Saturday, February 19, 2011

Am I allowed to deny my employer's health insurance?

I've heard rumors that the new health care reforms don't allow individuals to stay covered under their parents health insurance if their employer offers it. Since health insurance has been pushed to cover children up to 26, being 21, does anyone know if I'm allowed to deny my employers health insurance? I can't find a definitive answer anywhere online.
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If you are 19 or older and offered insurance through your employer, you are no longer allowed to be on your parents policy. You can deny your employer's coverage and purchase individual insurance, if you would like.
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Can health insurance premiums be taken out of your gross income?

My husbands employer has taken his insurance premiuns out of his gross income which has made his gross income lower.
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There is nothing improper about an employer deducting health insurance premiums out of ones gross income. However, when that happens you've already seen a "tax benefit" through the lower income on your Form 1040. DO NOT include in your medical and dental expenses on Schedule A any insurance premiums paid by an employer-sponsored health plan unless the premiums are included in box 1 of his W-2. Also, DO NOT include on Schedule A any other medical/dental expenses paid by the plan unless the amt paid is included in box 1 of the W-2. You can't have it deducted from gross AND taken as an itemized ded or the IRS will reject the deduction.
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Do most health insurance companies go by date of conception for insurance coverage?

I read this somewhere when I was looking for independent health care insurance. I now have health insurance through my work, and coverage started on September 1st (I have United Healthcare through T-mobile, if that matters). I was trying to look up my coverage online, and it didn't say anything about not covering me depending on date of conception, but I did read somewhere before that a lot of health care insurances go by this (which I think would be really inaccurate and wrong, but that's just me....)
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Most (not all) insurance companies do not consider pregnancy a preexisting condition. I think this is what is would be talking about. Its too difficult to figure out the date of conception i dont believe they would use that date. Also if you have short term disability threw work see if they cover pregnancy. Mine does and will pay me around 50% of what i make, while i am on maternity leave. Congrats on your pregnancy!!
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Does ALLKids Health insurance cover for braces?

Okay, well, i need braces, and i wanna tlk to my dad about it, but i need to know if ALLkids health insurance covers for braces. Help?
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health-quotes.isgreat.org - here is my health insurance plan. As I remember they can provide such a service.
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Could someone explain health insurance deductibles?

What is a deductible? Is it a good thing or a bad thing? Do you want a low deductible or a high deductible? I ask because while trying to find some affordable health insurance, one company said it was $45 a month with $0 deductible. What does this mean?
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The deductible, is the amount out of your pocket, before the insurance kicks in. Having a deductible, lowers your monthly premiums. There's no one size fits all answer, to "is it good to have or not". But that $45 a month with no deductible - isn't INSURANCE. They don't PAY anything. It's access to a DISCOUNT plan - with no guarantees that the doctors on the list will actually give you a discount. Can you spell "ripoff"?
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Health Insurance for a newly married healthy couple ?

Amongst the following companies which offers Good and Hassle free Health Insurance for a newly married healthy couple sum assured around 5 lakhs per annum. Apollo DKV Bajaj Allianz Cholamandalam HDFC Ergo ICICI Lambord Iffco-Tokio National Insurance New India Insurance Oriental Insurance Reliance Health Royal Sundaram Star Health Tata AIG United India Insurance. Reply with confidance with suitable reason why you suggest this company. Reply immediately.
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Not sure about all the companies you listed. You can research each company. You can look into individual health insurance plans and just get the best quote. When researching health insurance plans you might want to try and bookmark this site for research information, news, articles, insurance quotes, companies, links and more. It should have the resources to help you with your question. http://www.healthinsurance-guide.net/
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Does health insurance cover pregnancy if it goes effective after getting pregant?

My girlfriend is about 4 weeks pregnant. She currently does not have health insurance but has been shopping for a while (we planned the pregnancy, but she got pregnant before coverage). Can we still get a insurance and have it cover prenatal care?
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If you have a job with health insurance, if you were to get married that would be considered a "qualifying event" for you to add her to your policy. Other than that she is SOL.
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is there anybody who can help me find low cost independent health insurance?

my fiance has independent health insurance but the coverage that she has doesn't cover alot of things that she needs...for example: she has a bone fracture in her right foot that may require surgery but her insurance doesn't cover that...we don't have alot of money but she needs good coverage, are there any providers out there who can work with us on getting the proper coverage that she needs?? thanks for any and all help in advance
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healthplans.my-age.net - my family have this health insurance. It is affordable and has good coverage for dental issues.
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Filling out health insurance info, can someone help?

