What is a Health Medical Plan Deductible?

A deductible is a specific dollar amount that your health insurance company requires that you pay out of your pocket each year before the health insurance company begins to make payments for claims. As an exception, not all health medical plans have a deductible such as an HMO or a zero dollar deductible plan. However, most PPO and Indemnity plans typically do require a deductible in their plans to keep premiums affordable.

The deductible is an annual amount per insured person; there will be a maximum amount of deductibles you will have to pay in a given year. In regards to family coverage in health medical plans, your family will have an out of pocket expense by an amount of two to three times your individual deductible to satisfy first before the health insurance company pays for your claims.

For example, if the per person deductible is $1000, and you have four people in your family covered under your health insurance, the maximum family deductible will usually be $3000. Once the people in your family have paid out a $3000 deductible, no more deductibles will apply to any member of the family for the remainder of the year.

The insurance company does have a maximum of per person deductibles per policy. This can very with each policy and company is different regarding their maximum deductible and out of pocket maximum. In some health medical plans the deductible does apply to the maximum of pocket, and in other polices it is consider separate from the annual maximum out of pocket. Please be sure to read the specifics of your policy with your health medical plans company.

Health insurance deductibles can vary and will be effect your insurance premiums. By adjusting your health medical plan deductible you premiums will either increase or decrease. Typically if you increase your deductible you will lower your premium. New High Deductible Health Plans can save you and your family premium dollars over time.

The federal government regulates the detail High Deductible Health Plans limits each year. In the year 2008, the minimum deductible amount for a High Deductible Health Plan is $1,100 for individual only coverage and $2,200 for family coverage. In addition, the maximum out-of-pocket amount for individual only coverage is $5,600 and $11,200 for families. A high deductible health plan typically offers a higher deductible in return for generally lower premiums. For more detail, please contact your health medical plans broker.

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Medical Supplies

The purpose of this article is to give seniors and caregivers lifestyle advice that can create a positive impact. With baby-boomer closing in on retirement there are more and more seniors on the web every day. Health Medical Supplies is all about improving your life or a loved one’s life in the later years by giving comprehensive advise about health and medical supplies. In this article I just want to discuss the importance of staying active and independent for as long as possible. In my experience as a life and health insurance agent I have gone on thousands of in home appointments with seniors and I have seen everything.

I have also worked with seniors in thirteen different states, so when I say I’ve seen everything I mean literally everything, and if I haven’t seen, I’ve heard it from my co-workers. So if I had to give one piece of advise from my experience it would be “take care of your body and it will take care of you”. The healthiest seniors Ive met were always active ones, mentally and physically. I’m not saying you have to be Jack Lalanne, just try to be active is all I’m saying. Get out and walk once in a while, take the stairs, sign up for a water exercise class. Always consult your doctor before making these sort of changes to your life.

It’s amazing how big the diet industry, everyone wants to find the magical pill they can take that makes the fat melt away. So now I’m going to pass along a secret, a secret that you can use to help you lose weight that is guaranteed to work, are you ready, here it is – Diet & Exercise really work!! – whew. Glad I got that out there. When you exercise and watch what your eating you have more energy, when you have more energy you feel better, when you feel better you have less stress, etc. Its a heck of a cycle, but again it works. So what does medical supplies have to do with staying health and independent?

I will go over one of my favorites: Hot/Cold Water Therapy system is a machine that you fill up with water and then it has a tube connected to a wrap. You take the wrap and wrap it around your leg or back or hands or wherever you have pain, swelling, poor circulation, etc. You turn the machine on and it pumps hot or cold water through the wrap increasing you blood flow and reducing any pain or inflammation that you are experiences. I luckily have access to this machine so I use it my self. I like to do 15 minutes of hot water and then 15 minutes of cold water therapy until I’m satisfied. So if you have Medicare you can get one of these for nothing. So hopefully I have helped someone out today and then maybe I’ll help out another person tomorrow or next week with this article. I just know that I can reach so many more people online. So that’s it hope you enjoyed and have a great day!

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Why Many Experience Difficulty Paying Medical Bills Despite Having Health Insurance

Despite having health insurance, many Americans still experience difficulty paying medical bills primarily due to excessive out-of-pocket expenses and uncovered services. Failure to be able to meet one’s cost-sharing portion of covered benefits can be due to illness(s) requiring extensive utilization of health benefits, selection of the wrong insurance plan, or utilization of out-of-network health benefits. Uncovered services on the other hand can be the result of not knowing what benefits are excluded from coverage, failure to comply with the contractual rules and regulations of the plan, and obtaining out of network services.

