association health Plans - Alternative Options For health assurance

Humana Insurance - association health Plans - Alternative Options For health assurance

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Most of us know about personel and group condition insurance plans. A few more of us have learned about indemnity plans. But in the words of Gomer Pyle who often exclaimed, "Surprise, Surprise, Surprise" other options exist in the condition insurance store that are mostly unknown because they are non-traditional types of insurance. Now that healthcare costs are soaring, consumers are seeing for ways to cut their condition insurance costs without skimping on coverage. In this narrative we will take a look at two types of insurance products that may fit your healthcare needs.

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Healthcare Cooperatives

Healthcare cooperatives are comprised of individuals, families and organizations seeking to find affordable healthcare straight through the act of cooperation with other such entities. While this seems like a new concept, cooperatives are as a matter of fact based on the original installation of condition insurance. Members are expensed a participation fee to be in the cooperative and in turn, those funds are used to pay claims. Other groups are invited to share in the same coop. The largest coop in existence right now is HealthPartners, Inc.

The benefits of cooperatives are many. First of all, premiums are in any place from 20 - 50% less than comparable original condition plans, with no deductibles. Secondly, cooperatives are a lifeline to the local enterprise society by retention the cost of prescribe drugs reasonably priced and enabling society owned non-profit hospitals to remain independent. The larger the cooperative, the more negotiating power it has to parley prescribe drug prices as well as healing products. And finally, coops are increasingly efficient in enhancing the potential of home-based healthcare as well as assisted living alternatives by providing educational services as part of their negotiation process with the insurance companies.

Individuals, chambers of industry and small to midsize businesses that select cooperative healthcare are the ones most likely to advantage from this type of non-traditional condition insurance procedure because of the lower rates, allinclusive benefits available and no grouping regulations. Other groups that advantage contain seniors, low-income residents and the uninsured that have conditions that are not covered by MediCare or MedicAid. Texas associates that quote and sell cooperative plans are Aetna, Blue Cross and Blue Shield, Unicare, Humana and United Healthcare.

Association Plans

Individuals that are members of an existing association are eligible to share in an association plan. But what constitutes an association? Legally, an association is "any group of citizen who have joined together for a singular purpose, ranging from collective to business, and ordinarily meant to be a lasting organization. However, it is leading to be in yielding with your state's regulations for what qualifies as an association. Here in Texas, the definition of an association is listed in Hipaa 1996, section 2791: a bona fide association must meet the following characteristics:
It must be formed for a purpose other than insurance The members' condition status may not be a condition for membership insurance must be available for all members of the association and no coverage may be given to non-members, including affiliate members that may join an association for the purpose of obtaining condition insurance It must meet "any additional requirements that may be imposed under state law," including having existed for two full years as an association prior to applying for the plan.
Under this definition many organizations qualify as an association also businesses. These entities may contain labor and prestige unions; professional, alumni, homeowners' and trade associations; and lodges. Individuals that advantage the most from this type of plan are those that have been denied coverage for a lasting healing condition, such as diabetes or rheumatoid arthritis.

Underwriters rate the members of the association individually on a per household membership. Those individuals that are a higher risk medically will pay a higher prime than individuals that have clean condition histories. They differ from group policies in that way. But all members are guaranteed acceptance on the plan and guaranteed reparation each following year.

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