Archive for the ‘Uncategorized’ Category

The latest House healthcare bill – What it changes?

Friday, May 12th, 2017

The House passed a bill to change the Affordable Healthcare Act (Obamacare). If it becomes law, what does it mean to you?

The Affordable Care Act (ACA) requires businesses with 50 or more employees to provide health insurance to employees working 30 hours or more a week. The new bill, if implemented, ends coverage requirements for large employers. This “could” result in employees losing coverage or having to pay more toward their medical care. That stated, most large employers offered insurance long before the ACA required it so most people who obtain insurance through their employers will likely not see any change.

Under current law, people are protected by not having annual or lifetime limits on the amount of care they receive. If your cancer care costs $2 million, the insurer pays it. Under the new bill, states are allowed to apply for waivers that could alter or abolish these provisions thereby limiting the amount of care an individual would receive on an annual or lifetime basis. While such limitations would cap the amount of care an individual would receive, these provisions could also reduce insurance premiums for all insured because it would limit the amount of money being paid by the insurer.

The personal mandate to have insurance would no longer exist. Instead, the House bill prohibits insurance companies from terminating policies and from charging more for people with pre-existing conditions as long as their insurance doesn’t lapse. If there is a coverage lapse greater than 63 days, however, insurers can charge a 30% penalty over their premium for one year. To ensure people with pre-existing conditions have coverage, $38 billion is being allocated for high-risk insurance pools, and maternity and childbirth services.

Subsidies will change, instead of income-based tax credits and subsidies, the new plan will implement age-based tax credits ranging from $2,000 a year for people in their 20s to $4,000 a year for those 60 and older.

The new bill eliminates nearly all of the taxes that were included in the ACA. These taxes which total nearly $592 billion included taxing incomes over $200,000 (or $250,000 for a married couple); a tax on health insurers and a limit on how much insurers can deduct for executive pay; and a tax on medical-device manufacturers.

The COB predicts that the House bill would cut federal deficits by $337 billion over 10 years.

Donald Trump’s Effect on Your Health Insurance

Tuesday, November 15th, 2016

trump

Montel Williams – medical marijuana

Thursday, September 8th, 2016

Whether you are for or against medical marijuana, Montel Williams has jumped into the budding industry. Having used medical marijuana for years, Montel Williams launched a medical marijuana line called LenitivLabs.

Insurance Coverage for Drug Addication and Mental Health

Tuesday, July 12th, 2016

HealthCare Advocates was successful in obtaining $32,400 for drug and alcohol treatment.

$32k insurance coverage

Health Systems Complete Merger

Wednesday, July 6th, 2016

Aria Health and Jefferson Health System have completed their merger allowing expanded capabilities and patient population.

IVIG Coverage

Thursday, August 13th, 2015

Today, HealthCare Advocates won a denial of coverage for intravenous immunoglobulin (IVIG) therapy for a child.

Internet Addiction Disorder (IAD)

Friday, July 31st, 2015

The Internet has benefited the world in many ways but there is one down side, the new mental health diagnosis of “Internet Addiction Disorder (IAD).” IAD was first introduced in 1995 by Ivan Goldberg, M.D. Most people reading this will assume that Internet addiction means being addicted to watching pornography; that is not the case. Internet addiction disorder involves overuse use of a computer, problematic computer use, or pathologic computer use.

The overuse or problematic use include habits such as gaming, social media, watching Internet videos, texting and emailing, or other computer related activities to the point that the computer use interferes with normal life. A study published by Cyberpsychology, Behavior, and Social Networking (2014) suggests that prevalence of Internet addiction disorder varies considerably among countries and is inversely related to quality of life.

To determine if a loved one has Internet Addiction Disorder (IAD), they should be tested by a professional. The Internet Addiction Test (IAT) has been found to be a reliable test in determining if a person suffers from IAD.

If your insurance company denies coverage and you want to appeal the decision, contact HealthCare Advocates.

Enrollment in Obamacare is Up

Monday, June 29th, 2015

Nationally, the number of uninsured dropped by 5.2% since Obamacare began.

2014 Pennsylvania: 287,057
2015 Pennsylvania: 427, 454

2014 New Jersey: 137,634
2015 New Jersey: 20,8467

Supreme Court Decision on Subsidies

Thursday, June 25th, 2015

Great news! The Supreme Court has confirmed that if you qualify, you can still get financial help to lower the costs of your health care no matter where you live.

A Supreme Court Decision May Strip Health Insurance Subsidies for Millions

Tuesday, June 23rd, 2015

A decision is expected soon in King v. Burwell. If overturned, millions of Americans will lose healthcare subsidies. See the full story:
http://news.yahoo.com/affordable-care-act-obamacare-supreme-court-case-katie-couric-explains-133916203.html