I am filling out health insurance forms online to submit to my clinic so they can bill the insurance company. It asks for the subscriber and the guarantor. I don't do this much so I'm not sure who to put down. My husband is the main insurance holder and I am listed/covered under his policy. I will be the patient at the clinic. Does anyone know who I should list as guarantor and who I should list as the subscriber? Thank you!
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So your husband is the subscriber. YOU are the guarantor - the person promising to pay the money if the insurance declines to pay. You would also be the guarantor for any of your minor children.
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How strict is Humana health insurance with pre-existing conditions?

I've had acne since my teens but it's really been bothering me lately psychologically and hurting alot when trying to sleep on my back from cysts. Also sometimes minor acne on my face has been causing permanent scars. I want to go to the dermatologist and see if I can get accutane, but I just got my health insurance beginning of the year and had no creditable coverage before that. According to their written policy, I might not be eligible since I actually went to the doctor and got antibiotics for acne less than 24 months before enrollment in the health plan. I would like to say that the condition manifested itself in the past month psychologically which caused me to seek out accutane, which is true. Should I even mention my past diagnosis can they check it somehow? I really don't want to pay $3000 out of pocket for accutane, but I feel I really need to do this now for my own well being. What should I say to the doctor, how much will they investigate preexisting condition
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For $3000 in bills after you've been covered for only a few months, they are likely to investigate it pretty thoroughly. Also, Acne is something that is ongoing so it wouldn't be all that hard to prove that you've had a pre-existing condition. A lot is going to depend on how that pre-existing condition clause reads on your coverage.
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Question about health insurance and oral surgery?

I am getting health insurance through my employer but it does not include dental. If I have to get oral surgery, (after being referred by my dentist) could it be covered under my regular medical insurance?(since it is surgery and would not be done by my dentist, but by an oral surgeon) I realize I can find this out from the Insurance company, but I don't have the cards yet and the oral surgery is not certain. I would just like to be prepared before this all comes about.
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Your health insurance likely covers all types of necessary surgery as ordered by a doctor. (not elective surgery like breast implants) If your insurance does not have dental, that means it will not cover work or products done by a dentist. Oral surgery is usually done by an oral surgeon and is usually covered. Your plan document will spell that out or you should be able to call the benefits hotline for confirmation.
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If Obama has declared health insurance with pre-existing conditions to be a basic human right ?

If Obama has declared health insurance with pre-existing conditions to be a basic human right......why hasn't Obama also declared life insurance with pre-existing conditions to be a basic human right ? If Obama won't allow health insurance companies to refuse to insure cancer patients .....why does Obama allow life insurance companies to refuse to insure cancer patients ?
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man you are a genius!!!!! Let's do it.
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Health Insurance for unemployed 64 yr old male with health issues?

My brother lives in Fort Lauderdale Fl and he is retired due to some illnesses. Can you help me out and give me info regarding health insurance. He is living with his social security only and no longer has health insurance.
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provisions of the insrurance code do not accept insured with old aged person with serious illness. unless
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I have a very important question about health insurance.?

My husband was wrongly fired yesterday. He has been working with this company over five years... well he was getting health insurance threw them, a PPO,. How long after you are fired does your insurance stop?
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It is usually the end of that business week, Could be the end of the month, generally depends on how the company pays the provider, unless they were really angry and called the Insurance company to have it terminated immediately, in which case COBRA should be offered ( that is when you can pick up the cost of the insurance to keep it for an extended amount of time). Good luck.
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Who is responsible for health insurance?

I have seen several questions and responses here that suggest that it is a sign of failure that 47 million Americans are uninsured. Isn't insurance something that responsible people purchase? If individuals put a higher value on cars, vacations, entertainment and other things, is it really the failure of their government or their fellow Americans that they lack insurance? In cases of catastrophic illness or injury, where the limits of private insurance is exceeded, perhaps there should be some plan to help individuals and families. For those truly in need, there are programs to provide health care. Perhaps those programs need to be addressed if they are not meeting the needs of the indigent. But, for working people with sufficient means, shouldn't the responsibility for insurance be theirs and not the country's?
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I can see your reasoning. But imagine this. a family of 4 lives quite comfortably for years. They have simple life long aliment like Asthma and allergies that are easily controlled with medication. the children are now grade schoolers and the father who for years has been responsible for insurance has the company fold underneath him leaving him with out coverage. Mom does work but for her to pick up the insurance it is 700 per month. With the needs for medication they can spent 500 a month and that is only if no one get sick and needs to see a doctor. With the insurance that drops to only 300. The could sell a car or break the law in the state and stop car insurance but no matter it still leaves them with paying a minimum of 1000 a month minimum on medical stuff. that comes out of 2300 a month in wages be fore taxes and other bills. That would sound like a lot to your average single person but to a family that can barely feed and house them. let alone pay taxes and put clothing on growing kids. Why is Heath insurance so expensive? I know 15 years ago when I first needed to get my own My parents needed to help me and I was paying 200 a month and that didn't cover the hospital trip when I tore a tendon. Not even an X-ray. In essence heath insurance is not always a financial possibility. For those truly in need....This family does not fall into this category, because they have employment that offers health insurance. The system is broken. there are no temporary fixes an everyone has opinions. But there are not enough workable options. And too top that off there are many people who believe that people with families get too many breaks. weather they be tax breaks or extra insurance coverage by their employer's expense. You used the word indigent. I would not classify this family as that. This is were there is failure. That people who are not the poorest of the poor or even considered poor are put in this position. Yes I know this family well and personally. I also know a family who in the middle of a complicated pregnancy suddenly found themselves without insurance. It was a mismanagement of the companies policy. Who's responsibility was that? Just my 2 cents worth.
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What is indemnity health insurance mean?