According to a recent study conducted by NerdWallet Health, medical bills are the number one cause of bankruptcies in the United States with almost 2 million people expected to have filed in 2013. Besides bankruptcy, it is estimated that 56 million adults between the ages of 19 and 64 will struggle with bills related to healthcare, and of that number 10 million will be adults with year-round health insurance.

The medico economic difficulties that are experienced by many, despite having health insurance, are unavoidable because of expensive chronic illnesses or injuries requiring large amounts of care, but in other cases the out-of-pocket costs are burdensome because individuals chose health plans with very high deductibles, high coinsurance, and/or high copayments in an attempt to minimize premiums. On other occasions, the use of out-of-network benefits in order to receive treatment from a preferred physician or at a preferred hospital or other facility, also results in significantly higher deductibles, copayments, and/or coinsurance. In some instances, depending on the plan, the out-of-pocket costs may be as much as four times higher for-out-of-network benefits versus in-network ones. Additionally, out-of-network expenses are not counted toward in-network expenses and vice versa.

In receiving out-of-network services the increased patient portion of the cost sharing is oftentimes compounded or even overshadowed by the fact that out-of-network provider charges are not limited by the allowable charge stipulation in the patient’s insurance policy. What that means is since providers outside of the network do not have contractual relationships with a patient’s insurance company, they are not required to discount their charges to the amounts stated in a patient’s policy, and thus don’t have to write off any difference between their usual charges and the charges a patient’s plan agrees to pay network physicians. Since in most states doctors are not required to have the same charges for all patients, it is very common for their customary charges to be higher than those for managed care plans. Thus, if a provider is not willing to lower his or her customary charges for out-of-network patients, patients with indemnity plans, or even patients without insurance, it essentially amounts to penalizing those patients. Although some doctors will lower their charges in those situations, other providers such as large hospitals that don’t have a personal relationship with the patient are usually not so benevolent. In fact some years ago, one large hospital published that the degree of aggressiveness it used in pursuing outstanding debts for hospital bills depended upon whether not the debtor owned a house valued at $200,000 or more.

A scenario in which patients are surprisingly faced with unexpected medical bills is one in which the patient is unfamiliar with the exclusions and limitations of his or her health plan and learns after the fact, that certain services received were not covered benefits. Another scenario in which additional but unnecessary expenses are incurred is failure to follow the policy guidelines such as those requiring a referral from a PCP before seeing a specialist or obtaining precertification or prior authorization before a particular service, as stipulated in the policy. Many times this scenario plays out unwittingly on the patient’s part. For example, a patient’s primary care physician might consult a specialist during hospital care, but does not know the specialist is not a part of the patient’s provider network. Another example is when the primary care physician fails to obtain precertification or prior authorization for certain services.

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Enjoy Better Health With Customized Alternative Medical Care

Functional Medicine

Anyone with a chronic health condition such as diabetes or rheumatoid arthritis is probably taking traditional medications that were prescribed by a physician. However, there are excellent benefits to visiting a doctor who customizes treatments for each patient to target underlying causes for an illness. Specialists in functional medicine treat the entire body and mind of a patient, instead of only treating a disease. Considered an alternative type of medicine by mainstream physicians, functional medical care tries to solve problems that occur in a patient’s immune, endocrine and gastrointestinal systems.

Body Detoxification

While traditional medicine permits canned treatments for patients, functional medicine customizes a plan for each individual. Not only to relieve the symptoms of a medical condition, but to get to the root of the problem. An early treatment for a chronic condition might include detoxification to remove a buildup of toxins from the patient’s bloodstream, muscles and bones. Some of the methods used to clear toxins from the body include colon cleansing or a change in diet. A physician may recommend various types of diet and/or the use of supplements to remove a buildup of intestinal toxins, customized to fit your lifestyle and circumstances.

Dietary Therapy

Dietary therapy is another way to treat a patient without traditional prescription medications. Improving a patient’s daily nutrition also helps to improve the body’s natural immunity to resist diseases that often become chronic. Diet plans that include variety and plenty of fruits, vegetables, whole grains and lean protein are often advised to replace lost nutrients in the patient’s body. Since each individual has different dietary needs and might just not know how to address them, plans that are carefully developed after the thorough examination of a patient, their symptoms, their current diet and so forth, can in itself make a world of difference.

Homeopathic Remedies

Homeopathy is a form of alternative medicine that uses the essences of plants, including flowers and herbs, diluted in distilled water. Additional homeopathic remedies are made from animal products or minerals to balance the body’s systems in order to improve natural immunity. One important goal is for patients to have an immune system that resists acute and chronic illnesses.

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