Repricing on Health Insurance Claims

July 19, 2018

Health

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We have all heard the stories of the emergency room claim that cost $10,000 for a broken thumb, or the person who had to file bankruptcy from the huge bill while using a network outside of their HMO. These stories have been the fuel for arguments on what should be done with our Nation’s healthcare system. The truth is these stories occur more than most people realize, and many have misconceptions on how this happens. This is why it is crucial to have the right billing network to take advantage of most favorable, predetermined pricing available.

Lets take a look at a couple of scenarios where one person is stuck with a high medical bill and the other is protected. Suppose that two people walk into an emergency room for the same injury, one having adequate health insurance and the other having none. The emergency room is going to immediately know that each patient will be billed differently. The person with the right network billing plan will be able to take advantage of a nationwide network, allowing predetermined pricing for most any medical condition you can name. The other will be at the mercy of what the emergency room decides to charge. Depending on the medical condition, the difference of what is paid out could be upwards of tens of thousands of dollars. The catch is, in order to receive this predetermined billing you must have access to the participating billing network.

When you take a closer look at how these billing networks work it becomes clear where you may be exposed, especially on smaller networks. No one knows this better than the self employed and those who do not get insurance offered through work. When an individual purchases health insurance on the exchange (Healthcare.gov), the only network options available in Texas are HMO, or restricted networks. These networks are formed for the insurance company and the medical institution to share losses, while hoping to bring in excess volume of patients to offset the claims. Even these smaller type of HMO networks can have big holes in their billing networks. For example, if an individual has a surgery within their HMO network they may still have an unpleasant surprise when the final bill comes. Although their surgeon is likely covered, both the anesthesiologist and the surgical tools rented for the surgery might fall out of the billing HMO network, causing thousands of dollars to be paid by the patient. You guessed it, not a word of warning, just a bill that the health insurance will not cover well after the surgery.

The only way to avoid a small HMO network pricing trap is to take advantage of much larger billing networks, allowing you to avoid the uncovered pitfalls. These larger networks, or providers, can have hundreds of thousands of doctors and medical institutions participating coast to coast. Many of these nationwide networks make it mandatory for their preferred discount to be the primary, or front runner, method of billing, protecting the patient’s financial interests from any threat of overpricing. In fact, these predetermined pricing modules are so accurate some insurance companies form their coverage to mirror the preferred billing, therefore limiting the out of pocket expense by thousands of dollars. Those who utilize this service can rest easy knowing that their interests will be protected moving forward from the right billing network with unrestricted networks nationwide.

Although these billing network giants are elusive in today’s ACA health insurance environment, they do exist across the nation, Texas included. In fact, I have helped dozens and dozens of clients take advantage of these unrestricted networks over the last few months alone, at much more reasonable premiums than ACA policies. It is important to consider the network billing plans when choosing the right heath insurance plan for your family, especially for those who do not qualify for a subsidy (Federal income credit given to those with limited financial means). It is extremely important to speak to a health insurance professional who has access to these unrestricted billing networks, in order to protect your financial interests.

Overusing Your Health Insurance

July 19, 2018

Health

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When reviewing health plans and evaluating cost, keep in mind health insurance wasn’t designed to cover every penny related to health care.

Everything under the sun on an open credit card is nice, but not when you are paying the bill. But you are.

The purpose of insurance is to cover sudden very expensive losses. It’s about making you whole again and not have the financial responsibility of a ton of money to do it. Somehow we all decided over the last 60 years that the traditional plan should pay for everything.

