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Sep 29, 2004 -- How to buy health care insurance!

Clark gets calls every week about how to shop for and buy affordable health care insurance. In many cases, the callers are self-employed or the owners of small businesses. CareerJournal.com had a good article about this very topic, and Clark wants to share that with you. The Feds have put together a glossary of definitions that help you navigate through this confusing industry. For instance, you may have heard of POS plan, or you want to know what HMO and PPO really mean. This list tells you all of that. You can find it at ahrq.gov/consumer. Another one Clark really likes is ehealthinsurance.com. Clark believes it is the best site for shopping for health care insurance. Another one that has gained popularity is healthchoices.org. Clark had not heard of this site, but it’s supposedly very good for deciding whether a provider is okay. Also, you may know that each state establishes its own mandates for health plans and what they must cover. It’s different in every state, and insurers go bonkers trying to figure out how one state requires something but another doesn’t. Health insurance costs are influenced somewhat by these state mandates. But there is a guide on the Internet showing you what each state must cover. That site is called healthinsuranceinfo.net. The exception is if you work for a large employer, in which case none of the state mandates are relevant. That’s because these employers don’t provide you with health insurance; they provide you with health coverage. It’s what’s known as a “self-insured plan.” Employers with 1,000 or more employees are almost always self-insured. So, the state rules do not matter, Instead the plans are governed by a federal act known as ERISA (Employee Retirement Income Security Act). Under that plan, the employer can cover whatever it wants and change the health plan at any time. The states can’t say anything about it. If Clark were the emperor of health care coverage, he would end state control of health care coverage and create federal standards. We need some form of national or international system that is easier to understand and uniform. It would offer a certain number of policies and the consumer chooses how much coverage he or she wants based on how much you’re willing to pay.

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What others are saying

  • DO NOT EVER BUY INSURANCE ONLINE
    Buying insurnace online is actually one of the worst things you can do. People never look at the general exclusions and limitations, instead they get thier policy based on price, co-pays, etc. ( fluff) well FLUFF will NEVER pay your 100k + medical bill that was not covered becuase of something you were never told on the site.. or read when you got the policy in the mail. Insurance polices are written to protect the insurance companies so "we" get a plan and then can't interpret it because it is written by the insurance companies lawyers.... who do you think the lawyers are trying to protect.. the insureds or the insurance company??

    Socializing Medicine would be a horrible disaster... so private healthcare is the best... BUT unless someone can show you in BLACK and white the details of the coverage and what things are really not covered, or what your REAL exposure is above and beyond your " stop loss" you may find yourself in the 50%/ 75% bankruptsie stat. ( harvard law 2007)

    I have personally dedicated my time in eductating the consumer... you should really know what your premium pays for.

    There are many different types of policies and not everyone has the same needs.

    All I am saying is that Health Insurance conpanies get a bad rap when there is a denied cliam.. etc. however it is NOT that the insurance company is bad , that company will typically do EXACTLY what the polices ( that no one reads or understands) says it will do!!!

    Educate yourself, or find someone who can!!! There is more exposure than people realize and when choosing THE RIGHT private health care there are a lot of variables to consider.

    NEVER BUY ONLINE OR THROUGH AN INDEPENDENT AGENT OR BROKER ( CAPTIVE OR INDEPENDENT) who can not show you the really pros and cons of a policy, the guts.. the foundation the stuff that may or may not cover you on the event of something major.. after all isn't that the whole reason to purchase good health insurance???

    JUst becarefull... do not become the 50/ 75% bank stat ( harvard law) becuase you were not properly eductaed.

    good luck consumers!
  • Great Site!
    ehealthinsurance.com is a great site! It gives you quotes based on your criteria from all the major companies, which mean you can "shop around" on one site instead of multiple sites. I have used this site to purchase an indivudual ins. policy for my husband and son. I have healh coverage at work and it would be outrageous to cover them under my policy....like $400.00 per month....so now I can have coverage for them for about $160.00 per month thru Blue Cross.
  • bad link
    http://www.healthinsuranceinfo.net/ is the link you give here, but I tried the link and the website says they "lost their funding" so they don't supply this information at this time.
  • Buying individual health insurance
    I need to buy an individual health insurance policy and would appreciate suggestions on what to look for, what questions I need to ask, and should I work with a broker?
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