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Improved Electronic Healthcare Systems Coming To Ohio

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Improved electronic healthcare systems in Ohio will help physicians more effectively treat their patients and medical facilities will be able to provide medical records quicker and more accurately. Thanks to half a billion dollars (Yes, that’s right!) of funding, courtesy of the Centers for Medicare and Medicaid Services (CMS), doctors, hospitals and many other facilities in the state are reaping these benefits.

Funding from Medicare (up to $44,000) and Medicaid (up to $64,000) is available to hospitals and professional workers that show effective use of  EHR technology. It is offered in 43 states and has already been distributed to more than 12,000 persons and/or businesses here in Ohio. Only five other states receive more funding and there is more money available between now and the end of 2014.

Ohio Electronic Records

To start an efficient electronic health system in a place of business can often cost between $10,000 and $90,000, depending on the volume of information being processed and how efficiently and quickly the setup process will be. Currently, it is not a requirement for a business to have their medical records recorded electronically. However, after 2014, their reimbursement from Medicare may reduce if electronic records are not in place.

These systems are sold by many companies in the US. However, it’s important that the hardware and software is compatible with other devices and has the capability for the amount of storage space that is needed. And of course, the safety and security of all of the data must meet stringent government guidelines that will be constantly checked.

The Center For Medicare and Medicaid Services is requiring various research data be reported every year to verify the type of treatment administered and additional details regarding patient height/weight and smoking habits. The data will be complied and shared for the benefit of future treatment. However, privacy will not be compromised since  personal information will not be shared.

After the Affordable Care Act is fully implemented (including State and Federal Exchanges), the importance of data-sharing and privacy will increase, as its integrated into the process of comparing and enrolling. Individuals and small businesses will need assurances that their information is safe and secure.

Ohio Kaiser Permanente For Individuals And Families

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Kaiser Permanente health care is both affordable and popular in Ohio. Plans are flexible to meet individual and family needs and participating doctors and hospitals provide superior treatment. However, policies are limited to coverage in the nine counties of Northeast Ohio. Ranked as one of the best 100 plans in the state, it’s a highly respected resource in the Canton and Akron areas. Kaiser is also recognized nationally for their Medicare plan options.

Policy Choices

With more than 100,000 policyholders, it’s not a “small company. There are four HMO policy options including a  qualified high-deductible (HSA) plan. The four policies are part of the “Signature” portfolio. The HSA policy has a $5,000 deductible while the traditional comprehensive contracts offer $3,000, $2,000 and $1,500 choices. Additional HSA Ohio rate information from other carriers is also available.  Conversion plans are also offered for employees that will no longer have their coverage at work. However, the benefits and cost will not be the same as your group policy.

Copays on the comprehensive plans are either $35 or $25 for visits to your primary physician. Specialist visits are $10 higher. As mandated by The Affordable Care Act legislation, all preventive services do not have to meet a deductible or copay. This includes annual physicals for both males and females, child well-visits and many other expenses.

Best Kaiser Healthcare In Ohio

Kaiser Offers 100% Preventive Benefits

Prescription benefits are provided with a $25 copay (Generic) after a $250 deductible must be met. Brand RX must meet a $45 copay (plus the deductible). Like many other plans, non-formulary drugs must be paid by the policyholder. Mail order options are available although they don’t appear to reduce costs.

Since these plans are not PPOs (they are HMOs), you must establish a PCP (Primary Care Physician) to coordinate your care and treatment. If you live in the area, there are many reliable and experienced physicians that will be available. If you’re out of the designated network area, emergency treatment would be covered as if you were being treated locally. This would, of course, include an ER admission.

Three Comprehensive Policy Options

The three comprehensive copay plans fully cover pre and postnatal visits to the doctor. Labor and hospital bill charges are also  an included benefit but are paid after the deductible has been met and are subject to coinsurance (either 20% or 30%, depending on the policy). Currently mental health, chiropractic and  substance abuse are excluded.

