Archive for April 27th, 2009

The rising unemployment rate is causing not just job loss but also the loss of valuable health insurance coverage for many people. In response, the federal government has enacted new legislation to help with COBRA coverage as well as state aid to families with children.

Changes to COBRA

COBRA stands for the Consolidated Omnibus Reconciliation Act of 1986. Under COBRA, if you worked for a company that had more than 20 employees, then you are able to continue on the group health insurance plan for as much as 18 months. The downside of COBRA is that it can be quite expensive. In most states, recipients report that COBRA payments account for more than 75% of their unemployment benefit. However, under the recently passed Economic Stimulus Package, you could be eligible for assistance with 65% of your COBRA premium.

To qualify for the program you must have lost your job between September 1, 2008 and December 31, 2009. Your income must be less than $125,000 for an individual and less than $250,000 a year for a family. If you did not take advantage of COBRA initially, you can still sign up for it. If you did sign up for COBRA coverage, you won’t get any money back for the premiums you have already paid, but you will be eligible for assistance from the point after the law has taken effect. Under the new law you will pay 35% of the premium, and the government pays the other 65%. Your assistance could continue for as much as nine months.

State Children’s Health Insurance Program

Another measure the federal government has taken recently to help people with health insurance coverage is to expand the State Children’s Health Insurance Program or SCHIP. The law will provide $32 billion to the program over the next five years and expand coverage to from 7 to 11 million children. SCHIP is designed to provide health care coverage for children up to age 19 and pregnant women, in families whose income is low, but not low enough to qualify for Medicaid. A portion of the funding will come from an increase in the tax on cigarettes.

Under SCHIP, the federal government provides the states with matching funds to provide health care for families with children. To qualify, families could earn only up to 200% of the poverty level. Under the new law, families can earn up to 300% of the poverty level and still qualify for SCHIP. Each state has set up their program differently, so programs can vary from state to state.

If you find yourself out of a job and out of health insurance, two recent measures by the federal government may provide some assistance. The first are changes to the COBRA program in which the government could pick up to 65% of the cost of your health insurance premium. The other is the expansion of the State Children’s Health Insurance Program. Either of these options could provide short-term assistance with health insurance coverage.

Lap band surgery can be the last resort for achieving weight loss for someone who is suffering from morbid obesity. It is indeed a tough decision to make due to the expensive surgery cost - $25000 for a successful surgery. Despite its cost, additional overheads associated with the post surgery treatment may increase the cost further.

In fact, there are some insurance companies that cover this particular weight loss surgery and thus, it has proven to be an advantage for those seeking such a surgery without having to bear this expensive cost of this surgery.

For individuals who neither have the means to finance their lap band surgery nor have a health insurance - are the ones often seek for various options from health insurance companies. There are portfolios for such individuals. As long as they meet the various criterion that are set by health insurance companies, they would be entitled to getting their surgery sponsored (or co sponsored).

There are many people who meet the eligibility criteria for Medicaid insurance schemes being operated by different health insurance companies. Such schemes usually cover most of the expenses related to their medical care. Sometimes, you would need to share the expenses, while at other times, the company might finance for all your expenses (with terms and conditions applied).

Applicant’s age (you need to be over 65 years in age), disabilities, income (needs to be below a certain limit) and citizenship are the parameters which are considered by health insurance companies during the evaluation of the claims of the applicants.