Health Insurance With Prescription Drug Coverage

Finding a suitable health insurance plan can be difficult for many consumers. However, obtaining reliable medical insurance with adequate prescription coverage requires even more due diligence. The problem lies in the fact that consumers taking several prescriptions are likely to have preexisting conditions or poor health. Poor health and/or several preexisting conditions may cause the insurance company to decline the application.

Assuming the potential insured is in moderately good health, he or she will have several health plans with rx coverage to choose from. Those under age 65 and in the individual and family market can choose from traditional plans and health savings accounts. And those above age 65 or on disability can choose from several prescription Part D insurance plans.

Prescriptions Coverage Tiers

Many plans cover generic drugs ($15 co-pay is most common) without the insured first reaching a predetermined deductible. Preferred name brand drugs and non-preferred name brand drugs usually have close to $25 and $50 co-pays respectively. However, in order to be eligible for the co-pay amount with name brand drugs, a predetermined deductible (not the policy deductible) will need to be met first. This amount is usually between $100 and $250 depending on the insurance carrier.

More recently, health carriers have also introduced a 4th tier. This tier usually includes the more expensive drugs or newer drugs that have just been approved. The insured will be responsible for a percentage of the cost of Tier 4 medications, usually 25%.

It should also be noted that many health insurance companies have a calendar year maximum in prescription benefit payouts. It is not uncommon for drug benefits to cease if the insured reaches $5000 in prescription benefits in a given year. However, some plans will allow, at an additional cost, a buy-up provision that has no maximum in yearly RX benefits.

Health Savings Accounts and Prescriptions

Typically, health insurance plans coupled with a health savings account will offer no prescription drug coverage until the policy deductible has been met. This is unlike the traditional plans described above in that traditional plans have prescription specific deductibles unrelated to the overall policy deductible. HSA plans will only provide drug coverage when the policy deductible has been met. Health savings account plans are advantageous for health consumers who are not worried about immediate drug coverage and who also want to keep their premiums low.

Group Health Insurance and RX Coverage

When a group is selecting a health insurance plan for their employees, the administrator will usually have three or more prescription options to couple with their group policy. A simple way to describe plan offerings in the group market is high, medium, and low. Companies wanting to offer the best drug coverage will select a "high" coverage plan for their employees. Of course, the better the plan, the more expensive it will be for the group. Agents specializing in group health insurance will be able to provide information and descriptions of the options available from various insurance carriers.

Medicare Part D Drug Coverage

Part D plans are the result of recent legislation from the federal government separating prescription coverage from Medicare and Medicare supplement insurance. There are several insurance carriers offering plans to consumers on Medicare and/or Medicare disability. Most companies offer three plans to choose from and each plan will have a different deductible and/or co-pay for generic and brand name drugs. Usually, consumers can use online software to determine which plan is best for them based on their prescription needs. In fact, allows consumers to compare plans with almost all carriers offering Part D coverage.

In summary, when consumers are most concerned with prescription drug coverage, it is best to compare several plans with a knowledgeable agent. Health polices can differ greatly in the amount of benefits provided, when the benefits begin, and when the insured has reached the maximum in benefits. Learning limitations on benefits and purchasing an appropriate plan can eliminate potential problems in the future. Contact us today for a health insurance quote including prescription drug coverage.


Best Health Insurance Plan

Health Insurance has gained high importance in the present scenario, since it safeguards health of you and your dependents against financial crisis arising on account of medical emergency. Basically, it covers the overall risk and emergencies of healthcare expenses and develops a regularized structure of finance such as a monthly premium or annual tax to the insurance company. This process ensures that money is available to pay for the healthcare benefits specified in the insurance agreement. It also includes insurance covering disability or long-term nursing or custodial healthcare needs. Therefore, having your health insured on a plan helps you to get timely coverage and better medical care while uninsured people tend to face delays in the times of urgency and receive inadequate health care.

Basic benefits covered in Health Insurance:

o Health Insurance is also known as Mediclaim or Medical Insurance. Some of the best Health Insurance companies cover the material consequences of a disease. The chief benefits paid by the Health Insurance companies include sickness coverage, hospital allowance and additional facilities that may differ per plan.

o In cases of severe accidents and surgeries, health insurers not only pay for the medical expenses but also take care of the hospitalization costs.

o Hospital charges consist of costs arising from the treatments taken in the particular hospital, which requires at least one night's stay in the respective hospital.

o At times, even those expenses are covered by the Insurance Company if by accident the concerned physician, doctor or a medical practitioner has given a wrong or incomplete treatment, therapy.