However, when State Exchanges are created, those benefits should be included on all policies with any of the participating carriers, including Kaiser. Also, federal financial aid in the form of an instant tax credit will be available. The amount of your assistance will be calculated by determining your Federal Poverty Level (FPL) ratio.

Prices

OK. So how affordable are Kaiser’s health insurance rates in Ohio?  There are many scenarios that could be created, but we illustrated a non-smoking 35 year-old male that lives in Canton. Listed below are the monthly rates for the four plan options:

$115 – Signature $5,000 (HSA)

$121 – Signature $3,000

$135 – Signature $2,000

$154 – Signature $1,500

Typically, if you’re considering  an HSA, the higher deductible options will be more cost-effective since the premise behind the coverage is to pay as little as possible and deposit the rest into a separate tax-deferred account. However, you must maintain a qualified HDHP policy, or you will forego all tax-advantages when paying medical, dental, or vision expenses.

Over Age 65 Options

Find Cheap Kaiser Ohio Coverage

Kaiser Ohio Medicare Plans Are Affordable

The Center for Medicare and Medicare Services (CMS) awarded Kaiser their highest available designation for their Medicare Supplement contract. The designation is very-highly respected and takes into account many factors. Currently three MedSup options are available. They are:

Plus I  $144 per month. There is no deductible and the annual out-of-pocket maximum is $2,500. $5 and $20 copays to primary care physician and specialist. 100% preventive benefits and $65 copay for ER.

Plus II  $29 per month. No deductible with $3,400 out-of-pocket maximum.  $10 and $25 copays to primary care physician and specialist. Same preventive and ER coverage as Plus I plan. However, the copay for the first five days of  inpatient hospital care is $200 (The Plus I plan is only $100).

Plus III $0 per month (Really!) No deductible with $3,400 out of pocket maximum. $15 and $40 copays compared to Part II plan but $250 per day for first five days of inpatient hospital care, which is the highest of all three options.

Dental, vision and hearing benefits can often be added as supplemental riders. Typically, the cost is not expensive. Also, prices and benefits can change each year. Additional requirements and mandates may be required due to Department of Health and Human Services reviews.

Although Kaiser offers very competitive rates, they may not necessarily be the lowest priced option in your area. We will show you the best healthcare options in Ohio so you can easily compare policies and also apply for coverage.

NOTE: Kaiser no longer offers individual plans in the Buckeye State.

Essential Health Benefits For Exchange Plans

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Essential health benefits will be required on Ohio health insurance plans in 2014. The Affordable Care Act specifically mandates coverage that must be included on single and family policies. Some of the categories of these benefits include: preventive and wellness services, pediatric treatment, prescriptions, hospitalization, maternity, and mental health/substance abuse.

A “benchmark” plan is chosen to act as a starting point or “shell” of what all available Exchange policies should look like. Ohio’s benchmark choice was an Anthem BCBS PPO contract (Blue Six Blue Access). This plan contains many benefits that you probably already have on your individual or group contract. Some of these include primary care and specialist visits, emergency room services, prescriptions and many other familiar coverages.

However, some of the mandated (required) benefits will be quite new for many consumers. Some of these newer plan additions include non-emergency coverage outside of the US, annual eye exam, prenatal and postnatal care, all maternity delivery expenses, mental health inpatient and outpatient services, substance abuse disorder and non-preferred drugs. Complete details can be found here. Yes…all 26 pages.

Health Insurance Rates In Ohio

Ohio Health Exchange Enrollment Begins In October

Of course, since there are so many new benefits to be included on these policies, someone has to pay for it. And it’s YOU! Industry experts are predicting rate increases  as much as 70%. However, the government (through you again), will give a subsidy to reduce prices if you meet income requirements. If you’re confused, you’re not alone. We will be available to help sort out the mess.

Currently, health insurance rates in Ohio are quite low compared to other areas of the country. For example, our rates are about 15% lower than Indiana, 25% lower than Pennsylvania, and 60% lower than New Jersey. However,in 2014, when Exchanges become available, the situation will change. Although prices will increase, in fairness, Buckeye State premiums will still be very attractive compared to most other states.

