Archive for November, 2007

Health Insurance Benefit Laws

Wednesday, November 28th, 2007

Once you’re done comparing health insurance quotes and plans and you’ve settled on employer-based health insurance, it’s good to keep in mind the Department of Labor’s Employee Benefits Security Administration (EBSA) administers a number of laws that cover these health insurance plans.

Here is a list of some of the laws affecting health insurance :

1) The Employee Retirement Income Security Act – This law protects people in retirement, health and other benefit plans through private employers by providing rights to information and a grievance and appeals process for private employer health insurance participants.

2) The Consolidated Omnibus Budget Reconciliation Act – This law only applies to special instances, but if you qualify as a former employee, retiree, spouse or dependent child you can purchase a temporary continuation of health insurance at group rates.

3) The Health Insurance Portability and Accountability Act – This law applies to working Americans and families with preexisting medical conditions. Through this act there is a guarantee of individual health insurance policies for eligible people and it prohibits discrimination in health care coverage.

4) The Newborns’ and Mothers’ Health Protection Act – Just as it sounds, this law offers rules on minimum health insurance coverage on how long the mother and child can stay in the hospital after childbirth.

5) Mental Health Parity Act – This law ensures mental health is given as much emphasis as physical health by requiring annual, or lifetime, limits on mental health benefits to be no lower than limits for medical and surgical benefits provided by a group health insurance plan.

6) Women’s Health and Cancer Rights Act – Breast cancer is a frightening diagnosis and treatment runs a wide range of intensity and invasiveness. This law protects breast cancer patients who want to have a breast reconstruction after a mastectomy.

When you are part of an employer – based health insurance plan the Department of Labor’s Employee Benefits Security Administration is a great source of information on subjects such as your rights to information on how your plan works, how to quality benefits available in your plan and how to make claims on your health insurance plan.

Remember EBSA administers these laws that help protect your health insurance when you lose coverage, change jobs or if you suffer from certain special medical conditions. Also remember when choosing employer-based plans to carefully compare your health insurance options to make sure your plan works best for you and your family’s medical needs.

Find out more about EBSA on the web at -www.dol.gov/ebsa.

Finding A Health Insurance Plan In Florida

Friday, November 16th, 2007

Some strategies on finding affordable health insurance in Florida.

I’ve been a health insurance agent since 1985. I help Connecticut residents find health insurance and have for the last several years have also managed a website that helps people in other states including Florida find health insurance. You can find a health insurance broker in Florida by requesting quotes through my site.

Health Insurance Plans of Florida — Tips to Help You Pick the Right Policy

Choosing the best health insurance plan involves the following:

Finding a policy with or without using a health insurance broker in Florida who can offer you the lowest cost (but only with respect to the other two criteria)

Finding one of the health insurance plans of Florida that has a network that meets your needs

Finding the Florida health insurance plan with coverage that meets your needs

Choosing the right medical insurance policy involves finding the best rate quote amongst the Florida health insurance plans that meet your needs as to network and coverage. Choosing the lowest price is of course very easy. Determining whether the health insurance plan’s network of doctors meets your needs is only a little more difficult. Choosing a health insurance policy that covers you well can be complex. You may want to enlist the aid of a licensed health insurance broker in Florida. Most of this article focuses on the basics of determining how well a policy covers you.

In a perfect world, everyone would read and understand their insurance policies. However, I realize that many people will find a health insurance broker in Florida that they feel comfortable with and will want his or her recommendations. However, whether you use a broker or not, I strongly recommend that you contact the Florida office of Insurance Regulation in Tallahassee, FL (850) 413-3140 and make sure that any health insurance plan is approved by them. Insurance Departments cannot ensure that you get the best policy for your individual needs, but they do their best to make sure that each health insurance plan and each health insurance broker meets certain minimum standards. Be sure to work with companies and brokers that are in good standing.

Choosing the Florida Health Insurance Plan with the Right Network

Health insurance carriers usually have websites that will list the MDs and medical facilities that accept their plans. All that I’m aware of will have a printed list that they can mail to you. The right plan will have your physician on their list or at least physicians who are located a convenient distance from your home. If you travel it is important to find a plan that covers you well in other geographic areas as well.

Choosing the Florida Health Insurance Plan with the best coverage for you

Health insurance policies may be the most complex of the insurance contracts offered to individuals and families. Understanding how your medical plan will pay for your medical bills can be difficult. Fortunately most of the brochures and outlines of coverage that you may receive from a health insurance provider will have a similar structure. They will have sections similar to the following:

What is Covered?

Health Plan Exclusions and Limitations

What is Covered?

