insurance quotes, Illinois group health insurance or to get an Illinois health insurance quotes, visit Focusinsgroup.com

Monday, October 5, 2009

Buying Family Health Insurance Coverage in Illinois

Buying family health insurance in Illinois isn’t that difficult if you follow a few guidelines.

One of the first things to consider is having every family member on a separate policy. While that idea might go against the grain, there is a very good reason for it. It’s a proven fact that some insurance carriers have actually cancelled a whole family’s health insurance coverage because of something that might be wrong with just “one” dependent. That’s a pretty scary thought to have everyone in the whole family suddenly without health insurance.

Don’t jump whole hog into buying health insurance from a company no one seems to know very much about. The ideal thing is to thoroughly check out whether the company under consideration has a good track record for paying claims or not. Word of mouth is often helpful here.

If there isn’t much information to be found about the company, take a pass and move on to another choice. The ideal health insurance agent is one who will spend time educating clients about their options and not pressuring them to buy anything, not to mention the agent knows precisely who has a good track record for paying their claims.

When choosing an insurance company before buying health insurance, it’s a good idea to pick a company that does “not” hike rates every six months after the initial first year with them. While this might seem impossible to believe, it does happen and in fact there are examples of insurance companies handing out a 31% rate hike every six months after the first 12 months, this despite assuring the customer would only see (on average) a mere 8% increase in rates. No one needs to be dealing with rate increases like that.

It may be tempting to fudge a person’s health status on an insurance application; after all it just seems like a “little white lie.” Never try and hide any health conditions from the insurer. It is a virtual guarantee that they “will” find out later during the course of medical testing, etc. Finding out later has some serious repercussions that may include policy cancellation.

Don’t go to the doctor’s office that often? If that is the case, consider a different type of health insurance, as there is no sense in paying for the ability to visit the doctor frequently if that never happens. It doesn’t make sense to fork over hard earned money for doctor co-pays if it isn’t necessary.

Seek an expert health insurance agent that isn’t just out to sell something, but takes the time to help figure out which plan would be the very best fit for everyone that needs health insurance.

To learn more about Illinois health insurance, Illinois health insurance quotes, Illinois group health insurance or to get an Illinois health insurance quotes, visit Focusinsgroup.com

Thursday, October 1, 2009

Illinois HSAs Rock

The twenty first century calls for innovative changes in health care across the country. Americans are now able to take advantage of a Health Savings Account, something just a little different than traditional health care insurance.

Concerned health care consumers are able to opt for paying current expenses and save for future qualified medical/retiree health expenses on a tax-free basis by buying Illinois HSAs – Health Savings Accounts. These are much better than doctor’s office co-pay plans.

Why are they better? They’re better because the Illinois HSAs cover everything and not “just” the visit to the doctor’s office. In addition, not many people realize that when they go for further diagnostics after they’ve paid their portion of the doctor’s bill, the lab tests and other services have to be paid for out-of-pocket.
To take advantage of Health Savings Accounts an individual needs a High Deductible Health Plan (HDHP). The HDHP is also referred to as catastrophic health insurance, and usually costs less than traditional health care coverage. The reason it costs less is due to the fact the first several thousand dollars are paid by the client before coverage kicks in.

Money saved on insurance may then accrue in a Health Savings Account. The money in the account belongs to the account owner and decisions made to spend the funds are the sole responsibility of the account holder, not a third party or health insurance carrier.

Other interesting benefits offered by a Health Savings Account include the ability to invest the money however the account holder sees fit to grow money to save for the future. Having control over the disposition and day-to-day account management adds value to this alternative solution to traditional health insurance plans.

People don't buy an Illinois Health Savings Account. It's just that – a savings account that accrues money on a tax-preferred basis. The only thing purchased with an HSA is the HDHP. The idea is the HDHP covers the shortfall if medical bills exceed funds available in the HSA.