Guidelines to choose the best Health Insurance:

o The major concern while selecting a health insurance plan is the factor of the ability to afford.

o Health care plans that are reasonable yet provide maximum benefits become the utmost priority. Preferably, the plans that cover cashless hospitalization at numerous hospitals and healthcare centers provide quick options to buy or renew the plans online at your convenience and avail you with better services like tax benefits compared to other plans should be the topmost priority.

o It is true that people buy insurance for different reasons but some of the best health plans that comprehend the additional needs are of much significance. For instance, you may get free coupons that help you to save your money when you go for a health check-up.

o Also, there are certain benefits of expanding the coverage by renewing the plans. There is a belief that Medicare is easily accessible but it has certain barriers. Safety-net care from hospitals and clinics provides facilities to have such an access but cannot be a substitute for Health Insurance.

o Therefore, with health insurance you can be at peace since it provides you valuable coverage in cases of normal or extreme emergencies.


Tips to Finding Low Cost Health Insurance

While the idea of low cost health insurance may seem like one that is far out of reach, it can actually be found if you are ready to do a bit of homework on your own. Of course in order to find a great deal, first you need to decide what type of coverage you are going to need - fee for service, or managed care. Of course these low cost plans for health insurance are not to be confused with group health insurance plans that are often offered through employers. But if your employer does not offer a good health insurance program or any program at all, you need to find your own.

If you are looking for a good health insurance plan that won't break your budget, you'll find that there are a variety of factors that are influencing what you will pay. However, there are some things that you can do to change these factors, bringing down the amount you'll have to pay for your insurance.

Smart Health Choices That Can Help - Believe it or not, one of the main things that health insurance companies are going to be looking at is your health, and you need to make sure that your health is in great shape. Here are a few great health choices you can make to help you get the low cost health insurance that you need.

* Lower Your Weight - First of all, you'll find that health insurance companies are going to be looking at your weight when deciding on your premium, and losing weight can definitely help. Why? Well, usually people who are overweight end up dealing with more health problems, making them a higher risk. This higher risk will end up costing you on your premium. So, eating right and exercising can help you lose weight and lower what you'll have to pay for insurance.

* Stop Smoking - Yes, smoking can make you pay more for your health insurance. Smokers are more likely to deal with health problems as well, and you can expect to pay a significantly higher premium on your policy if you stop smoking and keep from smoking for an entire year.

Increase Your Deductible to Save - Another way that you can work on getting the low cost health insurance you want is to increase your deductible. The higher deductible you have, the more likely you are to save on your premium, but just remember that you'll have to pay that deductible at some point, so be sure you really can afford to pay it.

Comparing Plans to Save Money - One of the best things that you can do if you want to save money on your health insurance is to take some time and compare various health insurance plans. There are many types of plans and many different companies that offer them. So, make sure to take some time to compare these companies and their prices so you can get the best possible price.

These are just a few of the things that you can do to help make sure you get low cost health insurance. Staying healthy is important and good insurance can help you do this. Just make sure you follow these tips to make sure you're not paying a fortune for your coverage. Going with a brand name insurance company is probably going to cost you the most, but that does not guarantee better coverage, so don't eliminate other companies that you may have never heard of before.


Celtic Health Insurance Company of Arizona Review

Celtic Health Insurance Company of Arizona is one of the top health benefits provider in the AZ. The state of Arizona has many health insurance companies competing for customers within each of the counties. Although not many people have heard of this insurance company, Celtic continues to grow at a fast pace and people around the country are starting to be more and more familiar with it.

The company was founded in the year 1978 in the city of Chicago, Illinois. They started in the health care industry providing group and individual health plans along with life insurance. After realizing that they could not focus on those three types of insurance, they decided to stick with individual health insurance plans. Today they are one of the most prevalent health insurance companies for individual plans with over 900,000 members and is licensed in 49 out of the 50 U.S. states except for Hawaii. They provide coverage for individuals, children and families including plans that are comprehensive and affordable. Short-term plans and Health Savings Accounts compatible plans are also prominent within the Celtic Health Insurance Company.

All of their plans follow the Preferred Provider Organization (PPO) network of physicians and hospitals in which their members can receive services. They also have what is called a "Any Doc" PPO that gives you full insurance coverage with any health care provider. Although Celtic doesn't have millions of members like some of the "top dogs" insurance companies, they strive for excellence and for great customer service to help their members. It is due to this achievements that Celtic Health Company was rated A- (Excellent) by A.M. Best. The rating is giving to companies that meet the obligations and needs of their members.

Perhaps the best thing about Celtic and the thing that attracts members the most is the ease the company provides for enrollment. You will only have to answer a questionnaire and you will be covered for pre-existing conditions if and only if certain guidelines are met. If you have a pre-existing condition contact Celtic Health for more information. For all others looking into Celtic the qualifications are everything but strict. To qualify for Celtic coverage the insurer must be between the ages of 6 months and 64 ½ years of age and cannot be covered under any other health insurance plan. The applicant must be a United States citizen or a foreign resident that has been living legally in the country for at least 2 years. The only qualification for dependents is that they should be 6 weeks old or older.

