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Barclay Win asked:


When comparing health insurance quotes, make sure you are comparing similar plans. Health insurance comes in two basic forms – indemnity plans and managed care plans. Both indemnity and managed care health insurance are further broken down into several different types of health insurance so it is important to take the time and compare health insurance plans to determine what best fits your health care needs.

Indemnity Health Insurance

Indemnity health plans put you in charge of choosing your doctors, hospitals and other health care providers. You pay a set monthly premium and your health insurance pays your medical care, often after you pay a deductible and possibly a percentage of the bill.

A common employer-sponsored form of health insurance is a cafeteria or flexible spending plan. This type of health insurance allows employees to create a benefit package taken from a number of options. You need to contact the employee benefit department at your company for more information on the exact mix of choices available to you.

If you are looking for lower cost health insurance, a “basic and essential” plan may be the best option. Do keep in mind this type of health insurance is limited in what services may be covered so it is important to carefully read the policy so you understand what treatments the plan does cover. Another type of health insurance known as catastrophic health insurance or high-deductible health plans do just what it sounds like they would. The deductible is high, but this type of health insurance protects you against catastrophic illness with a very high total cost.

Health savings accounts are fairly new and an alternative to traditional health insurance. This plan involves putting money into a tax-free savings account to cover your medical expenses.

Managed Care Health Insurance

The two most common types of managed care health insurance are health maintenance organizations (HMOs) and preferred provider organizations (PPOs). HMOs give you access to a group of participating doctors, hospitals and health care providers. HMOs come with fewer out-of-pocket expenses, but visits to the doctor, prescriptions and other services usually come with a co-pay or fee.

PPOs are fee-for-service health insurance and medical services are paid by the insurer on a negotiated and discounted fee schedule. PPOs allow participants to choose medical providers outside the plan’s network, although this can result in higher out-of-pocket costs.

One other type of health insurance is point-of-service (POS) plans. This type of health insurance is similar to indemnity plans, and your primary care physician can refer you outside of the plan without any extra costs to the insured. If you refer yourself outside a POS plan you will be charged a co-pay.

Ed Harris asked:


Barack Obama’s ambitious health care plan is fairly simple and straightforward. His plan seeks to dramatically and swiftly increase the number of people that have health insurance. He insists that this plan will save the typical American family approximately $2500 in annual costs. Since the average Ohio health insurance premium is less than most other states, savings to Ohio residents may average less than $2500.

The Obama plan is designed to give the federal government more control over health care decisions and dollars, a major difference from the current decentralized system of employer-based insurance and state-based insurance regulation. Here in Ohio, health insurers have been effectively held in check by the Ohio Department of Insurance. This, however, is not the case in many other states.

The Obama Plan

Many parts of the Obama plan resemble initiatives from the Clinton health plan of 1994 and the Kerry Health plan of 2004.

Essentially, Obama’s health care plan is divided into three sections:

1. Modernizing the US health care system to lower costs and improve quality

2. Promoting prevention and strengthening public health

3. Quality, portable and affordable health coverage for every person

The “Savings”

The $2500 in savings will come from health care reform, using some of the following initiatives:

*Making health insurance universal, which may reduce spending on uncompensated care.

*Improving management and prevention of chronic conditions.

*Increasing insurance industry competition and reducing underwriting costs and profits.

*Providing reinsurance for catastrophic coverage, which will reduce insurance premiums.

Shifting Cost Burden

While all of these ideas are feasible, the underlying theme seems to be simply shifting some of the cost burden from the private sector to the government. And of course, much more control of our health dollars and decisions would come from Washington D.C and not Anthem or UnitedHealthCare.

The Obama plan will actually compete directly with Ohio private health insurance companies in a “National Health Insurance Exchange.” The federal government (not health insurance carriers) would determine the quality of health benefits that Americans would receive. And these new rules would apply to both the new national health plan and all participating private health plans.

Preventative Coverage Would Be Emphasized

Obama’s health care plan will encourage “healthy lifestyles” with specific emphasis on wellness. Employer wellness programs will be increased, and cafeterias and vending machines in the workplace may see healthier food.

School-based health screening programs may increase along with increased support for physical education.

For Ohio individuals and families, the Obama plan would require preventative services on many federally-supported health programs such as Medicare, Medicaid and SCHIP. One benefit may be possible discounts to on health insurance premiums for enrollment in wellness and prevention programs.

Currently, some Ohio individual health insurance policies offer a similar discount, such as Anthem’s Lumenos Health Incentive Account (HIA).

Ohio Group Health Insurance

Employer-based health insurance would radically change under the Obama plan. Here in Ohio, both small and large employers are able to choose among many different health plans for their employees. The Obama plan would force employers to offer a specific level of health benefits to their employees or pay a tax to finance a national health program. Currently, the amount of provided health benefits and the size of the tax have not been specifically discussed.

Perhaps the best and most economical health insurance plan for Ohio residents would be a concept already in place…HSAs (Health Savings Accounts). Thus, instead of imposing a top-down change on the health care system, it would seem to be prudent to transfer direct control of health care dollars to individuals and families. This would allow Americans to choose their own health plans and benefits, while making health insurance companies compete directly for consumer’s dollars by providing a real value to patients.

All of this could be accomplished by specific tax and regulatory changes designed to utilize the power of free-market competition. Health care spending could be reduced, preventative treatment could be emphasized and portability could be promoted. Reforming the tax treatment of health insurance and aiding employers that help their employees buy health insurance would help quite a bit.

For now, Ohio health insurance rates are remarkably low compared to many other states. There are many reputable health insurance companies that offer a wide array of policies, including Health Savings Accounts. That shouldn’t change much for the next two years. In 2011, things might change…hopefully, for the better.

For additional information on Ohio health insurance plans, or an instant Ohio health insurance quote, please visit http://www.ohioquotes.com