In today's economy, there is very little job security. Unfortunately, one of the secondary effects of losing your job is that you lose your health coverage as well. Thankfully there are programs in place that can extend your health coverage for up to 18 months following a termination, career change, or even retirement.
COBRA insurance was enacted into a law to protect you from losing your healthcare in scenarios such as getting fired or laid off. Officially known as the Consolidation Omnibus Budget Reconciliation Act, it is designed to provide medical insurance coverage for employees and their families even after they've severed ties with their employer. People must also understand that COBRA is a law, not an insurance package.
Before COBRA medical insurance was enacted to cover medical needs of terminated employees, the group health plans of terminated workers and those who changed employers were immediately cancelled. With the advent of COBRA insurance, employees who have been fired or laid off will receive 18 months of medical coverage of the same health insurance policies their employers gave them.
However, the benefits of COBRA medical insurance are available only as a group plan and not as individual health coverage. You need to be a part of a health plan group of 20 or more employees for you to be eligible to apply for COBRA medical insurance policies.
The Price of COBRA Health Insurance
The price of a COBRA policy is also significantly higher than the total price of the medical insurance policy bought by your employer. The total cost of a COBRA insurance package is the total amount of your group healthcare plan plus 2% administrative fees. COBRA is more expensive than other group plans, but also provides peace of mind knowing that your family or individual health coverage plan is extended to cover you or your family in case of emergencies or severe health issues.
What makes COBRA unique from other forms of medical and health insurance plans is that COBRA will continue to cover any pre-existing medical conditions that were approved and covered by your original health plan. If you happen to be afflicted with a medical condition, COBRA will cover these conditions. Other health insurance providers may not cover pre-existing conditions, potentially leaving major conditions to go untreated.
Why COBRA is a Wise Choice
There are many reasons why applying for COBRA is a wise decision. Apart from the fact that you are medically insured and covered for a period of 18 months after leaving your job, you can maintain all the benefits you once received from the same health plan insurer you had before you left your job. As mentioned before, COBRA covers any pre-existing or recent medical problems, which may not be the case with other health insurance companies.
If you lose your job and rely heavily on your health insurance plan for sharing the cost of expensive medications, applying for a COBRA policy is an excellent choice. COBRA covers the cost of prescription drugs, as well as other services such as maternity benefits and accident insurance.
Since many individuals cannot afford the COBRA option offered by their employers, there are COBRA alternatives that are designed for people who are in good health and with no pre-existing medical condition and do not need to take expensive medication. These alternatives come in the form of individual and family health plans.
While COBRA provides an opportunity for individuals to retain health care insurance, individual health coverage plans are much more reasonable as it pertains to cost.
The best thing you can do is to research your health insurance coverage options before you decide on the best health plan. It is important to make a wise decision since this health plan may be with you for a while!
Certificate Of Health Insurance
A POS or Point of Service plan is kind of like an HMO and PPO combined type health care plan. You have more flexibility than a regular HMO, but pay a smaller fee and deducible than a PPO. It is perfect for those people who need more flexibility but want to pay less. You will be asked to select a general provider that is off the list of acceptable doctors. This will be your primary care physician and he or she will be the one to manage what care you receive. He or she will direct you to specialist and hospitals as needed that are also participants in the plan. Usually there are many providers from each specialization to choose from and typically covers a wide geographic area. With this type of policy, you will not have a large deducible if any, and still have a minimal co-pay on visits and prescriptions. Of course, this is if you stick with the preferred providers list. You also may want to make sure what drugs are covered under this plan and if you have to pay more for newer on not generic medications. Some doctors don't think about what kind of insurance you have when writing out the prescription and you need to remind him or her if you are only allowed to buy generic to be covered.
You will also have a choice to see out-of-network providers when you need a specialist and they are not on the list. Most POS plans require you get a doctor's referral prior to seeing another doctor or specialist. Once referred to a specialist within the network, you will have to be prepared to pay more. If you choose to do this, you will be billed directly and must submit the claim to the insurance company your self. Your insurance company will pay their flat rate for whatever you had done and you will be responsible for the rest. You may also be responsible at the time of service to pay the entire amount and wait to be reimbursed your self from your insurance. If you chose to see a specialist on you own, the cost will be higher and around 50% if you were not referred. You will be required to pay a higher amount if you go out-of-network. So in essence, you have the right to see whom you chose, but at your own expense. The POS plan will only pay their flat rate for specific medical issues and not above it, unless it is an emergency situation. Many people like the idea of having more say in their health care choices, while others care more about saving money and don't care who they go to. What you chose will depend on what you personally want and what is more important.
The emphasis on this plan is prevention of illness or disease to cut the cost to both the individual and the insurer. Most other plans such as HMOs and PPOs have the same basic emphasis. You are encouraged to take an active roll in your health and do what it takes to remain not sick and disease free for as long as possible. The idea is to see the doctor less so both you and your carrier together spends less money. The idea with this plan is that if you have to put more money into your health care you will think twice at whether or not you really need to go. If you want to waist the insurance companies money you have to waist your own too to do it. Medical insurance companies are in business to make money, they want you to stay healthy so they can collect your premium and not have to pay it out to the health care provider. So, for those people who do not want to pay as high as a monthly premium tends to opt for this type of health insurance plan. This one will ensure a low rate with out having to worry about huge deductibles or co-pays if used more like an HMO. So, if you think that this sound like something you are interested in, talk to several different companies and get some policies to look at. Make sure to look at what is covered as well as the price. Do a little research in the various insurance policies that are available. The one that you need to pick will depend on your priorities.
Both Jennifer Hrycyk & Lorna Findlay are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Jennifer Hrycyk has sinced written about articles on various topics from Health Insurance, Insurance. Jennifer Hrycyk is the marketing manager of TheHealthQuote.com, a leader in providing quotes for family and . She has years of experience r. Jennifer Hrycyk's top article generates over 480 views. to your Favourites.
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