Health insurance is the only insurance product, for the most part, that pays for first dollar coverage like doctor visits and prescription drugs. The healthcare system gamed the system on the bigger bank account paying the bill, not the small guy. The tables have turned…

Employees are more responsible for their healthcare in paying more for premium dollars out of their check and higher costs. Employers should engage their employees in being more proactive in their healthcare. Here are a few ideas:

  1. Don’t run to the ER or the doctor visit for every little thing. What happened to home remedies or waiting to see the doctor instead of running to the ER? This will save you thousands in a year if you have kids.
  2. Try saving money on medication by finding alternatives. Sometimes skipping the drug may not have an impact on your health, but keeps you coming back to the doctor. The other thing you can do is shop around. Just because they are convenient doesn’t mean it is the most cost-effective.
  3. Just because your doctor recommends a test, it doesn’t mean you have to jump to it and have it done. The doctor went through many years of school, but they are also trying to run tests to protect them and get paid. Ask more questions to see if you feel it’s the right thing. Just like you would if your mechanic suggested items. It’s your money.
  4. If you are scheduling a procedure, take a look around. Many new facilities are popping up to help reduce cost from outpatient testing to outpatient surgical facilities. The hospital isn’t the cheapest. Far from it. This ends up driving the price up for you and the insurance company.
  5. You do not need to go to a state of the art teaching hospital, for most thing. There are a time and place for the advanced care that some of the predominant teaching hospitals bring to the table. However, for most things people go through its overkill and overcharged.

In the end, it will end up costing you more money, either in out-of-pocket expenses or premium. There is no free lunch.

8 Tips to Save Money on Car Insurance

July 19, 2018

Car Auto

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Since car insurance is costly, most consumers don’t want to use it. Buying the right coverage is important, but it costs more to get a new car insured. Give below are a few tips that can help you save money on your car insurance. Read on.

Annual Rate

You can check out some websites to compare different insurers online. While you can’t get a quote immediately, you will get a reply soon from the agents of the company. You may want to consider making a relationship with a good independent agent. They will help you check rates of tons of carriers.

Pick a Good Insurer

Saving money is not about looking for the lowest premium. Actually, some providers offer lower rates of premium. However, they end up charging you more at the end. As a result, you pay more for replacing the parts of the original equipment. In some cases, the provider may increase your premiums post an accident.

The Deductible

With a higher deductible, you will have to pay lower premiums. The reason is that you will be paying more in case of a claim. For instance, if you increase your deductible to, say, $500 from $200, you can cut down on your premium by 15 to 30%. So, if you choose $1,000, you will be able to save as much as 40%.

Review Your Coverage

Liability coverage will pay for your property damage and bodily injury in an accident. It’s not a good idea to reduce your liability to the minimums set by the state. While buying more coverage can seem a strange way of saving a lot, you can enjoy this benefit only if you have a big, expensive claim. As a result, your life savings are at risk. What you need to do is consider your personal injury medical payments and protection coverage.

Use the Discounts

Keep in mind that car insurance providers offer discounts based on the fact that the client has a low-risk lifestyle, such as students, new drivers, experienced drivers and affinity members, just to name a few.

Multiple-Policy Holders

Some providers offer hefty discounts provided you buy your renters, homeowners or life-insurance policy as well. However, make sure that you consider total costs of single-insurer packages and premiums of various providers.

Good Credit Score

Some states let insurance providers use your credit rating to set your premiums. What you need to do is check and fix errors on your credit report. If your rating has been affected by job loss, divorce or any other reason, you may ask your provider for an exception.

Choose Your Car Carefully

For auto insurers, vehicle damage may cost a lot. Therefore, the premiums are set based on the auto model. You may want to ask your provider for estimates on different car models.

So, we suggest that you check out these 8 tips if you are going to buy car insurance and want to save some cash with the purchase. Hopefully, you will be able to save a lot of money.

Understanding the basics and simple methodology of Auto Insurance

July 19, 2018

Car Auto

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Auto Insurance which relates to car insurance, GAP insurance or motor insurance is simply the insurance policies obtained for items like motorcycles, trucks, cars and all forms of road vehicle.

This form of insurance is to provide financial coverage against issues like accidents and other vehicle liabilities.

To a slighter notch, auto insurance also offers financial protection against theft of a vehicle and feasible damages to the vehicle, sustained from things other than accidents.

