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Helpful Guidelines For pediatric urgent care Solutions

Health Insurance: The Things You Should Know


It may seem like it is you against the world sometimes when it comes to dealing with health insurance. With the vast amount of information available online, it can be nearly overwhelming when you begin your search. This article will provide you with a lot of helpful information for you to get started on the right path.

Get started with a good health insurance policy while you are still young. The reason for this is that it is harder to get good health insurance when you get older, and by starting signing up with your health insurance carrier early on, you will be able to lock in rates. Be very careful not to let your payments on your health insurance policy lapse because you may not be able to get the same rates if your health condition has changed.

Learn the differences between HMO's, PPO's, and POS plans and determine what will be the best fit for your health needs. They all have benefits and negatives that will affect the way you pay for and use your insurance. HMO's require provide less flexibility but higher cost, PPO's give you more options however the fees can be pricey. A POS plan combines aspects of both HMO's and PPO's.

Help keep your portion of health insurance costs low by taking advantage of perks your employer may offer. For example, a company may offer a rebate of the cost of one monthly premium when you provide proof of a preventative checkup. Read your employee manual or talk to HR to see what incentives your company offers.

Take advantage of any wellness programs offered by both your workplace and your health insurance company. Both of these may reward you in different ways, such as your workplace offering a cash-incentive for completing an exercise program, or your insurance company lowering your premiums if you follow a quit-smoking one. These offers are rare, but helpful.

The details of a health insurance policy are always changing. That is why it is important you keep up with its changes. For example, you could go to your doctor and find out you need a procedure that your insurance will not cover. For any questions you may have, you can call your insurance company.

Take advantage of any wellness programs offered by both your workplace and your health insurance company. Both of these may reward you in different ways, such as your workplace offering a cash-incentive for completing an exercise program, or your insurance company lowering your premiums if you follow a quit-smoking one. These offers are rare, but helpful.

Be aware that certain health insurance companies will not give you insurance if you have serious pre-existing conditions. This is because they look at you as a liability. If this happens, search the internet or ask family friends if they know of a health insurance company that will provide you with insurance.

When shopping for health insurance, consider how important it is to you to keep your current doctors. Most plans are very specific about which doctors you can use, and the lowest cost options may not include your favorite physicians. It's important to prioritize keeping your current doctor, versus cost of the policy, when making your decision.

When shopping for health insurance, consider your need for maternity coverage. Maternity coverage is often expensive and leaving it off can save you thousands. Even if you are planning to add to your family, consider your desire to use a birth center or participate in a home birth. These options might not be covered by your policy, even with maternity coverage, so the extra premium paid may be wasted.

Do a bit of math when checking out a policy. Many times you get what you pay for, but sometimes that isn't true. Try not to pay for a plan that does not provide a type of coverage that another will for the same exact price. Premiums, deductibles, and co-pays need to be added to everything before making a decision. If a plan seems too good to be true, it most likely is.

If you have pre-existing health problems you will need to arm yourself with more information than normal. The laws regarding this vary greatly from state to state, and in some states it is even prohibited to increase prices based on this. Make sure you have a clear understanding of the rules regarding this beforehand.

Don't let your old policy expire before you get a new one. If you have a group insurance plan that is going to be terminated, you also have the option of the COBRA Act, which is short for Consolidated Omnibus Budget Reconciliation Act. You should consider this before getting a new policy.

You need to know what the terms are in your coverage when getting ready to switch health insurance policies. This is especially true of the rates. The rate refers to the amount a provider is paid for your policy. You need to get the most cost-effective rate you can. Make sure to weigh the cost of the rate with your income, deductible, annual medical costs, and coverage.

Keep in mind that coverage for maternity care must be added to your health insurance plan before you become pregnant. You do not want to be without maternity insurance because it will cover important things such as having an ultrasound, prescriptions, delivery, hospital stays, prenatal visits, and more maternity care.

Make sure you have enough coverage. It is better to pay more than you planned for a good health plan than to go under insured. If you don't have enough coverage for your needs, you will end up paying far more out-of-pocket expenses throughout the year, money that could have been used on a better insurance plan.

As previously mentioned, ask the proper questions for your future health insurance coverage. Doing proper research could pay off in enabling you to choose which coverage and company you should get your health insurance from. Use the tips contained in this article to help you choose your health insurance coverage.