This section will detail what medical procedures your health insurance policy will cover. The policy should have a phrase like “reasonable and customary” or “usual, reasonable and customary” or something similar when describing how much they will cover.

Watch out for health insurance policies with:

Monetary limits for each procedure

A long list of procedures that the medical insurance policy will cover

Better health insurance policies will not list dollar amounts for each procedure. They will pay using a formula that is based on what other physicians and hospitals will charge you in the same geographic area. A phrase like “usual and customary” indicates that they use such a formula. The cost of medical care rises so quickly that a dollar amount that seems impressive today may not fully reimburse you even a year from now.

Solid health Insurance policies will not have a long list of procedures that they will cover listed on the policy. The long list seems impressive because the list takes up a lot of space. Look at the statements below. It should be easy to choose between one and two.

“Our health insurance plan will cover you for everything except for expenses caused by self-inflicted injuries and substance abuse.” (”I’ve been to every city in Florida except Orlando.”)

“Our health insurance policy will cover your nose, your ears, your toes, your hands, your right lung, your calf and your knee” (”I’ve been to Orlando, Miami, Jacksonville, Tampa and Miami Beach”)

Health Plan Exclusions and Limitations

This section will tell you what is excluded. Typically plastic surgery will not be covered. Also experimental procedures and expenses caused by self-inflicted injuries will not be covered. You should understand each of these limitations before you commit to a policy. Most policies will not include maternity insurance, so if you want to get pregnant, make sure that you know how your policy will cover maternity expenses. Unfortunately, maternity insurance is not available in many states except as part of a group insurance plan.

To summarize:

Determine what health insurance plans will cover you in your area

Determine which health insurance plans offer adequate coverage

Choose the plans that offers the best value based on price and coverage

The health insurance options Orlando residents have are similar to the health insurance options Miami residents have, since the plans will work in similar ways throughout the state.

This article can be copied and reprinted but only in its entirety and with the links intact. The article was originally published on https://lovetherates.com/articles/health-insurance-broker-florida-article.htm. The article starts with the heading “Hospitalization Only Insurance” and ends with this sentence.

Health Spas in South Africa – What Makes Them Unique?

Friday, November 2nd, 2007

Imagine a smoked ginger and crimson skyline towering down over a diverse natural landscape of wild flowers, untamed wildlife and restless waters. Imagine lying gazing at this distinct setting whilst enjoying the pampering and revitalization that goes along with South African traditional customs and massage techniques. A spa experience in South Africa has often been viewed as being one of the most unique and beautiful experiences that one can wish for. So what makes it so unique and what can one expect at a South African spa?

Spas in South Africa can be simple, uncomplicated and traditional as well as both sophisticated and chic. There is a little bit of everything for everyone. Spas are either set in safari or remote country settings or in classy city or beach hotels. However, it is not only the diverse settings which capture the attention of travelers worldwide, but the fusion of customs and traditions into the spa techniques and treatments. A number of South African spas utilize traditional oils and plant extracts in their treatment products and a great emphasis is placed on age old remedies and secrets.

A truly unique and not to be missed experience can also be found within the beautiful wine lands of South Africa. It is here where you can experience Vinotherapy, an innovative treatment originating in France that utilizes grapes and wine to assist in preventing or assisting in the effects of anti-ageing. The antioxidants as well as other properties of the grape are highly beneficial for the skin and for this reason the ingredients has been utilized in massages, full-body exfoliations and hydrotherapy treatments. With South Africa, boasting some of the best wines in the world, a day of wine tasting and Vinotherapy may just be the treat you have been waiting for.

A number of spas also provide you with a complete African experience. You can expect African dances, food and celebrations incorporated into your day or stay at some of the spa destinations in South Africa. The spa experience becomes one of the elements of your experience and allows you to experience both the African culture and the African therapist’s skilled techniques and products. If you are staying over at the spa, you may even be able rest in a traditional yet elegant African hut. This is a wonderful option if you are looking for both serenity and for a place to reflect in an uninterrupted natural setting.

Those of you seeking more sophistication and modern elegance will also find yourself spoilt for choice at some of the many exclusive spa destinations and resorts. Gaze down at the city nightlife from your treatment suite or relax for a day in spas boasting top of the line facilities and therapists. These classy spas can be found both in the city and in the more remote areas of South Africa, so your selection would be based purely on personal choice.

Nonetheless, South Africa is a spa crazy country which promises to offer an array of spa destinations as well as unique experiences. If you wanting to truly experience African culture at its best, booking into a South African destination spa or resort and choosing between the many traditional and natural spa products could set you on the right path.

Find spas and more wellness related information at: http://healthspaguru.com