What do you truly conceive about the various kinds of auto insurance policies and do you know how to choose the best coverage that suits your style and budget?

It is advised that you know what your intended insurance firm offers and requires, and what sort of coverage they cover as this will help to protect you in the event of an accident.

A typical insurance quote is an estimate of whatever the rate is applicable with your intended insurance provider. And quotes vary depending on information provided by you to the firm.

Let’s discuss on kinds of coverage available below:

– Liability coverage: This is always included in this form of insurance and this is a protective coverage from damage you commit to others or done to you.

– Full coverage: The mistaken or misunderstood term “full coverage” is just a term that may not really exist? It’s a term used to refer to the combination of collision and comprehensive.

A bunch of folks assume they have full coverage on their auto insurance but in truth it is commonly one that includes different types of insurance coverage that, as a whole, offers a compact level of shield in event of a mishap.

Whenever you plan to get an auto insurance policy going for you, consider factors such as your automobile type, your drive score, and the worth of cash you are thinking of paying for the premiums available.

Always you should find out what coverage and available limits best suits your insurance need.

The other kinds of auto insurance coverage policies to consider are:

1 -The Gap insurance coverage: If your automobile is summed in an accident, this coverage helps pay the balance between the amount you are indebted on your loan or lease and the car’s estimated actual cash worth.

2 -The Uninsured motorist shield: In case you are hit by a driver without insurance this cover the costs.

3 -The Underinsured motorist shield: If the other driver has deficient insurance this also cover your costs.

4 -The Medical payments coverage: This insurance pay for your medical costs after an automobile accident, and it doesn’t matter if you are the one at fault.

To win at getting the best of auto insurance considering quality, affordability and cheap auto insurance, please consider researching out for reliable and efficient firm with good proven track record and history and in reality the best protection is always the most insurance you can afford to carry.

It is very simple to get insured now and all it takes are just a few steps away.

Independent Car Insurance Estimator

July 19, 2018

Insurance

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Car insurance estimator is a free tool for you to calculate the average amount of insurance cost based on your personal data. Most major insurance companies provide such tools in their official websites, but you can also use the same tool from independent websites or insurance reviewers.

You may think that estimators from independent reviewers are better because there will be no bias or any attempt to persuade you to purchase. It is probably right, but there are still some things you should know about the tool as listed below.

• Independent car insurance estimator usually works on certain networks with a number of insurance companies. Each of those companies may provide the latest data about pricing and available discounts (with requirements for eligibilities). Every calculation is performed based on that data to minimize inaccuracy. However, insurers often change the base rate or discounts, and the calculator possibly does not have the most up-to-date information about those.

• Good estimators can come up with multiple results from one calculation only. This means you can immediately compare the premium rates of insurance companies included in the network. It is necessary for you to make sure that at least two or three insurers within the network run their businesses in your state.

• Every state has its own rules regulating auto insurance. Some companies have hundreds of branch offices spread across the nation in different states, and each branch office makes sure that the provided coverage complies with state’s law of insurance. An online car insurance estimator can provide multiple results for comparison purposes, but it can be useless if the network does not include any insurance company available in your state.

• Please put in mind that car insurance estimator does not underwrite your policies. To some extent, such tool does not need to make sure that the calculation results are very accurate. Based on that, you will still need to contact insurance companies to make a purchase, or visit their official websites to get the actual quotes.

• Online auto insurance calculator does ask you many questions about your address, types of car you drive, number of people to include in the policy, profession, marital status, age, and more. All those questions are merely basic requirements to determine your rate. When the time comes to make an actual auto insurance purchase, a company may send a representative to walk you through the process.

5 Ways to Reduce Your Bike Insurance Premium

July 19, 2018

Car Auto

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As you must be aware, if you own a motorcycle in India, the law requires you to have it insured. According to statistics, India has the highest rate of two-wheeler accidents as compared to other countries. This itself emphasizes the need of insurance for your two-wheeler.