Since “essential benefits” will have to be included on all plans, prices will go up. Lower income generates the higher the tax credit (subsidy)  you will receive to lower the premium. Four a family of four, if  household income is more than $96,000, to keep the rate affordable, you’ll have to get creative by selecting a “Bronze” (the cheapest) policy or perhaps buying coverage “outside” of the Exchange. The more members of the household, the larger your potential subsidy will become.

For lower-income households, Medicaid will still be available, and the cost of coverage will be low. For those households that prefer not to select Medicaid as their primary healthcare resource, Marketplace plans will still be offered (off-Marketplace), but federal subsidies will not be applied to reduce the premium.

Ten Ways To Make 2013 A Healthier Year For You And Your Family

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Did 2012 bring you good health? Whether you had an incredibly healthy year, or one filled with unexpected conditions and medications, everybody wants 2013 to be their healthiest year ever. So here’s our 10 suggestions designed to help you enjoy 2013, your healthiest year ever! And it might help you reduce your medical insurance premiums in Ohio.

Eat blueberries, blackberries, raspberries and strawberries. They taste great and they have a lot of essential vitamins and nutrients. Of course when you have a craving for a Kit-Kat, Twix or some other incredibly addicting candy bar, it’s not easy to reach for the berries. But even if you substitute these berries just half of the time, you’ll feel much better.

Walk. I know. It’s boring. In fact, when I walk, I think about all of the other things I could be doing instead. And there are a lot  more interesting, less time-consuming tasks I come up with. Like cleaning the garage or emptying the dishwasher. Or going to the dentist. Wait. Hold on. Maybe walking isn’t as bad as I thought.

Play A Sport!

Play a sport. I play tennis. Not as much as I used to since I’m now in my 50s. Ouch. That hurt to say that. But I have been playing since junior high school, including local tournaments in the Dayton area. I also enjoy golf. Well, not really. I’m awful. In college at Miami U, I was selected as one of the “worst golfers on campus.” Sadly, I have regressed. But don’t let that stop you from playing.

tennis for health

Is Tennis In Your Future?

Take up a new sport. Perhaps racquetball or bowling. If your knees can stand the beating, play some recreational basketball with work associates. Try running. You don’t have to see if you can still run 40 yards under 5 seconds. Try jogging at a local park or around the neighborhood. If the wear and tear is too much, use a miniature exercise trampoline for indoor use.

Get out of the same routine. Regardless of whether it’s eating or other daily activities, shake it up a bit. Try going places on Tuesday that typically get done on Thursday. Take care of a few chores in the morning instead of the afternoon.

Get a flu shot. They’re cheap, fairly painless, don’t take up a lot of time and if you get the flu, you’ll be glad you got the shot. Don’t forget to have other family members (if applicable) get one as well. It could save you many weeks of agony and uncomfortable days away from work.

Read And Learn

Stay informed about a wide range of topics that you typically don’t embrace. Some examples would include, national healthcare, current events around the world, new cooking techniques and recipes and the latest movies. Also, enjoy fine arts in your area. See some plays, go to the Opera and watch a concert in the park. OK. I’m not saying that I’ll do all of these things, but you should! I’m just the author!

Be charitable. Will you be more healthy by giving more. Many studies say you will. By taking a few extra minutes of your time to give to others less fortunate as you, you’ll fell better about yourself and many other things, and you’ll be helping persons that will hopefully appreciate your acts of kindness. Whether through a local church or synagogue, or a local government organization, there are plenty pf opportunities to make a difference.

Routine Annual Physicals Are Free!

Get a physical. It won’t cost you anything since annual routine physical examinations are covered by your personal or group Ohio health insurance plan. Even after 2014, when State Exchanges appear (maybe), you won’t have to pay any out of pocket cost for preventive expenses. So take advantage. You paid for it!

