Be Careful When Shopping For Health Insurance Online

Without a doubt the Internet has made life much easier for consumers, especially when trying to obtain the best deals when shopping for health insurance online. The ease of use and the ability to quickly compare the offers from competing health insurance providers makes it almost to fast and hassle free to purchase health insurance online. However, there are some important facts, questions and answers you or any consumer searching for an online health insurance provider should research before quickly making a decision that could lock you into a health insurance policy that may not be right for you.

Health insurance like most other insurance products and services contains a variety or jargon and terms that you should become intimately familiar with prior to signing up for a policy or health insurance plan that you may have found online. Most, in fact almost all, health insurance companies will require you to partake in a physical before they consider underwriting you for a policy. Basically, this underwriting process consists of your taking a physical, which the insurance company then verifies against the information you filled out on their application for accuracy. The reason for this full disclosure is so that the health insurance provider can determine the rate or premium they will charge you for your health insurance coverage and it’s also for your protection so that the insurance company cannot refuse you treatment for a condition at a later time. In some minor cases when obtaining health insurance online you may not have your information verified against the actual physical.

As mentioned above, when searching for health insurance online there is a chance that some insurance providers will not do their due diligence in the beginning (comparing your physical to your completed application or questionnaire) and will instead play the odds that you won’t get sick, injured or suffer some other health catastrophe. In the event that you do get ill and need their services they will then scrutinize your records with the hopes of finding a reason not to pay your health insurance related claims. If for some reason they find what they consider a valid discrepancy they may then attempt to not pay your claim or cancel your health insurance completely. Remember, this is not all insurance companies just a extremely small percentage that may do this practice or tactic to strong arm you into not receiving your proper health insurance coverage.

When shopping and comparing health insurance online make sure any application you fill out contains full disclosure and a complete and accurate assessment by you regarding your health otherwise you may find a future health related claim denied. When filling out your health insurance online application always list every illness, broken bone, accident, operation, medication you have taken and any other ailment you may have suffered from during your life. Failure to do so could nullify your insurance policy should you ever need to make a claim against it.

In some cases the health insurance agent for the company or provider you are considering will fill out the health insurance application for you. In the event he or she does this you must make sure and double check it for accuracy. Remember agents get paid based on the business they provide to the insurance company so always make sure no shortcuts were taken to get you initially covered by the health provider. If your future claims get denied due to an error on your initial application it doesn’t really phase the insurance agent hat helped you in the beginning.

Finally, after you’re approved make sure you double check your health insurance online application for any errors that may have occurred during and after the insurance company accepts your paperwork. The difference between a no and yes answer could prove costly in the future should you ever need to file a health related claim against your health insurance provider.

Health Insurance Fraud: What You Should Know

Health insurance fraud represents one of America’s largest taxpayer rip-offs ever, costing Americans literally billions of dollars every year.

Due to rampant deception, scams and abuse in the health care system, consumers are forced to pay the price–literally–through escalating medical costs and rising health insurance premiums.

And government programs like Medicare and Medicaid, designed to help the low-income and elderly, represent two of the biggest losers of all.

Health Insurance Scams

According to the Insurance Information Institute, health providers and facilities such as doctors, hospitals, nursing homes, diagnostic labs and attorneys routinely attempt to defraud the health insurance system…with devastating results.

How do they do it? In a number of ways, including:

  1. Billing health insurance companies for expensive treatments, tests or equipment patients never had or never received
  2. Double- or triple-billing health insurers for the same treatments
  3. Giving health care recipients unnecessary, dangerous, or life-threatening treatments
  4. Selling low-cost health insurance coverage from fake insurance companies
  5. Stealing medical information and using it to bill health insurance companies for phantom treatments

If health insurance fraud knocks on your door, these types of scams may leave you with medical debts, damaged credit ratings, falsified health records, a high level of stress and overpriced health insurance premiums…or the inability to get any health insurance at all.

So what can you do about it?

Report it; then fight back!

What to Watch For

The first step to fighting health insurance fraud is keeping your eyes and ears open for abuse.

