Mar/100
Never accept health insurance quotes at face value
Just in case you do claim, the policy includes every possible way of avoiding payment on the claim. So all the headlines in the quotes and on the front page of the policy sell you the idea of coverage. All the small print later in the policy limits and excludes the insurer’s liability to pay. It should all be so straightforward. The policy is a simple contract between you and the insurer. You pay a premium. If any of the following things happen to you, the insurer pays for your treatment. You look down the list of injuries, diseases and disorders. Ah, if only life could be so simple.
The first problem is who you want to treat you. Some people are happy to have anyone with MD after their name prod them, nod wisely and write out a prescription. Others will only accept someone with experience in the particular problem. The difference between the two can be thousands of dollars. The doctor in general practice will charge only a small fee for a quick consult. If you go to the nearest specialist and you are put through a battery of tests to confirm the diagnosis, the total bill for the same prescription could be relatively astronomical. Then we come to the question of the treatments. The quick solution is usually a drug but taking, say, a painkiller when what you actually need is surgery to relieve the physical cause of the pain. . . Well, if you want a cure and avoid dependence on the painkillers, your insurer must be prepared to pay a lot more money.
The problem with medicine is the uncertainty. Science has only progressed so far, identifying many possible diseases and disorders, but never being totally sure what the best treatment is. One of the current hit TV medical dramas is “House” where the problems of diagnosis are presented as entertainment. What the program fails to tell you is how much the hospital would bill Gregory House’s patients. All it does is show you the alarming number of very expensive tests you could be asked to pay for without any guarantee they will provide the definite answer. So, when you get health insurance quotes, try to get a feel for three key areas: what diseases and disorders are covered, who is allowed to treat you, and what are the limits on the treatments? Yes, there will be jargon, but never accept health insurance quotes at face value. Always try to get answers to these three simple questions. Most plans place real limits of your freedom of choice. In fact, the lower the premium, the less choice you will be allowed. Only the top-of-the-range plans leave you with a reasonable amount of control over what happens to you and your family. This leaves us with an irony. The rich who have least need for health insurance are actually able to buy the best terms. The poor cannot pay and are not covered. The rest scrape the barrel to get what treatment they can.
Mar/100
How does a Judge Decide on Parenting Plans and Schedules During a Divorce?
When divorcing your wife, one thing you may find is that divorce really is hardest on the children. Why? Children are typically torn between both parents, and find themselves the middlemen in their parents’ arguments, disagreements, and anger.
If you and your wife cannot come to an agreement on how the children should be raised, who should have custody, etcetera, it is up to the judge to make this decision for you two. What he may suggest might not be what you want to hear, but the judge is there to make decisions in the best interests of your children, not the best interests of you and your wife.
In most cases, judges are encouraged to award equal support and custody from each parent. 50/50 joint custody is what most families function best with—with both parents a part of the child’s life. But these days, it seems as though judges are ruling in the favor of the mother—and this is the basis and the reason for fathers’ right activism.
Parenting plans will always affect things such as your child support obligations, alimony and any other decisions that are made within the court in regards to the divorce. The less you have your children, the more likely you are to be paying child support to your ex-wife, in addition to possibly alimony or maintenance. It’s a good idea to know your rights, arm yourself with knowledge, and know that you, like many fathers in the United States, can fight for your rights to see your children, either with joint custody or full.
Mar/100
Credit record and auto insurance rates
Most car owners are probably well aware of the fact that their insurance rates are strongly influenced by their current credit score. The majority of insurance companies make a direct link between a person’s credit record and risk grade, because statistically those who have bad credit ratings are usually filing more insurance claims and represent a high risk to insurance providers. And those, who have good credit score, are typically the less risky drivers that tend to have the smallest numbers of insurance claims and traffic violations.
Of course other factors besides credit rating are also taken into account as insurance providers will base the rates you will get on your driving record, type of car you drive, your sex, age, and area of residence. But if you don’t have an established credit history yet, the companies working with the credit score may not be the best option to look into as you can have higher premiums and lack of special discounts for a good credit score.
Some of you may question the legal right of insurance providers to use your credit history for their purpose. However, it’s perfectly legal and allowed by state authorities for insurers to look into their clients’ credit scores. So don’t be surprised when your insurance company uses your credit information for setting up your rates. Still, only a small number of providers use the exact current credit score of their customer. Most companies have a special “insurance credit score” that is mathematically and statistically derived from the current record and helps the insurers determine your risk grade and how likely you are to file a claim in the future. And if you feel that your credit score does not reflect the actual situation you should tell the insurance company to review their calculations.
Besides the actual credit rating the insurance companies also use the following factors in order to determine a customer’s insurance credit score:
- Records on bankruptcy, charge-offs, and other public notices
- History of payments and due bills
- Duration of credit history
- Number of open credits and credit applications
- Types of credit lines used
The insurance credit score will be different with every insurance company as each provider uses a whole different set and weight of factors when determining the score. So when you get car insurance quotes and worry about the effects of your credit score on the rates you will get, keep in mind that they will be different from one provider to another.
