The program’s first year of operation cost tens of millions and has saved wellbeing and lives. The first year of the Colorado health insurance program offering undocumented immigrants with healthcare is now offering its first annual data tallies. In the state, every insurer offering coverage must sell to everyone, regardless of documentation status. Undocumented immigrants can legally obtain health insurance coverage in the state. In its first year of operation, the state paid $73 million to insurers for the program. This does not subtract the amount paid into the program…
Read MoreCategory: Health Coverage
Daily articles posted on health insurance changes for all lines of business. Whether you are an agent or a small business owner you will be captivated in how much this industry is changing in the United States today.
Cigna health insurance sued over use of software to deny claims
The insurer was sued in California for alleged unlawful claims reviewing software use. Cigna is now facing a lawsuit in California over allegedly unlawfully reviewing health insurance claims using software that does it automatically instead of having human employees complete the work. When a claim is submitted to an insurer, certain steps must be taken to determine if it will be accepted or denied. The healthcare system in the United States involves certain steps when it comes to determining payment through health insurance coverage. First, the patient heads to a…
Read MoreAre Medicare Supplements Worth It?
Navigating the complex world of healthcare can be overwhelming, especially when understanding the different options available under Medicare. While Medicare provides essential coverage for healthcare expenses, many beneficiaries discover gaps and out-of-pocket costs that can add up quickly. This is where Medicare supplements, also known as Medigap plans, come into play. These supplemental insurance plans are designed to fill the coverage gaps and help individuals manage their healthcare expenses more effectively. But are Medicare supplements worth it? Let’s explore the key aspects of these plans to help you make an…
Read MoreBiden administration seeks to restrict ‘junk’ health insurance plans
A proposal is expected to be made tomorrow for a new regulation to crack down on short-term coverage. The Biden administration is expected to propose a new regulation tomorrow, with the intention of cutting back on short-term health insurance plans. This rule is long awaited and expected, to reign in the expansion of weak coverage from the Trump years. Democrats have been criticizing the expansion of thin health insurance coverage that was permitted during the Trump administration. They, along with patient advocacy groups, have criticized this type of skimpy coverage…
Read MoreMedicare Advantage health insurance plans don’t have many mental wellness services
A new study shows plan holders are struggling to find psychiatrists within their networks. New research findings are showing that people who are covered by private sector Medicare Advantage health insurance plans are struggling to find psychiatrists and other mental wellness services within their networks. As a result, people with private Medicare coverage might not be getting the care they require. Over half the counties studied by the researchers did not have a psychiatrist within a Medicare Advantage health insurance plan. That plan is the counterpart in the private sector…
Read MoreMost Americans with health insurance have experienced problems
Almost 60 percent of covered individuals have struggled with their plans in the last year. A nationwide survey has revealed that almost 60 percent of Americans with health insurance have experienced a problem with their plan within the last year. The research conducted an evaluation of healthcare coverage among adult Americans with plans. Among the problems health insurance customers have faced within the last year have included challenges in finding an in-network provider, denied claims, and denied or delayed care that required an insurer’s prior authorization. According to the researchers…
Read MoreExtreme travel insurance is an expanding category of coverage
With new and risky sports and activities cropping up worldwide, policies are developing to cover them. If there is anything the recent tragic Titanic shipwreck tour disaster has underscored, it is the risk associated with some of the activities wealthy tourists are taking on, which is why extreme travel insurance is a growing form of coverage. Despite the dangers, tourism is offering a lengthening list of risky activities for travelers to experience. From deep sea dives to swimming in shark-infested waters, and from climbing to mountaintops to visiting the South…
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