Compare Health Insurance Plans

by Jay on March 17, 2012

Start by getting Instant Colorado Health Insurance Quotes or Contact Us with your questions first. All plans cover in-network mandated preventive/wellness care before the deductible. And make sure to check the quotes on HSA qualified plans.

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Colorado health insurance companies Shopping for a health insurance policy that meets your individual health situation and has the best premiums can seem overwhelming and be frustrating. We compare the price and coverage of the best, most reputable and most stable health insurance companies in Colorado for you. You can be sure you have the best possible rates for the plan you need because the rates are always the same for any plan no matter where you buy it. We are a small, Colorado based health insurance brokerage. We provide honest, unbiased advice about the best medical health insurance, dental, and vision coverage and personal service at no cost to you.

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[...] But although there are differences between group and individual coverage that can account for some of the price variation, by far the biggest factor is medical underwriting. The Zane Benefits article points out that 80% of healthcare costs come from 20% of the population – individuals with serious, ongoing health conditions. Group health insurance is required to accept all eligible employees, but individual health insurance carriers use medical underwriting to eliminate the sickest applicants from the pool of insured members (70 % – 90% of applicants in the individual market are accepted and offered a policy – there is quite a bit of variation in underwriting guidelines from one carrier to another and from one state to another). This mean that individual policies are covering people who are generally healthier than the average of the entire population. And that translates to lower healthcare costs in the individual market. [...]

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[...] Happily, it looks like we’re going to be getting a good healthcare price comparison database here in Colorado next year. This article from Kaiser Health News has all the details, and it looks promising. As the article states – and as we’ve noted here many times – healthcare costs sometimes seem to have little rhyme or reason. They can vary widely from one provider to another and from one area to another without much of a difference in quality of care or patient outcomes. But there are also some variables that have a justifiable impact on healthcare cost variation, such as the overhead expenses associated with teaching hospitals and hospitals that treat a higher-than-average number of uninsured patients. It sounds like the All Payor Claims Database is addressing those issues, so it will be interesting to see how the database accounts for them. I also like the fact that providers will be able to see how they compare with other providers before the data is released to the public, in order to allow the providers to start making improvements where necessary.

I can see this comparison tool – especially given how comprehensive it looks to be – being very beneficial for Colorado residents, and also helping to foster more competition among healthcare providers in the state.

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Care Management Outsourcing

by Louise May 17, 2012

[...] outsourcing of care management and the success of MedAssurant, a data-driven healthcare solutions company that works with provider organizations that care for more than a third of the US population.

With healthcare providers feeling the squeeze both in terms of reimbursements for care and time spent on administration, it makes sense that outsourced care management could be an important part of a medical office’s business plan. Utilizing economies of scale in this manner could save time and money for medical offices, and streamlined care management is likely to be popular with health insurance carriers too. As Jaan points out, MedAssurant has very savvy customers (including health insurance carriers and healthcare provider organizations) and a solid track record, so the service they are providing is obviously valuable and beneficial.

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Prescription Drug Reuse And Disposal Programs In Colorado

by Louise May 15, 2012

Four years ago, we wrote an article about recycling prescription drugs to be used by patients who don’t have health insurance or cannot afford their medications. This has remained a popular post on our blog, and people frequently search our site for information about prescription recycling and/or disposal programs in Colorado. So I wanted to write an updated post with information that we’ve come across in the years since we published that first article. [...]

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Anthem Introduces New Accident And Critical Illness Benefits In Colorado

by Jay May 14, 2012

[...] For individuals and families who are healthy and rarely need their health insurance benefits, an accident may be their primary concern. Obviously we’re all susceptible to illness aswell, but accidents have a more “out of the blue” quality to them, and can happen to even the healthiest of people. We’ve never needed our health insurance due to illness, but we’ve had a few injuries over the years that have been pretty costly. Stitches and x-rays on our son’s finger alone came to $1,400. The charges can add up quickly when you’re in an emergency room, and if you have a high deductible health insurance policy, you’d be responsible for the entire bill for an incident like that. An accident supplement that will cover all or a portion of the deductible can help people feel more at ease with a high deductible (ie, less expensive) health insurance policy.

The accident supplement portion of Balance will coordinate with your health insurance, so it will pay you either your out-of-pocket amount or the Balance benefit maximum, which ever is lower. For example, if your out-of-pocket expenses for an accident – after health insurance has paid its portion – come to $1750 and you have the $2500 benefit Balance plan, you’ll get $1750 in supplemental coverage. But if your out-of-pocket expenses come to $4500, you’ll get the full $2500. The critical illness benefit is a lump-sum payment, but the amount paid depends on the specific diagnosis.

With the introduction of Balance, Anthem Blue Cross Blue Shield has added another solid plan to the options available for individuals and families in Colorado who are looking for an accident and critical illness supplement to go along with their health insurance policy.