I can sign up for health insurance under an HMO plan, a PPO plan or an indemnity plan? What is an indemnity plan? Thanks
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What is an Indemnity Plan? An indemnity plan is commonly known as a fee for service or traditional plan. A traditional plan allows you to use any doctor. Most indemnity plans require you to pay a deductible. After you have paid your deductible, indemnity policies typically pay a percentage of "usual and customary" charges for covered services; often the insurance company pays 80% and you pay 20%. Most plans have an annual out of pocket maximum and once you've reached this they will pay 100% of all "usual and customary" charges for covered services. You must submit a claim to the carrier for reimbursement of the covered amount. What is a PPO Plan? A Preferred Provider Organization (PPO) is a health insurance plan which features a network of participating providers with whom the insurance company has negotiated discounts for its members. When you select a PPO, you are free to use any doctor. If you select a nonparticipating provider (out-of-network), you will pay more. Most PPO plans have an annual deductible. You will pay for the first $250 to $5000 in services you receive each calendar year. After you have met your deductible, you will pay a percentage (coinsurance) - usually between 10% and 50% of the negotiated fee. Prescription drug coverage may be included or optional. In-network providers bill the carrier directly. You must submit a claim for out-of-network services What is an HMO Plan? A Health Maintenance Organization (HMO) offers comprehensive medical coverage through an exclusive network of providers. When you select an HMO, your medical care will be guided by a Primary Care Physician, who will refer you to a specialist when needed. In an HMO plan you must seek medical care within your provider network. Exceptions are made for emergencies. Generally HMO Plans offer the most comprehensive coverage for the premium dollar. Your out-of-pocket expenses usually are limited to a modest co-payment for a doctor visit or prescription drugs. No claim forms are needed. What is a POS Plan? Point of Service (POS) plans combine features of both HMO and PPO plans. POS plans offer three options at the time care is provided. (1) you may choose to receive care from your Primary Care Physician a for a small co-payment and no deductible, (2) you may choose to receive care from any in-network provider without a PCP referral and pay a larger co-payment plus the deductible, or (3) you may choose to receive care from any nonparticipating provider and pay a still larger co-payment plus the deductible. You may think of it an HMO plan with an escape clause. What is an HSA Plan? An HSA works like an IRA, except that money is used to pay health care costs. Participants enroll in a relatively inexpensive high deductible insurance plan. Then, a tax-deductible savings account may be opened to cover current and future medical expenses. The money deposited, as well as the earnings, is tax-deferred. The money can then be withdrawn to cover qualified medical expenses tax-free. Unused balances roll over from year to year. How do I determine if my doctor or hospital belongs to one of the plan networks? Most PPO and HMO plans have online provider directories. Who qualifies as a dependent? Dependents are eligible if they are a spouse or any unmarried child (adopted, stepchild or recognized natural child) under age 23 who maintains with the employee a regular parent/child relationship. Can I be turned down? Yes. Individual health insurance plans are not guaranteed issue. Your application includes a health history questionnaire which will be reviewed by the carrier's underwriting department. It the company decides not to accept the risk you will be denied. Can I be charged a higher premium, but accepted? Yes. Some companies have a multi-tier pricing structure. Perceived risks can be rated-up by 20% or 50%. Do these plans have waiting periods or exclusions? There are no waiting periods or exclusions on covered services when you select an HMO. Depending on whether you had health insurance within specified periods prior to enrolling, there may be waiting periods or exclusions of up to 12 months on specific covered services when you select a PPO or Traditional Plan.
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Will my health insurance cover me in another state?