Though insurance is important and can’t be bypassed, it could turn out to be expensive and add burden to your finances. And these days the price of everything seems to be shooting through the roof. So, you are bound to pay your bike insurance premium with a heavy heart. Well, we could help you with 5 easy ways to reduce your bike insurance premium. Read on to know how!

#1 Choose Your Bike Well

Yes, more exotic bikes or the ones with bigger engines definitely will cost more. Also, the unusual or modified bikes are considered to be more expensive when it comes to the repairs and replacement of their spare parts. So, it would be wiser to go for an entry-level motorcycle with a smaller engine. This would attract lower premiums accordingly.

#2 Maintain A Clean Driving Record as A Rider

The insurance company may look at your record for any tickets or accidents. So, if you have more experience as a rider, the less risky you will seem in the eyes of the insurer. This will help you in fetching the best possible premium. Driving safely will help keep your claims low. Which correspondingly would add the benefit of No-claim Bonus to your premium.

Besides a clean driving record, the insurance company also looks at your riding time and experience. That is, how long have you been riding motorcycles and what experience do you have with a specific motorcycle to be insured. The more experienced you are as a driver, lower would be the risk and the cost of premium accordingly.

#3 Avoid Making Small Claims

If you haven’t made any claim in a defined period of time, you are awarded a No Claim Bonus and discounts by the insurer. So, if you make a claim for small damages, you are bound to lose out on the no-claim discount for that particular year.

So, the next time you notice a dent here or a scratch there or a broken tail light, skip the trip to the insurer. You could just take care of these minor damages from your own pocket at a local mechanic shop instead.

#4 Boost Your Bike’s Security

The insurers are bound to offer you a lower premium rate if your bike is more secure against theft, vandalism and incidental damage. So, if you install safety equipment and additional security measures, it will decrease the risk posed to the insured property. Make sure you park your bike in a secure area like a garage. And then insurers are more likely to offer you premium discounts.

#5 Bundle Your Policies

Why not get the benefits of a packaged deal? that gets all your insurance needs covered by one insurer. Let’s say, if you have a car insurance policy with an insurer, then the same insurance company is more likely to provide you with a discounted premium for your bike insurance as well.

Besides these, you have the option of paying the premium annually or in monthly installments. Paying your bike insurance premium annually would also cost you lesser. Also, if you are part of a riding, touring or automobile association, a few insurers do offer you some discount. Not carrying a pillion can earn you some extra discount and so is limiting your mileage. And all of these factors when taken into consideration will ensure that the insurance premium doesn’t make a dent in your wallet.

So, when the time comes to renew your insurance, don’t just settle for your current insurer. Instead be wise enough to spare some time and do a thorough research online. Compare the various options available and pick the one that best suits your requirement.

The Basics Surrounding Insurance Claims and Coverage for Car Fires

July 19, 2018

Car Auto

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If your car catches fire, there are some things you need to know about insurance coverage and the claims process. Since there are different scenarios that can cause a car to catch fire, you can expect to come across different limits of coverage and procedure for each. Continue reading to learn some basic information about car insurance claims and coverage in the case that a vehicle is burned down in a fire.

Car fires will clearly do a lot of damage to a vehicle. In most cases, cars are rendered a total loss after an engine or chassis fire. Fortunately, most insurance policies offer additional coverage for fires. This is called “comprehensive coverage”, and it will cover damages caused by a fire regardless of how the blaze occurred. However, this type of coverage must be purchased before a fire occurs. Some of the most common causes for automotive fires include car accidents, engine fires, garage fires, and arson.

Motor Vehicle Accidents

Motor vehicle accidents are one of the most common causes for car fires. Serious vehicular collisions and accidents can damage fuel lines and fuel tanks, which leads to gasoline leakages. A tiny spark from metal colliding together is all it takes for combustion to happen. This is often the reason why fires break out after a car accident.

