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Group Health Insurance Vs Individual Health Insurance In Florida

February 6th, 2010



If you are a small business Florida with four to fifty full-time employees, your employees might have been pressuring you on getting a term health care insurance that you would have to pay.

While it is always advisable to keep your employees happy, getting term healthcare insurance for your employees as a member of your organization may not always suit their needs and may not be cost effective for your business too.

In order to be accepted in their Florida health insurance programs, most healthcare providers require for a small business to be operating for at least a year in Florida. Eligible business must also have been paying for their quarterly taxes. Small business in this case is a company with four to 50 full-time enrolled employees.

Some health providers allow employers to get a combination of PPO plans and HMO plans – and some employees can be on PPO while others on HMO. Although they offer similar services, PPO plans and HMO plans have some distinct differences. The aim is ultimately to allow people to save on their healthcare costs through their network of physicians and hospitals. However, with a PPO, you may see your favorite doctor or visit your favorite hospital – the insurance company will pay between 70% to 80% of the total cost. HMO plans are known, and in fact, limit you to their list of providers and hospitals. PPO plans are offered in all of Florida’s counties.

If You Can’t Afford It

If you have less than 25 employees, you are not required to offer healthcare or HMO options to your employees if you go back to the Health Maintenance Organization Act of 1973.

If you are such a small organization, then you might want to encourage your employees to get an individual health insurance plan. This type of plan is not issued to individuals as employees, business owners or as self-employed people. They are issued to people individually as breathing and living people with healthcare concerns.

Individual health insurance plans have advantages over group health insurance and vice versa.

Insurance companies usually have guidelines for accepting companies into their program. Your company might not qualify to be accepted into a group health program. However, if it does qualify, the insurance company must accept all individuals regardless of their pre-existing health conditions – they even include maternity benefits. Therefore, premiums under group healthcare can be more expensive than individual plans.

Insurance companies usually offer better, cheaper rates with individual plans since they can accept, rate or decline an application for an individual plan. Maternity benefits can only be had as an option in this case.

Insurance Brokers

If you are looking forward to enrolling in a health insurance program, you should know that even if you go straight direct to the healthcare company or if you choose to find your company, the premiums are still going to be the same. Insurance providers are not allowed to sell their health plans cheaper than what their agents are selling it for.

By: Joseph Adams


Health Insurance For People Over 50

February 6th, 2010



For anyone between 50 and 65 years who will be looking for some health cover or is already looking, you could be in need of a lot of help. This age is crucial in that many of the body’s systems are just about ready to start failing plunging you into serious health challenges. Using statistics (a tool used extensively to create the product structures) insurance companies know that the expenditure on health for the 20 to 45 year-old group will be a lot less than for the 50 to 65 year-old group. Therefore, the premiums for older persons are higher.

Do not despair, as we are smart we will be sure to find a way. Let us look at some options available.

For those who are still working and may be looking at starting a business or going to retire, there are a few areas worthy of your investigating. Does the company you work for allow you to buy insurance through their plan? For early retirement, if the company allows, they may be able to subsidize a portion of the premiums. If there is no subsidy, you may still be entitled to group rates which are less than for individuals. If you spouse will remain in employment seriously look at joining their plan if this is possible.

Another option is COBRA or Consolidate Omnibus Budget Reconciliation ACT, for those still in employment that gives health insurance cover. Former employees and their families can continue the cover for up to a year and a half. COBRA is also guaranteed. You can not be turned down even for chronic illnesses. The downside is the cost. During your employment the employer normally meets 70% of the premium. Own your own you will cover the full premium and administration costs on top. A 1997 survey showed that on average a retired employee would pay $1,008 for family cover and $373 for the individual health cover.

Even if you are not in employment, there are some options open for you. For those with pre-existing conditions like high blood pressure or diabetes who fail to get insurance, coverage is still available through the states’ high-risk program especially set up to help this group of people. Like COBRA, the premiums are quite high.

You should also check professional organizations that you could join or already a member of or are affiliated to see if the membership offers health insurance cover. As this is a group cover, your premiums will be low.

Lastly, the health insurance scheme for individuals. There are now very good offerings in this area as providers believe the 50-65 age group has potential for growth. These individuals also have a fair income and are in good health. Companies believe that even when the oldies become eligible for Medicare, they will still opt for supplemental cover. Some of these options have monthly premiums as low as $200 for individuals in fair health, but carry high deductibles. Some advisors recommend combining opening health savings accounts (HSA) when taking out a cover with high deductibles. HSA contributions are not taxed, nor are any withdrawals made towards qualified medical expenses and the balance at year end can be rolled over to the next year.

By: Jack Adams

NHS Or Private?

February 6th, 2010



Where do you get medical care as and when you need it, without any delays or sitting around hospital corridors surrounded by patients, bored and fidgeting children, wheelchairs, old uncle Tom Cobley and all? Certainly not in the NHS and it’s a long time since we could even dream of it.

The NHS is strapped for cash, we’re told that often enough. Waiting times are a joke.

Whilst no-one minds waiting up to three months for a minor illness, where the condition doesn’t appear to be too worrying, to wait for up to three months for investigation of something more serious is another matter altogether.

You must all recognise the scenario where your hospital appointment comes through for, say, 10 September. 10 September is ingrained in your mind, until lo and behold- on the 4 September – you receive that letter from the hospital. They regret that they are unable to see you on that day but hope that the appointment for 2 November will fit in with your plans. If that date is not suitable, please ring and arrange an alternative appointment. When will that be …Christmas!

It’s enough to make you contact your GP and ask for a private referral – normally available in a very short time, but at a cost of at least £100 – and that’s just the start. It’s no joke and shouldn’t be necessary but you just have to accept that, if you can afford it, private treatment is the way forward.

It’s not just the waiting times, either. There’s the bug factor to consider. Whilst there’s no denying that some NHS hospitals have a good reputation for maintaining strict standards of hygiene, others haven’t. Bad press reports regarding you local hospitals hardly fill you with confidence.

Once you’re actually in hospital, private care gives you the chance to be treated in a clean and private environment. A private room give you the privacy to recuperate in pleasant surroundings and with a choice of food equal to a good restaurant. If you can’t put off the hoards of visitors, at least you just have the noise and germs of your own few and not those of a whole ward of people.

This is all very nice, but the real benefit of private treatment is that it’s there for you, when and where you need it. Whatever the diagnosis, you can be assured that you’ll receive expert care and treatment and hopefully be back on your feet in the shortest possible time.

There are lots of healthcare plans. A fully comprehensive one can be costly and probably you’re talking of a premium of over £1,000 per year. For that you can get on with your life knowing that whatever happens, health-wise, you’re going to get the treatment you need, fast and with no quibbling.

If this sort of cost is prohibitive then it’s possible that one of the less comprehensive ones may meet your needs. There’s basic, simple cover for the less serious conditions such as dentistry, physiotherapy and podiatry or you may rely on the NHS for this, but choose to take cover for the very best that the NHS can’t afford, in the way of cancer treatment.

Whatever your need, take some independent advice. Get on line and find an independent broker who can advise you on the types of plan available and find you the right plan from a very large choice of private health care providers.

By: Michael Challiner