139 articles
Healthcare articles about Health Insurance.
For 2024 open enrollment season, according to the latest approved rates data from the NY Department of Health, the average cost for a Bronze-level health plan in New York is $800 per month with a $4600 deductible. This represents a monthly premium 13.4% increase from 2023.
By Khang T. Vuong, MHA
Health share plans and traditional insurance differ in terms of operation, pros and cons, costs, best fits, and tax implications. Health share plans are non-profit entities where members share medical costs, while traditional insurance involves paying premiums for coverage. They each have their own pros, cons, and cost differences that can make one a better fit for certain individuals. Tax implications also differ, with health share plans not offering the same tax benefits as traditional insurance.
By Khang T. Vuong, MHA
Direct Primary Care (DPC) and Traditional Health Insurance differ in terms of costs, set-up, and benefits. DPC entails paying a monthly or annual fee for a range of medical services, while Traditional Insurance requires premiums for potential coverage of health services. Cost comparison: DPC may be cheaper for people who require regular primary care. Traditional Insurance can be cost-effective for those with serious conditions or emergencies.
By Khang T. Vuong, MHA
Straight Medicaid and Managed Medicaid are both state and federally-funded programs aimed at providing health insurance coverage for low-income individuals. Differences lie in service delivery and provider flexibility. Straight Medicaid operates via a fee-for-service model, paying healthcare providers directly per rendered service, whereas Managed Medicaid contracts with private healthcare organizations that are paid a fixed amount per enrollee. Enrollees of Straight Medicaid have more flexibility in provider choice while Managed Medicaid enrollees must stick to providers within their assigned network.
By Khang T. Vuong, MHA
The most common reason for Medicaid cancellation and termination is a change in income, accounting for 60% of all cancellations. Other reasons include a change in residency, as Medicaid programs are state-specific, and changes in eligibility status like aging out or failing to re-enroll. The article notes that the continuous enrollment provision, which previously mandated states to retain individuals in Medicaid regardless of income or situational changes, ceased on March 31, 2023. This means that states can now disenroll individuals who no longer meet eligibility criteria, with most expected to do so by April 2023.
By Khang T. Vuong, MHA
Insurance brokers earn commissions, usually a percentage of the premium paid by the consumer, from insurance companies when a policy is sold. Commissions vary significantly depending on the type of insurance, with health insurance brokers earning between 4% to 6% and life insurance brokers earning between 7% to 15% on average. Commercial health insurance commissions differ based on the market (individual, small group, large group) and geographical location, with average individual market commissions across the U.S. at $170.76 per member per year.
By Khang T. Vuong, MHA
SEIU Union health insurance costs between $149-$254 for an individual and $482-$650 for a family of three. The plan covers a comprehensive list of services including medical, vision, dental, accident, etc. To become a member of SEIU and access its health plan, an individual must first be employed in a job or industry represented by SEIU in their region.
By Mira Research Team
The plan offers comprehensive health care benefits, including medical, surgical, mental health, and dental and vision services, and costs between $125-$250 per month. Qualifying for SAG-AFTRA Health Insurance involves meeting certain eligibility criteria including $26,470 in covered earnings and 102 days working per calendar year. Despite the comprehensive coverage, the complex eligibility criteria and high costs are significant drawbacks, potentially limiting the plan's accessibility. Reviews on Reddit are mixed, with negative comments regarding bad customer services and denied claims.
By Mira Research Team
Instead of traditional health insurance plans, small businesses can choose alternatives such as self-funded insurance, health reimbursement arrangements (HRAs), group health insurance captives, or using Mira to reduce costs while ensuring adequate healthcare coverage for employees. A combination of Mira and HRA can solve for both flexibility and lower healthcare costs for both employers and employees.
By Khang T. Vuong, MHA
Part-time employees and contractors eligibility for group health insurance plans depends on the size of the business, insurance company policies, and legal requirements. Such insurance provision can attract and retain employees for employers and provide affordable healthcare access for part-time employees and contractors. However, this can result in increased financial burdens and administrative complexities for employers and limited plan options for employees.
By Khang T. Vuong, MHA
HRAs are solely funded by employers and offer tax-free reimbursements for incurred medical expenses, FSAs allow employees to contribute a portion of their regular earnings for qualified expenses, and HSAs are personal savings accounts offering tax-free benefits for current and future qualified medical and retiree health expenses.
By Mira Research Team
Health Reimbursement Arrangements including the Individual Coverage Health Reimbursement Arrangement (ICHRA) and Qualified Small Employer Health Reimbursement Arrangements (QSEHRA) provide healthcare reimbursement options for businesses. ICHRAs are flexible, scalable, easy to administer, and available to businesses of any size but may lead to higher costs for some employees. QSEHRAs are less flexible, have caps on reimbursement amounts and only available to small businesses with less than 50 employees but are more predictable in cost management for both employers and employees.
By Khang T. Vuong, MHA