My Child Moved Away, Can I Keep Him On My Insurance?
Michelle Andrews answers a reader question about keeping your children on your health plan until they turn 26, even if they move away.
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Insurance Choices Dwindle In Rural California As Blue Shield Pulls Back
Blue Shield of California stopped selling individual plans on the state health insurance exchange in about 250 zip codes, leaving nearly 30,000 residents with only one insurer to choose from on the exchange.
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A Q&A On Achieving Mental Health Parity In Medicaid Managed Care
Emily Feinstein, the director of health law and policy at the substance abuse and addiction center CASAColumbia, discusses her expectations for a proposed mental health parity rule in Medicaid managed care, and outlines some of the issues in play regarding these proposed regulations.
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Consumer Tips: Going Out Of Network
Most health insurance plans allow you to visit an out-of-network doctor or hospital, though it is very likely to cost you more. KHN's Julie Appleby says you may want to use an online calculator to figure out how much more it will cost you and suggests questions you may want to ask your insurer before you decide what to do.
By alley -
Q&A: Why Did I Receive A Bill From An Out-Of-Network Radiologist?
Michelle Andrews answers a question from a reader who received a bill from an out-of-network radiologist after a routine mammogram at an in-network hospital. The reader asks: What can we citizens do to ensure our rights?
By alley -
Next Goal For Abortion-Rights Backers: Reducing Stigma
Groups urge women to tell their own abortion stories to helps change the public view of abortion.
By Julie Rovner -
Consumers Hit By Higher Out-of-Network Medical Costs
Insurers switch to new way to calculate reimbursement that shifts more of the expenses onto patients.
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Medicaid’s Western Push Hits Montana
After sitting out the first full year of Obamacare’s Medicaid expansion, lawmakers in Montana have moved on to arguing -- not about whether -- but about how much federal cash to pull down.
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Insuring Your Health
Many Obamacare Plans Set Out-Of-Pocket Spending Limits Below The Cap
This news analysis examines why consumers should look at more than premiums when shopping for policies.
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California’s Managed Care Project For Poor Seniors Faces Backlash
Nearly half of those eligible for a combined Medi-Cal and Medicare program are opting out.
By Anna Gorman -
Big Changes For 2015 Workplace Plans: Watch Out For These Six Possible Pitfalls
Consumers who get health insurance through their employers need to pay close attention this year to their enrollment materials.
By Jay Hancock -
Even With Coverage Expansion, Access To Mental Health Services Poses Challenges
A 50-state analysis details incidence rates of mental illness and access to care across the country.
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Rx For Reform: NC Pharmacists Try To Boost Health And Cut Costs
The federal government has invested $15 million in a North Carolina experiment that gives community pharmacists a new role in patient care.
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Specialty Care Is A Challenge In Some ACA Plans
"Narrow networks" keep the price of some Obamacare insurance plans low, but they also keep certain hospitals and physicians out of reach for sick patients.
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Is Your Heart Doctor In? If Not, You Might Be Better Off.
A new study finds that high-risk heart patients in teaching hospitals do better during the times that cardiologists gather for national conventions.
By Jordan Rau -
For North Carolina’s Working Poor, Fears Of Losing Coverage, Owing Uncle Sam
But for those who hover around the poverty line, a slump can put them into the “no help” category in the Carolinas and 21 other states that haven’t expanded Medicaid coverage.
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More Plans Setting Spending Limits For Some Medical Services
Insurers cap how much they will pay for certain routine procedures, such as knee replacements and lab tests, and if patients opt for an in-network facility that charges more, they must pick up the extra cost.
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You Paid What? How Negotiated Deals Hide Health Care’s Cost
A patient’s portion of a health care bill is a complicated equation – but it’s simple compared to the deals between insurers and hospitals.
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HMO-Like Plans May Be Poised To Make Comeback In Online Insurance Markets
Insurers bet some consumers will choose cheaper plans that restrict their choice of doctors, despite worries about skimpy care and huge bills for out-of-network providers.
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Study: American Seniors Face Health Care Gaps, Despite Medicare
The Commonwealth Fund finds cost barriers and limits on care for Medicare beneficiaries consistently places the U.S. low on the list of an 11-nation ranking of how older people fare in industrialized nations.