I currently live in VA (Virginia) and carry Anthem PPO health insurance and I'm planning on moving to CA (California) in December… Can I keep my VA based policy or do I need to switch over to CA specific health insurance?
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possess as much information as you could maybe is one of the options,however it is quite time consuming,here http://www.HealthInsuranceIdeas.info is the resource i have ever had good experience.
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Should I go without health insurance for a year?

Next month I am about to go through open enrollment through my employer. This year health insurance was expensive. The took about $120 out of my pay check. To get more income next year, should I skip health insurance for at least one year.
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In answer to your question . . . NO, NO, NO & NO. DO NOT go without health insurance. The $120 you pay is a minimal amount to pay for peace of mind. Money is tight for EVERYONE right now. The economy is terrible. I know how hard it is to keep up paying bills but please keep your health insurance. I work as a Director of Human Resources for a company in Manhattan and I could tell you some very hair-raising horror stories about what happened to people who didn't have health insurance. Don't think it's not a big deal because you're young. It is a big deal at any age. Do yourself a favor and hold on to that health coverage.
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Can my husband deny me health insurance?

My husband and I are separated. I work as a contractor and do not have health insurance. I asked him to add me to his medical insurance. His employer doesn't have a problem adding me to his health insurance but it's up to my husband to agree to it. Can he deny me?
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Of course he can. There's no law guaranteeing health insurance just because your spouse has it.
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Question about what health insurance I should get?

Let's use my current situation. I have a rash, but no health insurance. I want health insurance. Let's say I had it. I went to the Doctors. Got my rash checked out. He preformed tests to discover it's ringworm. Prescribed medication for me. What would be a good plan for this situation that would not cost me a lot of money? A plan that would also be good for regular check ups.
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Truthfully,Individual health insurance is going to cost you a fortune for stuff like that. I'm a 21 year old female and I pay over $300 a month for insurance and I have a $1000 deductible which means I pay for the first $1000 of anything. I have no prescription drug coverage, and after the first $1000 I have to pay 20 percent of any of the costs. No, I am not getting screwed. I did a lot of research and really searched to get that price. I recommend finding an agent to try to sell you insurance. They got me the best deal in the end. They explained everything and were not trying to screw me over. Find someone who sells insurance for multiple companies so that they are not just pushing one company. You can find people like that in the phone book. The people I went to were Golden Rule Insurance Company. I don't know if that was just a local insurance place or not though. I just told them what I wanted and how much I could spend and they helped me find what I wanted. Then I went online to make sure it was really the best deal, and it was!
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endometriosis and no health insurance what do i do?

I am 20 years old and i was diagnosed with endometriosis( sorry bout the spelling) last year after i had an abortion, i have been trying to conceive ever since. I have no health insurance. I don't know what to do... please help anyone with answers!
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You can easily check your minimal health care rates in internet, for example here - healthquotes.awardspace.info
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What's the history of health insurance for the disabled?

What's the historical debate of health insurance for the disabled?
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You can easily check your minimal health care rates in internet, for example here - health-quotes.talk4fun.net
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can an employer cancel my health insurance immediately?

I am an independent truck driver who works for a small company.I pay for my own health insurance thru my employer.The day my truck broke down he immediately canceled my health insurance.Can he do that?
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Being independent tells me you have no contracted benefits. In such a case,any benefits you receive from your employer are at his/their discretion! Sorry :-(=
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Will the health insurance reform cost as much as the Iraq war?

Except for Al Queda, Haliburton, Blackwater, and the Kurds, the Iraq war hasn't helped anyone but it cost a huge amount of money and many lives. The health insurance reform will help millions of Americans and save many lives. I know that the reform will result in deficit reduction, but it still has cost associated with it. Will the cost be as much as the Iraq war?
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What dark closet did you crawl out of? I don't understand how you and people who think like you can sit on your high horse and say out loud that the Iraqi war did not help anyone. Do you know who their leader was? Do you believe in a dictatorship? I suppose you probably do since you are most likely an Obama supporter. Anyway, last I heard the Iraqi's were voting and living in a Democratic society. Wow...I would say that's a very good thing. As for health care...it will cost way more than the war and will be a disaster. First of all you should be upset that the government is creating law that makes our personal freedom and choices null and void. It is unconstitutional. Right now our health care is the best in the world. In a few short years we will be equivalent to a third world country. There isn't enough money to pay for everyone's healthcare, research, better technology, etc. The government will have to start recruiting the less than average person to become doctors because who in their right mind will want to go through that much schooling to be dictated how much they can make? Why?????? Why do you want the government to "force" us to buy health care? Why are you ok with the government dictated salaries of people in the private sector? We are heading for disaster but as long as you get free healthcare it's all good right? Wait till it starts affecting your life and it will.
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