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Taxes And Individual Health Insurance

by Louise May 11, 2012

[...] Greg’s most recent article deals with the way that our tax code treats health insurance premiums. Medicare and Medicaid premiums are obviously subsidized by tax dollars. But group health insurance premiums are also subsidized, since the premiums that employers pay on behalf of their employees are not included in the employee’s taxable income.

People with individual health insurance usually don’t get such a benefit. The self-employed get to deduct individual health insurance premiums on the 1040, but there are plenty of people who purchase individual health insurance and are not self-employed. Early retirees are a good example, as are people who buy their own health insurance because their employer does not provide it.

Greg’s article goes beyond what we usually see on this topic (ie, pointing out the inherent unfairness of not allowing similar tax treatment for all health insurance premiums, regardless of whether the coverage is group or individual). He delves into what the possible implications could be for the individual health insurance market if the tax code were changed to a more equitable system. His prediction includes millions of additional people entering the individual market (thanks to a switch from group to individual coverage), more lenient underwriting standards in the individual market, more innovative products available to consumers, and more competition in the individual market. Check out his article for all the details – definitely some good food for thought.

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Wild Wild West of Electronic Medical Records

by Jay May 9, 2012

This article was sent to us through our contact form from “Sandra” as an entry is our open mic/guest blogger category. Sandra is not a client of ours, but says she found our guest blogger category while researching her situation and would like her opinions published. We kept Sandra’s requested title for the post and left the content nearly verbatim. We only removed her last name and the name of the health insurance carrier from the original submission for privacy.

My on-line pharmacy list has had medications removed; medications added back, medications that never appeared again. The one that was requested to be removed is now gone from my on-line pharmacy list. I didn’t need to ask the HIPPA Specialist at all, I just needed to wait for the software department to delete it.

I currently have prescription errors on my on-line medication list that I have not been able to get corrected, even after repeated requests. I’ve thrown away $600+ of insulin delivered overheated due to an error in the prescription process. I’m currently asking endocrinology to correct the insulin prescription, and have had no response and an appointment cancelled. I have asked multiple times to correct errors in my prescribing information online, on the after visit paperwork, and on the drug bottles. I recently asked to have Glipizide description on the bottle corrected. At what point will these errors harm me?

I’ve asked for drug package inserts and couldn’t get them, so I checked their online drug database, and it was 2011. I was looking for the current updates on Statin. They just updated their drug database to 2012, but it still means that my Statin drug changes may not appear until 2013? Why can’t I get package inserts or more current drug data?

I’ll ask member services, and they’ll consider my request a grievance, and will send me a generic/form letter saying they will investigate. I won’t know what they are investigating. I’ll get a customer service liaison calling me, sharing that I don’t understand their review process, and blaming the primary physician for not fixing everything. I’ll explain to the liaison, that I did try to contact my primary, and was told, “I’m a busy internal medicine doctor.” In e-mailing the on-line pharmacy they tell me that they are in CA and they’ll can’t do anything for Colorado, and they’ll forward my grievance to Colorado Customer Service. I’ll never hear back. I’ll contact the Colorado on-line pharmacy, and they help me replace the insulin, but then they stop talking to me.

Hum… they must have looked at my medical records, and today my Endocrinology appointment was cancelled.

Sincerely,
Sandra

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The Best Health Insurance Companies In Colorado

by Jay May 7, 2012

[...] To make a long story short, although US News & World Report is a respected publication and website, this particular page seems to be mostly about affiliate marketing.  The information provided is not technically incorrect, but it’s lacking in context and is obviously confusing, especially if people aren’t aware of the multiple names used by carriers or the fact that not all carriers provide policies in both the individual and group market.  In addition, while the page does state that the ranking is simply based on market share, that information might be overlooked by some readers, especially if they found the page by searching for “the best health insurance companies in Colorado”.

Consumers who are looking for ways to compare the various health insurance companies in Colorado will no doubt be concerned with market share, since more market share is often associated with a stronger, more stable company (although Aetna was highly ranked in terms of overall market share when they pulled out of the individual market in Colorado, so there are never any guarantees).  But there are plenty of other factors to consider.  You can search our website for more information about carriers, like complaint ratios, and the Colorado Division of Insurance has an excellent health insurance information site that you can use to compare carriers.

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Kaiser Will Soon Be Available In Northern Colorado

by Jay May 4, 2012

[...] The new Kaiser facilities will be in Fort Collins at Harmony and Ziegler, and in Loveland at I-25 and Hwy 34. For hospital services, Kaiser is partnering with Banner Health and members will be able to use McKee Medical Center in Loveland and North Colorado Medical Center in Greeley. The medical offices in Fort Collins and Loveland will offer a wide range of services (primary care, lab work, pharmacy, and x-rays, and mammograms will be available at the Loveland office), and are expected to begin providing care by the fall of 2012. A medical office is projected to open in Greeley by 2014. Between now and then however, northern Colorado Kaiser members will be able to see doctors at the Fort Collins and Loveland offices, as well as physicians on the Banner Health network.

Kaiser is planning to offer group coverage to employers in northern Colorado by October 1, 2012. Individual and family coverage should be available sometime next year.

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