Be especially watchful for providers who:

  • Charge your health insurance company for services you never received or medical procedures you don’t need
  • Give you prescriptions for controlled substances for no justified medical reason
  • Bill your health insurance company for brand-name drugs when you actually get generics
  • Misrepresent cosmetic or other health care procedures not usually covered by health insurance plans as covered

If you notice a health care provider doing any of these things, keep all supporting paperwork handy for reference, and then contact your health insurance company to let them know.

Then, if you’re a Medicare or Medicaid recipient, call the U. S. Department of Health and Human Services and report the abuse.

Finally, contact your state department of insurance or the local police.

Fighting Health Insurance Fraud

To keep yourself from falling victim to health insurance fraud, take the following steps to fight back:

* Check with your state insurance department to make sure your health insurance company is licensed in your state.

* Check out your health insurance company for consumer complaints, fraud convictions and bankruptcies through your state department of insurance.

* Keep detailed medical records.

* Carefully review your billing statements.

* Never sign blank insurance claim forms.

* Avoid salespeople offering free health services or advice.

* Protect your medical records and information.

* Make sure you know what your health insurance policy covers–and what it doesn’t.

* Never pay your health insurance premiums in cash.

* Be wary if you’re asked to pay a full year’s premium up front.

* Be on guard against medical providers claiming to be connected with federal programs or the government.

* Beware of health insurance companies offering you coverage at an unreasonably low price.

* Ask your health insurance provider about anything you don’t understand regarding your bills.

Making a Difference

Protect your right to health insurance, lower your premiums and keep your medical information safe. All it takes is a little education, a watchful eye, and the willingness to make a difference!

Colorado Health Insurance: Helpful Information

The Colorado health insurance marketplace can be difficult to navigate. If you’re looking for health insurance on your own, you may be wondering, “Where can I find the right health plan for me? Where can I turn if I am denied health coverage? What are my rights as a consumer in Colorado?”

To help answer those questions, we have researched and compiled important information regarding Colorado health insurance. By taking the following tips into consideration, you’ll be able make a more educated health insurance purchase.

Things to Remember When Shopping for Health Insurance

Colorado health insurance consumers should follow the following recommendations when purchasing health insurance:

  • Read the insurance policy and contact the insurance company or insurance agent if you have any questions.
  • Make sure you review the section of your health insurance policy entitled “exclusions and limitations.”
  • Find out how rates will increase as you age, and how often an insurance company can increase rates.
  • If you are looking for a managed-care plan, check the provider’s directory to make sure there are suitable doctors, hospitals and other health care providers available.
  • Find out if there are any “health plan report cards” available that assess consumer satisfaction/quality of care with various health insurance plans.
  • Call the insurer’s customer service number to see how quickly you are able to get help.
  • If you have special needs or preexisting conditions, make sure you contact a doctor or support organization for health insurance recommendations.

Colorado Health Insurance Subscriber’s RightsColorado health insurance consumers have certain rights through Colorado state law. Regardless of the type of health insurance coverage you hold, you have a right to:

  • Insurance coverage for certain mandated benefits
  • Know what your health insurance plan does and does not cover
  • Contact your insurer to complain or appeal any decisions with which you disagree
  • Receive a standard form outlining health insurance benefits for comparison between companies and health plans
  • A written explanation of why an insurance company denies your health insurance application, or excludes a health condition from insurance coverage
  • Coverage of emergency room care, if you believe you are facing a life- or limb-threatening injury (even if it turns out you were not)
  • Prompt payment of claims

What to Do If You Are Denied Health Insurance CoverageIf you have been denied health insurance coverage in the state of Colorado due to preexisting medical conditions, you may qualify for the Colorado Uninsurable Health Insurance Plan (CUHIP). CUHIP gives uninsurable Colorado residents the ability to be insured through the state-subsidized CUHIP program. However, due to the higher risk levels of CUHIP patients, CUHIP subscribers pay about 30 percent more for health insurance than most healthy people. If you are uninsurable due to a preexisting health condition, you may contact the CUHIP administrator at 1-800-672-8477 for more information.

Remember to Shop Around

Health insurance plans can vary widely in both price and coverage. Make sure you take the time to shop around, ask questions and learn as much as you can about potential health insurance policies.