Within the state of Arizona Celtic Health Insurance offers five types of plans and within those plans there are subdivisions based on the amount of deductible a person wants in their coverage and the co-insurance and copays they want to pay when using the services. All six plans will be described in detail below with the different options in deductible, copays and co-insurance coverage.

CeltiCare II Select PPO Plan: This plan is a physician and hospital PPO plan for members between the ages of 6 months and 64 ½ years old. The calendar year deductibles for this plans are $500, $1000, $1500, $2500 and $5000, with out-of-pocket maximums of $2500, $3000, $3500, $4500 and $7000 respectively. You have a maximum of six visits to the doctor per calendar year; each of them will be $15. If you happen to go for a seventh visit you will pay full price and that money will be discounted from your deductible.

Laboratory fees and x-rays are paid 100% unless they go past $200, then you will have to pay full price subject to deductible. Prescription drugs are divided into three tiers, but before you get the actual prices you will be subject to a $500 deductible. After this deductible you will pay $20 for generic, $40 for brand name and $75 for specialty. You will have to pay $250 in addition to your yearly deductible if you go to the emergency room; however the fee is cancelled if you are admitted. Lastly, for inpatient care your hospital is covered up to 4 times in a calendar year. It is important to note that you have the choice to go out of network, but you will have a $1500 annual deductible.

CeltiCare II "Any Doc" PPO Plan: This plan is an any physician-hospital PPO for member between the ages of 6 months to 64 ½ years old. The annual plan deductibles for this plan include $500, $1000, $1500, $2500 and $5000 with out-of-pocket maximums of $2500, $3000, $3500, $4500 and $7000 respectively. You will have six visits to the doctor per calendar year and each of them will be $35. In the case that you want to go for a seventh visit you will have to be subject to your deductible (pay full price). Labs and X-rays are the same as the previous plan and are paid 100% until you exceed 200. The prescription drugs are $20 generic, $40 brand name and $75 specialty and emergency room fees are $250 if you are not admitted. Inpatient care is covered up to 4 visits per year and if you go out of network you will have another $1500 deductible.

CeltiCare II Managed Indemnity Plan: This plan has no network requirements meaning that you can go anywhere you want and the cost for your services will be the same. The age requirements for this plan are the same as the other (between 6 months and 64 ½ years old). Deductibles for this plan are as follows: $500, $1000, $1500, $2500 and $5000 with out-of-pocket maximums of $2500, $3000, $3500, $4500 and $7000. Outpatient and Preventive office visits will cost you full price and prescription coverage is divided into three with generic drugs being $20, Brand name medications $40 and specialty medications are $75. Inpatient care is covered up to 4 visits per year and the emergency room fee is $250 if you are not admitted to the hospital.

The three plans mentioned above allow you to add options according to the type of medical coverage that you need. Those options include a prescription option that allows you to pay no deductible for generic and only a $100 deductible for brand name and specialty medications, the CeltiCare II Plus Option that allows the person to add preventive care and supplemental accident to the policy; and finally a term life insurance option.

Celtic Basic Health Plan: This plan operates within the physical and hospital PPO network and is available for people between the ages of 6 months and 64 ½ years old. Deductibles offered are $1500, $2500 and $5000, but an additional $1500 in deductible will be added if you want to go out of network. You will have 2 doctor visits per year for the cost of $30 each and then you pay full price until meeting deductible. Labs and x-rays are also charged full price until you meet the deductible and you will also have to pay a fee of $250 every time you go to the emergency room if you are not admitted. For hospital care you will have to pay a $500 deductible per admission and you will have to pay $1000 deductible on prescription medications. It is also important to mention that the drugs are divided into the frequent three tiers and you will pay $25 for generic, a 35% co-insurance for brand name and 50% co-insurance for specialty. This plan also offers preventive care, rehabilitation services and home health care.

CelticSaver HSA Health Plan: These plan operates in two different networks, a managed indemnity and a PPO with the age of members between 18 and 64 ½ year of age. Deductibles for individuals under this plan are $1500, $2600 and $5000 with the family deductible being doubled. Non-preventive office visits are covered after the deductible is met as well as prescription medications. The emergency room fee is that of $250 if you are not admitted and the plan includes preventive eye care up to $50 dollars, psychiatric care up to $2500 per person and manipulative theory up to $500 per calendar year. Inpatient intensive hospital care is covered up to 4 visits per calendar year and the plan also included home health care for those people that need it.

