Medicare is a federal government program designed to assist elderly and disabled individuals with paying for their medical cost. Part A is called hospital insurance, and covers most of inpatient or outpatient expenses, as well as some follow up cost afterward. Part B, medical insurance, pays towards expenditures for physicians. Part D is allowance for [...] Read the full Article »
Health Insurance Coverage For Fibromyalgia Patients
Fibromyalgia syndrome (FMS), which was previously called fibrosis, is characterized by diffuse pain and is one of the most common causes of chronic musculoskeletal discomfort. FMS is observed in up to 15% of patients seen in rheumatology practice and about 5% of patients treated in general medicine clinical practices. A patient diagnosed with FMS normally [...] Read the full Article »
Blue Cross Blue Shield Insurance – North Carolina Insurance
Blue Cross Blue Shield (BCBS) is one of the oldest insurance companies in the United States at 80 years old. Its family of 39 locally operated companies provides health insurance to nearly a third of all Americans. In fact, 80% of physicians and 90% of all hospitals contract with BCBS, guaranteeing near universal acceptance. Although [...] Read the full Article »
Arizona High Risk Pool – What You Need to Know
The recently passed Patient Protection and Affordable Care Act (ACA) will create high-risk health insurance plans in every state for those people who are not covered by other forms of insurance. Some states, such as Arizona, did not have a high-risk pool prior to the passage of the ACA and have opted to let the [...] Read the full Article »
HEALTH INSURANCE – THE DEFINITIONS OF AN INSURANCE CONTRACT BUT SIMPLIFIED.
A person who makes a promise, or promises, under a contract is called promisor. A person to whom a promise is made is called a promise. The word person in its legal sense often includes both human beings (natural person) and organizations such as corporations. Promises may be made by either or both of the [...] Read the full Article »
HEALTH INSURANCE REGULATIONS – STATE REGULATORY SYSTEM AS YOU KNOW IT.
State governments regulated the first insurance companies in the United States, just as the state governments regulated other corporations. Very little was involved then. Later, however, as insurance began operating in states other than those in which they were incorporated, the question arose as to whether the transaction of an insurance business across state lines [...] Read the full Article »
WHAT IS THE DEFINITON OF COMPETENT PARTIES IN AN INSURANCE CONTRACT?
A person of legal age, without mental or other incapacity, is legally competent to enter into a contract. Such a person is said to have contractual capacity. Generally speaking, a person is presumed to be legally competent to enter into a valid contract. However, the contractual capacity of certain classes of persons is limited. These [...] Read the full Article »
HEALTH INSURANCE – PERFORMANCE AND BREACH OF CONTRACT.
When a contract has been formed, one or both of the parties has promised to do something. If a party who promised to do something fails to act when his duty to perform arises, that party has committed a breach of contract. As might be expected, contract performance and breach of contract has been the [...] Read the full Article »
Why Health Insurance Premiums Will Continue to Increase Despite Recent Legislation Changes
There is a consensus going on right now that healthcare will be better in terms of access because of recent legislation that will go into effect in 2014, I have been in the health insurance business for many years and now more than ever; I just don’t buy it. In this article I explain the [...] Read the full Article »
Denied For Health Insurance Because of a Prescription?
Many times people applying for health insurance coverage exclude pertinent underwriting details during the initial application process regarding an applicant’s medical history or more specifically the utilization of certain prescription drug medications. Most often prospective applicants think it is of no real importance, however a health insurance application which disregards the proposed insured’s current or [...] Read the full Article »
