Avoiding Insurance Fraud

Everyone knows that the health insurance industry is continually raising monthly premiums, and many feel this is unjust to you as the consumer. However, the health insurance industry has had to fight increasing health insurance fraud. The amount of money spent on investigating and prosecuting fraud is then passed on to policyholders. Many people do not understand what health insurance fraud entails, though. With reports estimating health insurance fraud is a $30 billion to over $100 billion industry per year, the topic should not be taken lightly. Every health insurance policyholder should understand what health insurance fraud is and its consequences. By doing so, you are more able to recognize and fight fraud.

Health insurance fraud is typically defined as intentionally deceiving, misrepresenting, or concealing information to receive benefits from the insurance company. Essentially this means that you assert that you paid for certain medical procedures or expenses out-of-pocket which you have not actually received, and you are submitting claims to the insurance company to receive reimbursement. Another example of member fraud is to conceal pre-existing conditions or to alter medical documents so that non-policyholders or ineligible members receive medical benefits under your policy. Perhaps your sister does not have insurance and needs medical attention. Having her use your name and policy to cover the expenses is health insurance fraud. While you may think that this is a small issue in comparison to your sister receiving treatment, it is actually very serious to your health insurance company and industry, and will result in fines and possible imprisonment if your are caught.

Not only policyholders commit fraud, but providers (physicians, hospitals, etc.) do as well. Since physicians and hospitals bill the insurance company for services they provide for you, they are also receiving reimbursement from the insurance company. When providers commit fraud, they may be billing the insurance company at higher rates for services rendered or they may bill for services you never received. In these cases, you will probably be asked to cooperate in the insurance company’s investigation.

Another type of health insurance fraud that has developed recently targets the policyholder more than the insurance company. Schemes have developed where fake insurance companies or agents sign unsuspecting customers for coverage at surprisingly low premium rates. They often act much like a regular insurance company for the first few months, paying for smaller medical claims like physicians visits. But once you have a more serious medical condition that needs treatment, the insurance company will disappear – along with the money you have been paying in premiums.

The rule with health insurance fraud is much like that of any other scam: if a deal seems too good to be true, just remember – it probably is. Remember to be honest in your dealings with health insurance companies and expect the same in the return from these companies, as well as your health care providers. Stay legal to avoid fines and prison and to continue receiving health insurance coverage.

Traveling Alternative Roads

Health insurance can be expensive if you are not lucky enough to have it provided by your employer. Even shopping around for the best quotes may not be within your budget. Luckily there are alternatives to health insurance that you can take advantage of so that you and your family will be safe even if an emergency situation comes up. You can apply for the prescription discount card program, which is a low monthly cost and works at most of the of corporation drug stores that we all use. There are also programs that give you health care but are not considered “health insurance”.

The prescription discount card is great for anyone who has regular prescriptions that need to be filled over a long period of time. The cost of prescriptions without insurance is high and always rising. If you cannot afford health insurance, there is no way that buying these full priced prescriptions will come without difficulty. You can enroll in a discount card program on the Internet or you can call around to try and find one locally. The reported savings for each person is estimated to be at least 50%, and some programs will enroll you for under $5 a month.

Health care programs are another popular alternative to expensive health insurance. BeniCard, for example, is a highly acclaimed health care program, and for a small monthly fee, you can have your immediate family covered. You will not be turned down because there is no limit to who is eligible, even if you have a pre-existing condition. It is not health insurance, but you will be able to save money on doctor visits, vision and hearing care, dental services, and prescription drugs. This is just one of the programs that can help you if you cannot get health insurance due to expense or because you have been turned down due to an illness.

No one should go without health care of some sort. Prescriptions are extremely costly without insurance, and if you or someone in your family has an emergency health situation, you could be left with a large debt for years. Insurance companies are hesitant to accept anyone with a pre-existing illness because it will definitely cost them plenty of money. For anyone who has been turned down for health insurance or simply cannot afford to pay a deductible, health care programs and prescription discounts are a low-cost alternative that could save you money.

Insurance When You are Getting Married

Health insurance providers are not created equal. Before a couple is married, the option of sharing coverage is extremely unusual unless one of your insurers offers domestic partner insurance. As you become engaged, if you both have separate insurance it is important to talk about the both of you switching to the better plan once you are married. There are a few factors consider, which include deductibles, co-payments, and the benefits of each separate plan. Marriage is a big step, and it can be done with ease if the two of you settle important decisions such as your health insurance plan before you take the big leap.