As you can see Celtic specializes on individual plans and they have managed to put together some of the best plans for people within the state of Arizona. If you decide that Celtic Health Insurance is the right one for you, then you can call your local Celtic Sales Office or speak to a licensed Celtic Arizona health insurance agent.


Personal Health Insurance Information - Everything You Want to Know

Health insurance is very important to one and all. But, selecting the right health insurance is quite burdensome especially for people who do not understand the terminologies that are attached to it and do not know how to choose the right insurance plan for themselves. You can become aware of all the terms associated with health insurance which can make the task of getting health insurance easier. The best way to go is to talk to an insurance advisor with your health insurance company. Alternatively, you can search the internet for information to know all you want on health insurance.

Naturally, you would believe that whatever you want to know about health insurance will be told to you by the insurance experts with the insurance company. The right way to go about doing this is to call up the insurance company and have a talk with the insurance experts and ask any questions you might have on health insurance. Their job is to come to your help and answer your questions. If for any reasons, the experts are not very forthcoming in answering your queries think how much of help they will be when it will come to making a claim. So, it is best not to choose a company who will not give you the time to answering any of your queries. If your health insurance is being covered through the company where you work, there will be a dedicated person known as a "benefits administrator" from the insurance company to answer your queries.

If you have general queries or have any trouble understanding the terminology of health insurance, you can even search the internet for appropriate answers. This can be a suitable alternative to understanding health insurance instead of calling your insurance company with small queries as and when they arise. There might be some important information you failed to notice as you scanned through the information provided with your policy. You can even access the internet and check out the insurance company's website and go through the information provided there which might by itself clear many of your doubts. But, it is best to read through all the information provided with your policy to understand the specific details concerning your insurance plan.

The internet is a huge source for information and you can find limitless information concerning your doubts and find suitable answers to them. You also have the liberty to place a call to the insurance company and get in touch with the person in charge of handling queries and try to get the answers to your satisfaction. But, researching the internet is helpful in answering and understanding the in and out of health insurance and this source can be accessed at any point of time, be it the day or night. Researching and thoroughly understanding everything about health insurance can drive away any doubts about health insurance and make you better informed towards making the right choice about anything related to your health insurance.


Roadmap to the Health Insurance Landscape - Finding the Right Guide

The health insurance landscape is as complicated as the Chicago Loop during construction season. It's full of twists and turns, detours and diversions, all designed to confuse and confound the casual driver. But you don't have to be a timid and vulnerable driver. The difference between being lost and being on point is a matter of having an up to date, concise, and understandable guide. The health insurance landscape can be negotiated with confidence by having a guide who can provide "turn by turn" directions to finding the right health insurance to meet all your needs.

Insurance companies maintain much of their power by keeping the consumer confused by exclusions, limitations, and a myriad of difficult to define terms. The average consumer, trying to choose a carrier and policy, finds the challenge of understanding policy language both anxiety provoking and threatening. But there is a way to simplify the process and bring the complex landscape of insurance coverage into perspective.

A qualified insurance specialist can help you through the complex language, specifications, and terms of insurance documents and policies. With a wealth of experience and training behind them, the specialist can be the difference between having over priced and unsuitable coverage and a policy that meets your needs at the best rate available. How many of us go to a automobile dealership to choose a used car without the input of a trusted mechanic? How many of us start out on a cross country trip without a roadmap? Finding health insurance, like many things in life, requires guidance and a degree of trust. Your insurance specialist can provide that guidance and, with time and commitment, answer that need for trust and confidence.

Choosing your insurance specialist carefully is job one for the consumer. Be sure to review your specialist's credentials, paying specific attention to their experience and association with a variety of insurance products. The broader the scope of their experience the better advice they can provide. But don't expect a specialist in auto insurance to be the best advisor in health insurance. The reverse is also true-insuring your car or home is a world different from insuring the health care coverage of you and your family.

The right insurance specialist for you is one that has built a career in the successful sale and administration of a variety of insurance products with a wide selection of carriers. But they are also good listeners who can help you determine your needs and priorities. You can't get directions to get somewhere unless you know where you're going. The right insurance specialist can listen to your concerns, the specifics of your family's needs, and your financial capabilities with respect to how they impact your health insurance requirements. Always plan on a lengthy interview with a prospective specialist and don't walk away until all your questions have been answered. A good specialist will be able to explain the complexities of health insurance in terms that you can understand and absorb.

The right health insurance specialist will be able to calm your fears about health insurance and you'll finally get some sleep knowing that someone who understands you, your needs, and your constraints is actively searching out health insurance solutions for you and your family. It is amazing how far you can get with the right guide who knows the lay of the land and all the short cuts to your destination. Like so many things in life-all it takes is the right guide.