Posts Tagged ‘blue cross’

Pre-Existing Conditions And Can’t Afford COBRA – How I Finally Got Health Insurance

Sunday, August 29th, 2010

This is a story about health insurance. Actually, it’s a real life account of the difficult time that my wife and I had trying to get health insurance for our family. A few months ago, we found ourselves needing health insurance. After my employer filled for Bankruptcy, I decided to become self-employed. The health insurance that I had at the time (through my employer) only lasted through the end of that last month and then I was presented with the option of either letting our policy lapse, or going on COBRA. Problem was, the COBRA premiums were about 3 times more expensive than the original insurance payments. We were basically forced into having our policy lapse because we couldn’t afford the COBRA payments.

I got some quotes and applied for coverage with a local insurance agent. That agent had a website that I had to go on to fill out the online application. It was easy enough.

The agent eventually told me that we were declined coverage because of a “pre-existing condition.” I had some minor back issues throughout my life and the insurance company declined us as a result.

I found a website ran by a local Blue Cross agent. After filling out the application on this new site I was contacted by the agent who ran the site. He told me that if I could qualify as a “group” the pre-existing conditions wouldn’t apply and that I would not be declined coverage. I had an LLC that I had filled a few years prior. My wife and I use it to run a few different business. Anyway, we submitted the application as a group according to that agent’s advice.

We went through the process of applying online and had to show proof that the LLC was active and that my wife and I were members of the company. After about a week, Blue Cross issued our policy! My wife and I (and all of our kids) finally had coverage and we were very happy with the way things turned out. We opted for a PPO and it was the type of coverage that paid our medical bills at 100% as soon as the annual deductable was met. Because my fourth child was born and my wife had to have a C-Section, our deductable was met almost immediately and all of our medical bills for the rest of that year were covered at 100% by Blue Cross! That policy saves us something like $40,000 that year because as it turned out, I needed to have another back surgery after all!

I like that I was able to complete the application process online as opposed to turning in a hand-written application. It was also very important to me to have access to a knowledgeable insurance agent who could answer our questions and guide us though this process.

Learn more about California Health Insurance. Stop by Eric Sachs’ site where you can find out all about Blue Cross Health Insurance and what it can do for you.

Blue Cross Blue Shield Insurance

Monday, June 7th, 2010

These days doctor payments are as elusive as a pot of gold owing to miscellaneous causes.Fundamentally you could be the all important health care professional performing a major part in transforming medical records into regular numerical codes utilized to charge third-party payers or individual patients.In order to receive medical coding certification you will have to spend up to a year learning a program that is certified by the Academy of Professional Coders or the American Health Information Management Association – depending on whether you wish to be a professional coder or a coding specialist.

Nonetheless there are several main factors that at times influence the medical charging and coding salary .A medical biller can for certain enlarge a physician’s immediate revenue .Medical coding and charging is an exceedingly technical practice.In well-nigh all instances if a service provider does not inscribe their demands then they will not be settled for their services by the underwriters .

Call into your local billing services and look into what you can find out.In medical billing you would be charging patients and processing health insurance claims for physicians or other healthcare professionals.Medical coding and charging service suppliers assure their client’s staff is trained in the computer software and likewise take care of preserving it.All charging software must have the fundamental features to present claims and manage billing electronically.The consuming coaching furnished at this outsourcing concern furnishes assurance for high-performance and speed.

You’ll want to get quickly qualified by taking several medical charging schooling online or at a local school or college; all the same taking courses of instruction online would be much swifter.Nowadays thanks to cyber space the biller electronically transfers insurance claims immediately to the insurer.The electronic process of registering claims and managing information through software improves the efficiency and revenue of medical providers .You should queue charging accounts or businesses before you purchase your special software programs.

Whether you are an entrepreneur looking for a acceptable work-from-home line of work or a stay-at-home mother you might want to think beginning a medical charging business from home.Today other insurance companies also watch electronic claims ahead of paper.Whether you work in a personal practice or any other kind of administration your medical billing and coding earnings can easily be affected.Unconnected from this if we speak in terms of wages this is one of the few professions in the healthcare industry that even let you relish a decent wage.Both medical charging and medical coding provides employment stability and the chance for advancement.

Also it would help to take a employment or part time job in a clinic or with a billing service to get many experience and additional schooling .Certainly being a Medical Coder and Biller as a vocation is a very thrilling role that merge the best of management accomplishments and along with medical knowledge.People who graduate with medical charging careers work with software system that simplifies and standardizes the reports that are generated.The computer software is built on commercial activity standards and ensures HIPAA conformity.A medical coder utilizes a set of codes for accounting services provided by a health care provider to the insurance company.Medical transcription outsourcing likewise profits medical professionals in that it extinguishes overhead costs and permits them to save cash on their everyday transcribing requirements .

These services are supplied to a sizable scope of practices and organizations that can include health care facilities, hospitals, research laboratories, clinics, individual physicians and physicians’ groups.Fortunately it doesn’t take a stack of money to receive set up.This emergence leads many infirmaries and practitioner to outsource their medical billing and invoicing requisites to offshore installations.Time and effort is saved because of uncomplicated reviews of claims through reports and tracking features .The procedure exploited in the bulk of insurance underwriters is indistinguishable irrespective they are authorities organizations or privately held.In areas where the local economy is flourishing and the cost of living is higher then your earnings may be higher.

Freddie Vincent writes on Blue Shield Insurance

Exercising Michigan Health Insurance Bill of Rights

Sunday, January 10th, 2010

Mike Novelli, licensed insurance agent asserts that exercising ones patient’s right by comparing quotes is in every consumer’s best interest. In the state of Michigan, almost one in four citizens have health insurance coverage from a health maintenance organization (HMO). Although Blue Cross Blue Shield is considered the state’s primary provider, Michiganites often neglect to shop around to compare the terms with other Michigan health insurance plans.

By comparing health care policies, many can circumvent being left to cover the cost of unforeseen medical bills. Obtaining three to four medical quotes is the smartest way to compare and find the best coverage. For a fast study on finding the best policy, consult a licensed insurance agent, who is in well versed in explaining the terms of several health plans. Remember to ask as many questions, including”

What benefits are in included with the Michigan health insurance plan? Despite Blue Cross Blue Shield of Michigan’s basic benefit requirements, specific medical services are not included, which may be needed for individuals afflicted with certain health necessities (in example: cancer, diabetes, mental health care).

How much should the consumer expect to pay out of pocket (deductibles, co-payments for physician’s visits, co-insurance)? Calculate the frequency of needed medical care, the cost of the affordability of the policy to the annual budget.

Inquire about the doctors and medical facilities affiliated with the plan. In situations, where patients have a regular physician, it’s a good idea to confirm if the doctor has an affiliation with the Michigan health insurance plan.

Ask about the protocol for medical services, requiring, preauthorization. Some health plans accompany stiff preauthorization requirements, financially obligating the policyholder to pay out of pocket. Review the health plan’s definition of “emergency room” visits. Remember not all emergency visits necessitate coverage.

In summation, exercising one’s patient bill of rights and an ounce of prevention circumvents any unplanned medical bills and an ability to maintain fruitful Michigan health insurance.

Bookmark or visit Michigan Health and Life.com for more information regarding medical coverage in Michigan. The site maintains the latest news, resources and a free Michigan health insurance quote, online.