In terms of insurance coverage, the answer can be complex. Depending on how the blaze occurred and the parameters of your coverage, the damage could fall under comprehensive or collision. It is necessary to discuss this with your insurance adjuster to learn the details pertaining to your particular policy. If you do not have collision coverage insurance, there is still a possibility that it could be covered under comprehensive.

Garage Fires

In the case of garage fires, which are more common than you think, vehicles can experience a severe amount of damage. Most of the time, they are rendered totaled. Because garage fires are commonly caused by a household hazard or malfunction, people tend to assume that homeowners’ insurance will cover the damages to their vehicles; but the truth is that homeowners’ insurance never covers vehicles. Instead, cars damaged in garage fires are only covered under comprehensive coverage.

Engine Fires

Engine fires generally result in a total loss vehicle. That is because the cost to purchase and install a new engine is often close to the actual cash value of the vehicle. In this case, comprehensive coverage will cover engine fires. However, it is important to know that car insurance policies do not typically cover mechanical defects inside car engines. Fires are the exception to this rule. Whether a vehicle is a total loss or not, a car insurance policy will likely pay the actual cash value of the vehicle minus the owner’s insurance deductible.

Arson

There’s not much to say about the criminal act of arson, except that it does happen to vehicles and the damages can be covered by car insurance policies. Comprehensive coverage covers vandalism, so if a vehicle is intentionally set on fire, the damages are covered so long as a police report is made.

Sell a Totaled Car for Cash

If your car is damaged in a fire, you likely have a total loss vehicle on your hands. Sell your totaled car for cash on the spot to a local junk car buyer. They will pay you cash for the actual cash value of your vehicle. This is sometimes more than what you can get from your insurance company!

A Simple Plan: Games

July 18, 2018

Gambling

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Online Casino Games with the Best Odds

A facility which has a permit of housing some gambling activities is known as a casino. Gambling is an activity of staking a valuable item or an amount of money with an aim of winning more items and money. Casinos are mainly found near hotels and restaurants, cruise ships and tourist attraction sites. Some casinos also hold live entertainment such as concerts. Nowadays, the internet has brought about many positive changes to the casinos. Many people no longer go to the casinos but they play casino games online. In order to play the online casino games, you just create an account, make a deposit and you will be able to play and win more money. The following are games on the online casinos which have the best odds.

Blackjack game has good odds on online casinos. It is easier to play and win the game. The house edge in the Blackjack is about 1%, therefore, the chances of winning are very high. Instead of playing the game against the professionals, please play against the dealer. This game can also be played by amateurs.

The second game is the Roulette. This simple game have good payoffs as explained on this page. A gambler is advised to stick to either Blacks or Reds and he/she will have a winning chance of 50/50. Playing one number will enable you to get better payoffs but the chance of winning will be lower.

The craps is another online casino game with good odds. The odds of this game are about 50/50 and you will become a winner by a rolling a dice. This game is challenging, therefore, a lot of experience is needed.

The Poker is another online game with good odds. The amount you will stake as players is the amount you will win since the online casino does not deduct any amount. This game is not for the first time players. Gamblers who have skills of playing this game prefer it to other card games on the casino.

The fifth online casino game with good odds is the Slots. It is far much better to play this game on online casinos than on the old casinos. Please check the pay table before you press the button play.

Another online game with good odds is the Baccarat as you can view here. This game needs a lot of experience and it is more advisable to bet on the bank rather than on the players’ hands.

The Casino war game also has good odds on the online casinos.
The last online game with the best odds we shall look at is the Keno. This game can be played in many ways hence the house has a huge advantage but you must match some numbers in order to become a winner.

Researched here: click resources

Short Course on Motivation – What You Need To Know

July 18, 2018

Miscellaneous

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Why is it Important to Have Faith in Yourself?

Does it occur to you for even for once what is your purpose living in this world? It could be for one of the many reasons like insecurities in your weight, you hate your job for quite some time or it can possibly be that there are parts of your personality that you wish to change. Having issues and insecurities with yourself is completely normal. At one point or the other, we are all going through it.