If you feel that your credit score is not that good and may result in high rates you have two possibilities. The first is clearing your credit record of all due bills and unused credit lines in order to improve the score in general. Get a free copy of your credit report at a national bureau and see what can be improved. The second possibility is shop around using free car insurance quotes and seeing what companies offer the most competitive rates with your current rating. The best would be combining these two methods, of course, as this will surely result in better rates.
Mar/100
POS (Point of Service) health insurance benefits explained
When it comes to health coverage these days, we sure have a lot of various options to choose from. One of such options, which has become quite popular lately are Point Of Service (POS) plans that can be viewed as a mix of traditional indemnity and modern managed coverage options. And what such a combination provides you with are money saving potential and flexibility, all in a single package.
Health coverage on two levels at once
People familiar with HMO plans can easily see the similarity between HMOs and PPOs when it comes to organizing the services. Here you are also required to choose a PCP (Primary Care Physician), who will coordinate your services and provide referrals to other specialists within the network when required. But you are also free to choose any facility or physician that doesn’t make a part of the specified network. And a POS plan will pay for such services out of the network, however to a narrower extent than with in-network services. So it will still cost you less to get your services within the POS network.
This is what is meant by two levels of insurance coverage, which are called “in plan” and “out of plan” health insurance. In plan coverage is usually more advantageous but it also has tighter restrictions imposed on the user. Like in case of HMO plans, in order to get full coverage at the “in plan” level you will have to provide a referral from your PCP and get your services within the network. You will also sometimes be required to get additional approval from your insurance administrator beforehand.
This all means that even sticking to the specialists and facilities of your POS network won’t give you full coverage unless you provide a referral from your PCP. This is the so called “red tape”, which is one of the biggest complaints about managed insurance plans and the formalities within them. However, when compared to indemnity plans, managed health care provides substantial money saving possibilities that can’t be beaten.
The indemnity part of POS
POS plans provide the best of both worlds, that’s why they are so popular. And when it comes to the indemnity part of POS plans, people find a lot of flexibility and freedom that just can’t be obtained through typical managed care options. Just like in the case of PPO plans, you are still able to get insurance coverage even when addressing to a specialist outside of the POS provider network.
In other words, you can use “self-referrals” in order to get care from a specialist you choose. When treatment is required, you are free to choose any physician or facility without needing a special referral from your PCP, Still, you won’t get much coverage when choosing this option, so flexibility still has its price.
However, this is a great way to avoid the restrictions typical for managed care plans. That will be very useful for those who have a long-term trusted physician outside the network. Still, in such a case you will have high co-insurance payments (up to 40%) that will make your visits a bit more costly if compared to a doctor from the POS network.
Finding the right plan
In order to get cheap health insurance with your POS plan you have to shop around first. Try getting as much health insurance quotes from different providers as you can, compare them and choose the right policy.
Mar/100
EPO (Exclusive Provider Organization) health insurance in-depth overview
Having an Exclusive Provider Organization (EPO) means that the medical service providers you will receive care from should have signed up an agreement with the insurance company to allow offering you these services. This way EPO plans are somewhat similar to PPO (Preferred Provider Organization) plans, meaning that the person having such a plan can obtain inexpensive medical services at a facility that makes part of the EPO network. Still, if you choose to receive your medical care at a facility outside the network, a PPO plan will still cover your costs, only to a smaller extent. With most EPO plans, you won’t receive any insurance coverage when visiting a specialist outside the network.
When you choose an EPO plan, you will instantly notice that the fees you are charged with by the medical service providers that have accepted to join your insurance company’s network are significantly lower than those normally charged. So when you receive your health benefits within the EPO network, you can rest assured that the rates you will be charged for the services will be very advantageous and your insurance provider will pay for all the services you receive.
However, if you have a condition that none of the specialists making part of the EPO network can help you with and you are forced to seek medical attention outside of the network, make sure you have enough money because you will pay for the service to the full extent. This is because EPO plans do not include any services provided outside the selection of facilities and specialists that have an agreement with the insurance carrier. Moreover, in contrast with PPO and HMO plans that have fairly large networks of health service providers, EPO plans usually have a much smaller number of specialists and facilities being part of their network. This means that you have fewer professionals to choose from when you need medical attention.
In what concerns health service providers, their advantage in joining an EPO network is in the increased number of patients they work with. So instead of charging higher rates to a smaller number of patients, they charge lower rates for a much higher number of people and get more revenue as a result. This is especially useful to those providers who target themselves at a certain geographical area and want to get more people through group health insurance coverage plans. The insurance companies, which choose to provide EPO plans charge their customers with monthly premiums and act as mediators between the customers and the medical service providers.
As a conclusion, EPO plans would definitely be appealing to those looking for cheap health insurance and having no special medical needs such as pre-existing conditions. The group of people who will probably benefit the most from such plans are young healthy workers with no serious health risks. And those who will find EPO plans quite uncomfortable are older people with complicated conditions that need regular and special care from certain specialist, who may be outside the network. Think well before you purchase such a plan and make sure to shop around to get the best rates. Use health insurance quotes online or contact your agent to see what local providers can offer and start from there.