Your deductible is the amount you must pay each year to start your policy. Once this payment is made you will be responsible for whatever amount of co-payment your insurance company requires for you to pay for the health expenses that are covered in your particular policy. The amount of co-payments that you will be responsible for is established at the time you agree to your health insurance policy. It is going to be a certain percentage of health expenses; for instance, you pay 10% while your insurer will be paying the other 90%. You and your fiancé should compare both of your plans and figure out which deductible and co-payment plan seems most appropriate for the two of you.

Married couples are usually eligible for certain benefits that unmarried couples are not. Being insured separately by the health care provider sponsored by your employers may no longer be the most beneficial option for you. If you or your fiancé has insurance, and the other does not, once the two of you are married they can be added to the other partner’s plan. Cost of adding an additional person is definitely something that should be examined. You should not be required to pay more for adding a spouse or even a child in the future because most plans are offered to immediate family at no extra cost. The best way to compare policies is to estimate a yearly amount of normal health expenses, emergencies, co-payments, and deductibles. Whichever plan has the lowest cost to you will almost always be the best choice.

In addition to sharing health insurance with your new spouse, you may also want to consider switching the rest of your insurance plans, such as the policies you have for your separate automobiles. This is because most companies will give you a discount on having more than one vehicle insured. You may also be interested in finding a company that can insure you home, automobile, and health in one place. If you carry more than one policy with a company, they will also usually give you some sort of discount on them. It is important to sit down and discuss insurance with your fiancé because the two of you could be saving money and stress by figuring out what decision is best before the time comes.

Winter Eye Problems

During winter, the weather is colder and windier and this can really dry the eyes, but also when you try to warm up by using heat, such as a blower heater or central heating, this can also dry out the eyes. Some easy tips to help combat this problem is to use artificial tear drops to keep your eyes hydrated throughout the day, drinking plenty of water, and even warm soup, will keep your body and eyes hydrated. Also try to avoid direct heat, especially heat that is blowing directly in your face, like car heaters for example, try to direct the airflow away from your face. If it is a windy day you can use glasses or goggles to help protect your eyes from the wind directly drying out your eyes. If you already suffer from dry eyes it is always a good idea to speak to your ophthalmologist if you are struggling in the winter months, as they will advise what else you can do to keep on top of your dry eyes during winter.

Tearing Eyes

Apart from winter weather drying out your eyes, the cold weather can also make your eyes over produce tears which can be very annoying and can make vision blurry. The best thing to help with this is to wear glasses, goggles, or sunglasses when outside to avoid the wind causing watery eyes. Also, if you are wiping your eyes to get rid of the tears make sure you use clean tissues or cloths to avoid infection. Excessive tearing eyes can also be caused by other factors such as infection, blocked tear duct, or surprisingly dry eyes, so if you are concerned make an appointment with your eye clinic or opticians so they can check it out.

Tired Eyes

The winter months are darker and natural light is less which can make certain tasks more difficult, reading and writing for example. Straining your eyes to see in lower light can cause eyestrain making your eyes feel tired quicker than usual. To help avoid this try having a lamp on when carrying out close work and if you require glasses to see well, make sure you wear them to avoid overstraining your eyes.

Light Sensitive Eyes

The sun tends to be lower in the sky during winter and this can cause difficulty seeing, especially when driving, light sensitivity, and damage caused by UV rays. Try to make a habit of not only wearing sunglasses in the summer, but also the winter. If you drive, keep a spare pair of sunglasses in your car so you are always prepared for the low, bright sun. Sunglasses also protect your eyes from the sun’s harmful UV rays which can contribute to many eye issues, such as cataracts. Make sure your sunglasses are 100% UVA and UVB protected.

Red Eyes

Red eyes can be a sign of many things, such as tiredness, dryness, blurry vision, over tearing, infection, and inflammation. Winter weather can cause eye redness due to many of these factors but also it can be caused from the sunlight either directly or from being reflected on snow for example. This can lead to inflammation of the cornea causing the red eyes, therefore this is another reason why wearing sunglasses or snow goggles is so important in winter.