On the other hand, did you think to have faith in your abilities and yourself? Remember, as soon as we start changing our outlook in life and ourselves, it is also the same time that we can enjoy greater success in life. As you read this article, I’ve discussed few of the reasons to why it is important to have faith in yourself. I recommend that you keep reading if you would like to learn more.

Reason number 1. No one else will do it for you – if you are having doubts in yourself, then who do you think will believe in you? It is true that some of us have family and partners who are believing in us but that’s simply not enough to work. If you are serious to be successful and happy with your life, then you must believe that you are going to do it.

Reason number 2. Be confident – it is not important where you are getting your faith be it in a temple, church or your personal thoughts, what matters most is that it boosts your confidence. So long as you have faith in your ability to do something or achieve your goal, you put trust in yourself which is going to make you more confident. You are going to learn when you should take the leap and thus, never ever miss a chance to grow.

Reason number 3. You’re taking the right decision – say that your primary goal is to start a family with your partner. If you lack of faith and respect in yourself, do you think you can make this thing happen? You ought to discover where you can get faith as it is what will help you to believe in yourself and strive for the best in everything that you do.

Reason number 4. You start to take actions – the worst thing that could ever happen to us in life is to settle for the second best. No matter if it is about your home, relationship, job or whatnot, you should not be satisfied for the second best. Instead, go for the best that you can get. Remember, it is all about faith in whatever you do so never lose it.

What Makes Insurance to Be the Paradigm for a Secure Future?

July 15, 2018

Insurance

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The whole nature cycle in the present times are going for a toss with earthquakes and floods becoming too common, the water reserves are going down and animals becoming homeless due to a steadfast population. The natures balance is getting altered due to interferences like cloud seeding etc. Life is uncertain and there is a need to get insurance to be able to recuperate from untimely deaths, loss, destruction, damages, etc. So what is insurance?

Insurance is nothing but a cover that protects one against any sorts of risks and insecurities. The chief component of it being of sharing the risk. It can be referred as a contract where a stipulated amount is paid so that the insurer can help the insured people recuperate from the loss and after effects of a damage or risk, in case of any eventuality.

The establishment that helps to get this understanding is called the insurance company. Any individual who wants to get insurance done is known as Insured/Assured. The written contract between the two parties is referred to as the Policy.

After knowing in brief about the insurance, let us have a look at the different types which exists.

Types

Life Insurance- The amount gets paid under this cover only after the death of the assured, or when the policy expires, whichever happens first. However, this is not an indemnity bond as the loss of one’s life cannot be recompensed yet a particular sum of money can be paid.

Fire Insurance- This type of cover protects against all types of damages that result due to fire. It is considered as a contract of indemnity whereby the insurance companies pay off for the loss that takes place. Generally, this cover is only valid for a year’s time after which it needs to be renewed. One needs to keep just two aspects in mind to claim for this and they are:

• There should be a genuine loss

• The fire should be by accident and not done intentionally.

Marine Insurance- This kind is one of the oldest and covers all loss related to the marine exploration. In this type, the insurer pays off for the partial or the full loss to the owner of a ship or cargo. This again is a contract of indemnity where the assured can recover the real amount of coverage subject to the maximum limit that one is insured for.

After studying the various types, let us see their importance which leads to a secure tomorrow.

Importance

• Due to insurance, the international trade has started touching peaks as marine insurance gives a cover against all types of risks related to the sea.

• In today’s time, the life insurance policies are available in many forms and they can be used for accomplishing of one’s social obligations, educational loan or marriage loan etc.

• Large funds get accumulated by the help of premium paid by the “insured” and that helps as a significant factor for the capital foundation as well as the economic development of a country.

• Insurance does not only ensures protection but also is a great way of investment as the premium gets paid from time to time and after maturity, the lump sum is given to the insured.

Thus, it is always an astute step to get one insured and spare oneself from the horror of any loss, or damage which could be emotional or financial. Let’s save today for a thriving tomorrow.