To qualify for an Illinois Health Savings Account the minimum deductible for the HDHP is set at a certain amount for individuals and families, as are out-of-pocket expenses. Speak to your expert local insurance broker about the variable deductible amounts, about preventive care and higher out-of-pocket limits.
Banks, credit unions, insurance companies and other approved companies offer Illinois Health Savings Accounts for the general public. Or an employer may offer a plan for workers. If other health care plans do not pay out significant dollar amounts, they may be kept along with the Health Savings Account.

Randy Gillespie is with Illinois health insurance agency, Focus Insurance Group. To learn more about Illinois health insurance, Illinois health insurance quotes, Illinois group health insurance or to get an Illinois health insurance quotes, visit Focusinsgroup.com

Sunday, September 20, 2009

The Pre-Existing Conditions Conundrum

There are times that finding an Illinois health insurance plan suitable for a pre-existing health condition is difficult, if not next to impossible. What do people do about that?

The first thing to understand when dealing with Illinois health insurance is what the definition of a pre-existing health condition happens to be. To simplify a sometimes long and drawn out description, a pre-existing condition is one where a person has seen a doctor and has been diagnosed with a “condition or illness,” and has been treated prior to applying for Illinois health insurance.

The tricky situation then becomes the fact that many Illinois health insurance companies use the application questionnaires to implement an exclusion period to defend themselves against people with pre-existing health conditions. It is often used as a loophole to deny insurance, rider it or accept it, but with a higher premium.

The conundrum in Illinois is that if a person is looking for individual Illinois health insurance and they have a pre-existing condition, the insurance company can turn them down unless the person happens to be eligible for an Illinois Health Insurance Portability and Accountability Act, HIPAA. Without getting too technical, HIPAA protects Illinois health coverage for workers and their families if they change or lose their jobs and provides protection for those with pre-existing medical conditions by limiting their exclusion period.
While it’s a good thing to have that law in place to protect people who need Illinois health insurance, the unfortunate thing is that the law hasn’t gotten rid of the ability of insurance companies to deny health insurance to those with pre-existing health conditions or even excluding medical conditions. What this boils down to is that there’s only guarantee issue in State sponsored plans and in insurance company funded plans. If an applicant for Illinois health insurance meets six HIPAA criteria, they are eligible for guaranteed issue HIPAA. In a pinch, this may be the only route those with major pre-existing health conditions are able to take.

Illinois health insurance companies all tend to handle pre-existing health conditions differently, so it’s best to do some serious research online and in person to find out what company and policy will be applicable. It’s a given that individual plans have more exclusions and are more expensive than group plans. When in doubt, ask a local insurance agent what is available and what the requirements are to apply.

Some of the most important insurance companies in the state of Illinois handle pre-existing conditions a little bit differently, because of this it is important to do some research and actually shop around for a policy before deciding to apply. Individual plans have more exclusions than group plans and that is why they are quite a bit less expensive, because they are more restrictive.

To learn more about Illinois health insurance, Illinois health insurance quotes, Illinois group health insurance or to get an Illinois health insurance quotes, visit Focusinsgroup.com

Thursday, September 10, 2009

How to Get Competitive Health Insurance in Illinois

Getting competitive health insurance in Illinois is a whole lot easier that you might think.

How easy is easy? Really, it is a lot easier to get competitive health insurance quotes in Illinois by doing smart surfing online and finding a site that offers side-by-side competitive quotes. Not just a few things side-by-side, but a site that offers customers the best bang for their buck.

Keep in mind that not all the things one sees on an online insurance website are always applicable to your particular situation. For instance, you may find a totally outstanding quote and note that it is the “preferred” rate. That means you have to meet certain criteria in order to be eligible for that particular Illinois health insurance policy. This is one of the major reasons you will want to talk to the agent who owns and runs the website you are surfing, to clarify any questions you might have about the quotes you will receive.

Sometimes just reading quotes side-by-side online, or side-by-side comparisons made by an expert health insurance broker after you have provided your information makes sense and sometimes there are unanswered questions that can be cleared up by an insurance expert. Always take the time to carefully compare the health insurance plans you see online, paying particular attention to two things – what is included in the plan and what the price happens to be.