Three Types Of Homes For Sale

Indeed, even in the present retreat economy, the American long for homeownership has not blurred. Youthful experts, love birds and families are basically discovering elective approaches to accomplish their home advances and homeownership. The most ideal approach is to put something aside for a generous initial installment and have exceptional acknowledge to help for the financing cost of the home credit. In any case, numerous home searchers are not ready to spare the way they once could with a specific end goal to make that considerable up front installment. What’s more, numerous home searchers have needed to make penances with their credit lines so as to keep up installments on their month to month charges and to survive the average cost for basic items in their general vicinity. Also, in that, they may need to migrate either interstate or intrastate for tried and true work and better prospects in the homes available to be purchased. Contingent on the area, land might be in the motion of a purchaser’s market or a merchant’s market. Be that as it may, even in a moving business sector, there are three primary kinds of homes available to be purchased. The standard, or “value” deal, the bank possessed deal and the short deal are largely determinants of the exchange of proprietorship starting with one gathering then onto the next.

As the economy proceeds on a way to recuperation, numerous home purchasers are looking for the best arrangements for their cash, regardless of whether they have a huge funds or not, they need to get the most out of the accessible homes available to be purchased. A standout amongst other choices for the economical homebuyer is to investigate the short deal. It isn’t bank claimed or being dispossessed. It is the point at which the mortgage holder is endeavoring to offer the property at a focused cost, as opposed to what they in reality still owe on the property. Their owed cost may reflect contracts taken out against the property and will mirror the move in showcase valuing. The drawback is that the merchant, purchaser and lender(s) must go to an assention, which can drag out the way toward shutting. The name can be misdirecting if not explored altogether. Then again, a more adaptable alternative is the bank possessed or REO (land claimed) deal. These are abandonments, so the purchaser just shows the offer to the loan specialist. The upside is the exceedingly aggressive estimating. Be that as it may, the drawback is twofold. One, offering can get aggressive and, two, the house is probably going to have been disregarded as far as upkeep amid past possession or maintained harms amid the exit of the past proprietor.

Finally, there is the slightest financially helpful alternative, which is the standard deal that arranges straightforwardly with the property holder. It requires the most limited measure of investment to arrange and close. The property holders are fit for adaptability in home repairs upon assessment and notwithstanding helping with shutting costs, yet they decide the cost and the room the purchaser needs to arrange or they can proceed onward to another purchaser. Despite the choice a homebuyer needs to pick in light of his or her budgetary state. There are advantages and downsides to each of the three choices. It is up to the purchasers to either sit tight for more good economic situations or acknowledge the result of their choices today.

Health Insurance and Retirement

Health insurance for retirees or senior citizens can be confusing, especially with so many options and requirements. However, health insurance is crucial for retirees. As you grow older, your health obviously becomes more of an issue; you may visit the doctor more, need to fill more prescriptions, or even receive in-home care. Before you retire, prepare for health insurance to ensure that you receive the best benefits.

The first step in planning your health insurance coverage in your retirement is to see if your employer offers insurance coverage after you retire. If the company does, you should certainly consider it. Look at the plan, the deductible, and the coverage. Many near-retirees believe that Medicare will cover their medical payments, but this is not always the case. With this sort of coverage, you will most likely receive better health care but at a more expensive cost. As a retiree, you will certainly have a health insurance budget to maintain, and you will have to decide if the cost of your employer’s insurance is too expensive.

If your employer does not offer coverage, Medicare will be an important and integral part of your health insurance if you are 65 years of age or older. Medicare works like traditional health insurance plans in that you have been contributing a small portion of every paycheck you earn into this plan. Once Medicare begins, you will make co-payments for office visits or treatment. Medicare will also cover the expense of certain medical equipment or needs.

However, Medicare did not cover a number of items that are typical of health insurance. The government recently updated Medicare and divided it into three parts: Part A, B, and C. Part A covers hospital care, such as home health care, hospital stays, and hospice care. This part does not require a premium. Part B covers the more routine medical expenses, such as office visits and laboratory tests, while Part C enrolls you into a fee-for-service or managed care plan that reduces your out-of-pocket costs. Despite these different options, Medicare restricts your coverage by not covering certain kinds of care or illnesses and diseases. Thus, there is also Medigap coverage, which helps fill in the gaps in health insurance that Medicare leaves. Medigap coverage differs from state to state and has different payments.

Beyond Medicare and Medigap, there are also long-term care insurance plans that you can buy. You often see these plans advertised on the television at very low prices. These plans can help cover the costs of a nursing home or home health care. With so many different options and limitations, if you are retiring soon, you should take a look at your budget and what you can afford as well as what sort of coverage you feel you will need.