Good Health

An Annual Physical Is Free

Keep in touch with old friends, neighbors and of course family members. Whether it’s in person, by phone, email or Facebook, an occasional unexpected “hi” will lift their spirits, and perhaps yours as well. It might also begin or reinvigorate an old relationship that you’ll cherish for years. Of course, you better check with your wife first about some of those old relationships!

There you have it. Ten ideas that will make your 2013 a better and healthier year. Enjoy it!

2013 Ohio HSA Contribution Guidelines And Information

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Ohio HSA accounts in 2013 will continue to be one of the most affordable options for securing affordable medical coverage. Single and family policies can be purchased from almost every large insurance company in the state. We  make it easy for you so you can apply directly through our website. The IRS has also changed some of its contribution and deductible limits for Health Savings Accounts contracts.

In 2013, the minimum deductible allowed for an individual contract is $1.250. This is $50 higher than in 2012. An HSA with more than one person included (considered a “family”) is now $2,500, which is a $100 increase from last year’s limit. Keep in mind that these are “minimum” deductible amounts, and typically, you will benefit more when you select a higher deductible. However, you may not be able to change deductibles if you can’t qualify medically.

Why You Should Consider A Higher Deductible

For example, while a $2,500 family deductible would mean less potential out-of-pocket cost for a serious hospital claim, you are likely to lose money in the process. Here’s how: Almost every time, the extra cost associated with a $2,500 deductible plan is substantially higher than a $6,000 or $7.000 deductible. That is, you may pay between $2,000 and $3,500 more per year for a benefit you hardly ever use.

Examining this over a period of five years, you pay $10,000 (and often more) in premiums. It is unlikely that you will meet or exceed your deductible the necessary two or three times needed over the five-year period to break even. I base that analysis on my 30+ years of experience in the business along with my first-hand knowledge of owning an HSA! Although there is no guarantee you won’t have many huge claims, the odds are simply against that occurring.

HSA Plans In Ohio Save Money

Ohio HSA Contribution Limits 2013

Contribution maximums have also increased for 2013. For individual accounts, the new limit is $3,250, an increase of $200. For family accounts, the new limit is $6,450, which also represents an increase of $200 from last year. The “bonus” or “catch-up” amount remains unchanged at $1,000 if an Ohio HSA owner was at least 55 years old and wanted to make contributions above the stated maximums.

Of course, these are the “maximum” amounts that you can deposit into the savings portion of the policy. The vast majority of consumers do not come close to meeting or exceeding these numbers. Most persons tend to slowly deposit funds, perhaps in the $50-$150 per month range. Of course, more is allowed and you can abruptly stop or start your deposits at any time (assuming you have not reached maximums).

You Can’t Tax-Deduct Everything

It’s important to only use the account for “qualified” deductions. Otherwise, the IRS imposes a pesky 20% penalty! For example, non-prescribed prescriptions (over-the-counter) are no longer deductible due to a ruling change by the Obama administration in 2011. If IRS forms 5329 or8829 are needed, we can help explain details.

High Deductible Plans must accompany this type of coverage and you can view all of the best options live on our website through our quote box. Usually, Anthem, Medical Mutual and UnitedHealthOne feature the most competitive rates. Occasionally, Humana will sneak into the mix. For retired persons, MSA accounts have become very popular and are ideal choices if you tend not to meet your deductible.

For my personal account (my wife and two children are also included), we deposit $200 per month into the HSA portion. Fortunately, we have no health problems and the account has grown to a point where it will reach the ceiling of what we can have in there. And, that’s precisely what you want. Although we use very little of the deposits, we still take the $2,400 tax deduction each year.  It’s a wonderful concept.

We use Chase Bank and have had no problems since we created the account more than a decade ago. All transactions are online although I’m certain there is a local office here in Springboro (somewhere!). Our monthly maintenance fee is $3. I am not endorsing Chase, but simply pointing out that any large reputable bank can probably effectively handle the HSA side account. Credit Unions may also be able to create an account.

There are certainly pros and cons for using any type of Medical Savings Account. You can contact us anytime and we’ll give you an accurate unbiased assessment. You can also view additional HSA plans in Ohio information.