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Health Insurance Providers Article

Puzzled by Your Insurance Coverage? Let's OverHall the Pieces!
Janet L. Hall

Puzzled by Your Insurance Coverage? Let's OverHall the Pieces!
by: Janet L. Hall
(A special note to those of you that live outside of the United States. It would be
impossible for me to try and cover all types of health insurance and coverage that
is offered around the world. I do hope this article will help guide you as to what
you should be looking for in your area of the world when it comes to health

Health insurance, you either have it or you don't. But wait a minute. Even if you
have health insurance you might not have it, meaning, you might not have the
coverage you'll need for your particular illness or injury.

If you work for a company, chances are they offer what I like to call * boiler plate
insurance *. Take it or leave it. If youíre self-employed, chances are you can get
the coverage you want but you also end up paying * big time * for it if you don't
understand the products and options available in the market place.

A friend told me about a female executive she had met who knew nothing about
her family's insurance coverage because her husband handled all * that *. She
woke him up one night asking him if their insurance covered them if they should
get Alzheimer's.

He tells her, "Yeah, weíre covered, go back to sleep and stop worrying."

But she wasn't so sure if he really knew and thought she had better find out
exactly what their insurance covered.

What exactly does your insurance cover? More importantly, what DOESN'T IT
COVER? You need to know and understand what your plan covers BEFORE
you need to use your insurance.

I don't claim to be an insurance person but I have done some research and here
is a sampling of what I have discovered.

You've got PPOs, POSs, HMOs, and COBRA. You've got Indemnity or Fee-for-
Service plans and Government run plans such as Medicare, Medigap or
Medicaid. Then there's Disability, Hospital Indemnity, Long-Term Care, and
Nursing Home Plans. Let's not forget Dental and Vision!

You want and need to have health insurance to protect yourself and loved ones
from financial disaster if you or they should fall into an illness or injury!

So I'm writing to urge you to get out your health insurance policies and take a
good look at them. See if your policies need an * OverHall *. Call the provider if
you don't understand something or you have a question.

Get the family together for an hour or so and talk about the coverage you
currently have and write down any questions that come up.

Listed below are several questions and answers I came up with:
1. Do you have a choice in the type of plan?

2. Should both spouses carry their company's plan or just one plan?

3. Which is the best plan for you?
Find out your family's health history to help you determine what type of coverage
you should be looking at.

4. Should you get or be concerned about Long-Term Health Care?
Depends on your family history and your finances. It is suggested that you
should start thinking about this type of insurance when you are in your 40's.
However, the premiums are lower the younger you are. Also, check with your
accountant about this type of insurance as the premium cost * could be a
possible * deduction on your Federal Tax Form.

5. What about Disability Insurance?
This is also know as Income Replacement Insurance if you should become
disabled (NOT the same as Worker's Compensation if you get injured on the job).

6. Should I get a Medical IRA?

7. Are there any Federal Laws concerning Health Insurance?
Yes! Let me list but two:

a. Employers with 25 or more workers are required to offer employees the
chance to enroll in an HMO.

b. COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) requires if
the business you work for has 20 or more employees and you leave your job or
are laid off that you can continue to get health coverage for at least 18 months.

If you donít have insurance, find out if you qualify for any state or government run
plans or do some research to find out what type of insurance you need and can

The best site on the internet I found while researching health insurance is by the
Agency for Healthcare Research and Quality (formerly know as the Agency for
Health Care Policy and Research). On their site you can find a 14 page article,
* Checkup on Health Care Insurance Choices * that includes a checklist and a
worksheet for you to use. Click on

They also have a very informative article, * Choosing and Using a Health Plan *

As you can see, there are a lot of pieces to the insurance puzzle. Now it's up to
you to take the time, make the time, to find all the pieces you and your family
need to complete this * crazy * puzzle!

The Organizing Wizard, Janet L. Hall, is a Professional
Organizer, Speaker, and Author of 'Secrets of a Professional Organizer and How-To Become One.' She is the owner of
OverHall Consulting and Organizing By Phone. Subscribe to
her FREE organizing newsletter at or visit
her web site at

Copyright ( c ) 1999, 2000, 2001 by OverHall Consulting
P.O. Box 263, Port Republic, MD 20676
All Rights Reserved. Permission is granted to reproduce, copy, or distribute so
long as this copyright notice and full information about contacting the author is

About the Author

The Organizing Wizard, Janet L. Hall, is a Professional
Organizer, Speaker, and Author of 'Secrets of a Professional Organizer and How-To Become One.' She is the owner of
OverHall Consulting and Organizing By Phone. Subscribe to
her FREE organizing newsletter at or visit
her web site at

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