There are various choices of health insurance plans that may be tailor-made to suit your circumstances with some tweaking. You will definitely have a wide variety of carriers to choose from when you find an Illinois health insurance website with up-to-date information.

You might be wondering why you have a good chance of finding a “deal” on Medicare supplements. This happens because each private insurance carrier has the option to offer Medicare (if they do offer Medicare, as not all insurers do) at a rate they choose. So it makes a lot of sense to have a health insurance expert provide you with side-by-side comparisons after providing your information. Of course you will want to make sure that the Medicare supplements you want will dovetail with the Medicare plan you ultimately choose.

If at any time you have questions while getting your competitive Illinois health insurance quotes, reach for the phone and make that personal call to the expert. It goes without saying that you only want the best in Illinois health insurance for you and your family.

Randy Gillespie is with Illinois health insurance agency, Focus Insurance Group. To learn more about Illinois health insurance, Illinois health insurance quotes, Illinois group health insurance or to get an Illinois health insurance quotes, visit Focusinsgroup.com

Tuesday, September 1, 2009

Keeping Networks Is a Good Thing

Sometimes, the more things change, the more they remain the same. This seems especially true when talking about Illinois health insurance.

It wasn’t too long ago that Blue Cross and Blue Shield of Illinois told their members that one of their hospitals, St. John’s, was making the decision to discontinue its status as a Medicare Select contracting network hospital. That decision, which caused a lot of pandemonium, was supposed to kick-in on the 17th of June, 2009.

Of course the implications for a decision like this that affected Illinois health insurance echoed far and wide, with the major complaint, aside from what people would do to replace the service they were getting, was having to change to another type of plan that was more expensive. An agreement was ironed out where Blue Cross Blue Shield helped people who’d lost their original Illinois health insurance plans to get reinstated and credited for premium increases that arose due to changing plans.

This kind of thing raises the very specter of changes coming to the health care system over the next few years. And along with the changes come the questions of whether or not the changes will be beneficial. This is one of the toughest questions to answer with any degree of certainty.

It would involve having a crystal ball and a system that would address everyone’s medical needs; a system that would be affordable and accessible to all. Comprehensive health care reform is supposedly coming, and likely won’t come any too soon given the current state of the health system. In the meantime we muddle along with what works the best at any given time, and that includes Medicare Select.

Medicare Select is basically an Illinois health insurance Medicare supplemental insurance plan that provides you with choices. They also have the advantage of being priced at an even more reasonable level than the usual versions of Medigap insurance policies. The one major difference that you might want to be aware of is that Medicare Select acts like a managed care plan. That simply means that you’d have to use doctors and hospitals that are in an Illinois health insurance network. In addition, your insurance company will only pay full benefits if you got your medical care from a preferred health provider who is, once again, a part of the insurance company’s designated network.

Let’s take a quick look at an example. If you go to see a preferred provider physician, Medicare pays the approved charges. Your supplemental insurer pays the full benefits under your policy. However, if you choose to use services outside the plan network, the plan may deny the claim entirely or only pick up a very limited portion.

So really, there are three things you need to know and remember about a Medicare Select plan. The first thing is that it is considered to be an Illinois health insurance supplemental product, just about the same as Medigap insurance. In other words, when you buy a Medicare Select policy, you’re getting a standard Medigap plan. And, as we already pointed out (but it’s worth mentioning again) pretty much the only difference between a standard Medigap policy and a Medicare Select policy is that the Select policies are managed care plans. To get full benefits from the Select plans, you will need to use designated hospitals, clinics and even certain doctors. This will explain why these plans are priced lower than similar Medigap policies.

Something else you also need to know about Medicare Select plans is that they are typically only offered in larger cities in Illinois. If you live outside a large city, you may have other options. To find out what those options are, contact an expert Illinois insurance agent in your area.

Randy Gillespie is with Illinois health insurance agency, Focus Insurance Group. To learn more about Illinois health insurance, Illinois health insurance quotes, Illinois group health insurance or to get an Illinois health insurance quotes, visit Focusinsgroup.com