Federal Rule Allows Higher Out-Of-Pocket Spending For One Year
The health law sets maximum limits on what consumers are required to pay, but officials are giving a one-year grace period in certain cases.
Advocacy Group Seeks To Force Employers To Give Pregnancy Coverage To Dependents
The National Women’s Law Center files complaints with HHS alleging that five institutions discriminate against women by excluding pregnancy coverage from the health insurance benefits that they provide to employees’ daughters.
‘Will My Family Be Eligible For Subsidized Coverage?’
Health insurance columnist answers questions about coverage subsidies for families in the health law, Medigap and rules for workers whose companies operate in more than one state.
Coverage Gaps Can Hamper Access To Some Breast Cancer Screening, Care
Angelina Jolie’s announcement about her double mastectomy has raised interest in genetic testing. These expensive tests are generally covered for women with a family history, but other screenings and treatment needs may be limited by plans.
Some Individual Policies Offer A Way To Shrink Deductibles
Under these plans, if a policyholder’s health costs don’t exceed the deductible, that deductible is trimmed the following year. But consumer advocates warn this may discriminate against sick people and run afoul of the health law.
With High Deductible Health Plans, It Pays To Shop Around For Care
An increasing number of consumers have these plans with lower premiums, but they must cover the first $1,000, $5,000 or even $10,000 of care before insurance kicks in, providing an incentive to haggle with doctors and hospitals.
Coverage Problems Could Still Remain For Young Adults
Despite having access to parents’ health policies and new options provided by the health law, this age group faces challenges.
Health Law’s Medicaid Expansion And Online Marketplaces Offer Veterans New Care Options
Many former service members have access to health care through the VA, private insurance or other government programs, such as Medicare and Tricare. But having so many choices can also lead to fragmented care.
For Some People Covered Through Work, An Exchange Might Be A Good Option For The Family
Insurance columnist answers readers’ questions about what might be available on the new insurance marketplaces next year when employer-provided insurance seems too expensive for a family and whether those exchanges will be available to people who are in the middle of a plan contract.
Questions Arise About Robotic Surgery’s Cost, Effectiveness
Health plans generally pay for robotic surgery just as they would any other surgical procedure, but that could change, some say, as research helps make clear when robotic-assisted surgery helps improve patient outcomes-and when it doesn’t.
Questions About Colon Screening Coverage Still Vex Consumers
Although the federal government has tried to clarify the preventive care provisions that mandate no out-of-pocket expenses for patients on screening exams, there is still a good bit of confusion.
Same-Sex Spouses Can Face Barriers On Health Care Under Federal Law
Even when states legalize gay marriage, couples may have to pay extra federal taxes on the value of health policies and not get some protections because the federal government is barred from recognizing such unions.
Why You May Want To Reconsider That Plan With A Health Savings Account
Health plan deductibles keep getting higher — the proportion of workers with a deductible that topped $1,000 for single coverage nearly tripled in the past five years, to 34 percent. Since high-deductible plans often mean you pay more out of pocket for medical care, it might seem like a no-brainer to sign up for a plan that […]
Despite Fears Of ‘Sticker Shock,’ Young Adults Should Have Reasonable Plan Options On Exchanges
Insurance columnist answers readers’ questions about the premium prices for young adults, pre-tax contributions to health savings accounts and choosing between work-provided coverage and buying a plan on their own.
Large Companies Are Increasingly Offering Workers Only High Deductible Health Plans
Firms with 1,000 employees or more once offered a variety of coverage options, but a recent survey found nearly 15 percent today provide simply these plans and a savings account for medical expenses.
Group Appointments With Doctors: When Three Isn’t A Crowd
More doctors are holding appointments with multiple patients, a trend some say may help ease a forecasted shortage of physicians.
Consumers Don’t View Curbing Costs As Their Job When Choosing Treatments, Study Finds
Researcher says she and colleagues were “surprised at how firmly and frequently people talked about not wanting cost considerations to factor into decision-making at all.”
Caveat For Contraceptive Coverage; Early Retirees May Get Cheaper Plans On Exchanges
Columnist answers readers’ questions about birth control provisions and subsidized coverage on state-based insurance marketplaces.
Key Long-Term-Care Insurer To Raise Women’s Premiums
Although the Affordable Care Act seeks to end health plans’ use of gender to set prices, the new rules don’t apply to policies for long-term care.
Today Few Public Family Planning Centers Accept Insurance
Most women can expect to get contraceptives without paying out of pocket for them thanks to the federal Affordable Care Act. Women who are young or those who are poor and rely on publicly funded family planning centers for reproductive health services are covered, too. But there’s a catch. Many of the state and local health departments, […]
