Obamacare: Practical Matters and the 5 Paths to Coverage

Posted on 24, Oct | Posted by gabrielle

As we enter into November of 2013 confusion about the Affordable Care Act prevails, but that’s not surprising, as there are a ton of new things to learn in order to understand how to make good decisions regarding health insurance coverage that’s right for you.

Public Law 111–148 The Patient Protection and Affordable Care Act passed into law on March 23, 2010 Since that date, there have been changes each year in health insurance, health care delivery and tax requirements. It is these three areas where most people have questions. Everyone is asking the right questions, though it’s not always easy to get answers. This article will explore some of those questions and provide practical answers.

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Small Group Employers need guidance with the Affordable Care Act

Posted on 1, Nov | Posted by gabrielle

A survey by online health benefits seller eHealthInsurance of 439 small business clients finds most do not understand applicable provisions of the Affordable Care Act.

Read more from Benefit News November Article

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Michigan Medicare Director Discusses current situation with implementing the PPACA (Health Care Reform)

Posted on 6, Jun | Posted by gabrielle

Health Care Reform could have the state of Michigan scrambling to meet implementation deadlines if the Supreme Court upholds the various provisions of the Health Care Reform Law. Here what Michigan’s Medicare Director has to say about the issues:

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Dental Insurance for people on Medicare

Posted on 19, Apr | Posted by gabrielle

What’s the concern?? Medicare doesn’t cover dental maintenance or repair.

What’s the solution?? Affordable senior dental coverage.

Senior citizens all across the U.S. are seeking coverage to aid in reducing their dental expenditures. Currently, minimal government assistance is available for seniors who need dental insurance. The majority of Medicare and Medicaid programs do not include dentistry. Even those programs that do include coverage for seniors only contain provisions for extractions of teeth, and exclude the majority of the common oral procedures often required for older patients. Practically no help is available for obtaining primary tooth repair or for having missing teeth replaced. Usually Medicare and Medicaid supply virtually no aid for just about any type of oral care. (more…)

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Michigan’s 1% Claims Tax, Coming to your health insurance premium in January 2012

Posted on 30, Sep | Posted by gabrielle

Governor Snyder recently signed into law, Public Act 142. This law adds a 1% medical claims tax to our health insurance premiums starting in January 2012. Blue Cross and Blue Shield has put together a good FAQ regarding how this will work. This is a 1% tax on all medical, pharmacy and dental claims to a maximum of $10,000 in tax per insured for services received IN Michigan by a Michigan Resident. We won’t be taxed on claims that fall under our deductible, co-pays or co-insurance, costs we pay out-of-pocket or are reimbursed through HSA, HRA, Flexible Spending or other reimbursement arrangements. The tax is collected through the insurance company or third-party administrator and will be passed on to the consumers as a separate line item on the monthly premium invoices.

For Fully-Insured Groups and Individual Insureds the amount won’t be specific to your claims but will be an added cost based on all the claims for all the groups/individuals in your “risk pool” at your insurer.

For Self-Funded groups it looks like the insurer will figure the tax per client group based on actual claims paid the prior month. This could end up being a fairly large number if a group has a large claims month.

This new tax will be an additional cost over Premiums and Premium increases for 2012.

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