The Real Costs of Seeking Care for COVID-19 Vary Across and Within Major U.S. Cities
Castlight Health's COVID-19 Cost Analysis Finds Outpatient Evaluation Costs Vary Widely Depending on Severity of Symptoms, Geography, and Provider Type
"While the test for COVID-19 may be made available at no cost, individuals seeking care for suspected COVID-19 may be faced with other significant out-of-pocket costs for that care. Sadly, those bills may be coming right as many Americans are losing their paychecks, creating real affordability of care issues," said Maeve O'Meara, CEO of Castlight Health. "Costs vary widely across cities in the U.S., within cities, and depending on the site of care. During this public health emergency, it is more important than ever that people have the tools they need to find high quality care in a timely and affordable manner."


Although the coronavirus relief measures signed by the President in the Families First Coronavirus Response Act have directed private health plans to waive the cost of the specific coronavirus test and visit associated with it, people who are symptomatic and seek care may be responsible for other costs required for an evaluation for COVID-19. These could include influenza testing, chest x-rays, and bacterial, viral, or blood culture tests. These costs can add up quickly, particularly for the 27.5 million people with no insurance or those who have high-deductible health plans and will pay for services out-of-pocket.


The severity of COVID-19 varies widely, from mild cough and fever, to chest pains and shortness of breath, which can drastically affect the necessary treatment, need for hospitalization, and associated costs.


Most notably, the analysis found that:


Within a given U.S. city, average prices vary greatly for patients exhibiting standard COVID-19 symptoms including fever, cough, and shortness of breath:


In Los Angeles, the cost for a primary care visit and standard lab testing ranges from $304 to $4447—roughly a 14-fold difference.


In Dallas, the cost for the same services ranges from $193 to $4308—a 22-fold difference.


Similarly, in Miami, these services range in cost from $354 to $5729—a 16-fold difference.


Costs also vary widely depending on the provider type or site of care:


Even without symptoms severe enough to warrant further imaging or lab testing, a visit to evaluate respiratory symptoms can cost someone living in the New York metro area an average of $79 for a telehealth visit, $235 for a primary care visit, $352 for an urgent care visit, and $2,321 for an ER visit.


In Miami, patients can expect costs for evaluating symptoms to average $79 for using telehealth as their entry point, $189 for visits through a primary care provider, $483 for visits through an urgent care provider, and $1,524 if they enter the system through the ER.


"During this incredibly stressful pandemic outbreak, it is critical that people have a clear understanding of the care they need, and how much that care is likely to cost," said Dena Bravata, MD, MS, Castlight Advisor and former Senior Scholar at the Stanford Center for Primary Care and Outcomes Research. "Castlight's COVID-19 Cost Analysis sheds light on the vastly different costs patients seeking care associated with COVID-19 will see depending on where they live, and where they choose to receive care."


Methodology


The primary source of data used for this analysis is a subset of 2.5 billion de-identified medical claims for primary care, urgent care, emergency room, lab tests, and x-ray supplemented with:


Provider directory data (e.g., which doctors provide which type of care).


Provider rate sheets.


Publicly available data.


The costs provided are for a member in their deductible phase seeing in-network providers. The ranges provided are for the 5th to the 95th percentile of costs in that metropolitan region.


The components of an evaluation for a patient seeking care associated with COVID-19 depend on their symptom severity and site of care. The procedures and services we included are:


Site of care: telehealth visit, primary care visit, urgent care visit, ER visit.


Care for moderate COVID-19 symptoms: initial cost of a provider visit, influenza test, sputum culture and sensitivity, blood culture and sensitivity, complete blood count, and comprehensive metabolic panel.


Care for severe COVID-19 symptoms: initial cost of a provider visit, all lab tests listed above, and a chest x-ray.


Click here to download the full report.


About Castlight Health


Castlight is on a mission to make it as easy as humanly possible for its users to navigate the healthcare system and live happier, healthier, more productive lives. Our health navigation platform connects hundreds of health vendors, benefits resources, and plan designs into one comprehensive health and wellbeing experience. We guide individuals—based on their unique profile—to the best resources available to them, whether they are healthy, chronically ill, or actively seeking medical care. Castlight transforms the employee benefit experience into a deeply personalized, yet simple, guided one, empowering better-informed patient decisions to unlock better healthcare outcomes and maximizing return on healthcare investments.


For more information visit www.castlighthealth.com. Follow us on Twitter and LinkedIn and Like us on Facebook.
https://edition.cnn.com/business/newsfeeds/prnewswire/202003200600PR_NEWS_USPR_____SF57329.html



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