Tom Webb, DBA’s Post

What are the biggest misconceptions about health insurance? They pay the bills. They provide protection. Wrong! Read about it on our latest blog and many thanks to our friend Dean Jargo for his contribution. https://lnkd.in/gZ3yv6uC

Something to think about in our quest for 2047 goal set by regulator US is raging about private health insurance trap. We shouldn’t fall into it https://lnkd.in/g3SDv5eb Download the TOI app now: https://lnkd.in/gV9q_E6k

Will your insurance pay you for not going to the office? Many people are not aware of the Convalescence Benefit in Health Insurance. If you are hospitalized, the insurance company will pay for your medical bills but what about loss of income during that period? This is also covered in Health Insurance. Here’s what you need to know: It compensates you for the loss of income while you are recovering and unable to work. This benefit is for the post-hospitalization stage. You have to read your policy terms carefully to find the capping on the amount. You will get this benefit if you are hospitalized for a certain time period which is generally 10 days or more. This differs from policy to policy. You have to dig into the fine print of your health insurance policy to take this benefit. If you want to get your policy reviewed, reach out to Insurance Genie at https://wa.me/9561517898 #healthinsurance #convalescencebenefit #insuranceadvisor

Around 70% of adults aged 65 years and older will require some form of long-term care. And more than 20% of these individuals will need care for five years or longer. But what many people aren't ready for is the cost of this care. When your primary health insurance doesn’t foot the bill, who will? Long-term care insurance isn’t right for everyone, but it could be a saving grace if your existing health insurance doesn’t cover the care you need. Learn more about it here: https://loom.ly/x8gfvNc

"Providers in ghost networks"....Are you a provider with this particular issue of insurance companies adding you in ghost networks?" Well over many years we as a group of providers in network with insurance companies go through the challenge of "prooving our in network status", almost yearly or less than that. Even after activations of ACQH's, showing proof of our contracts...Which causes us the providers to look at health insurance MCO's as a major JOKE. I will continue to keep our clients/patients informed and definitely keep them aware every time MEDICAID MCO/Private in network insurance rejects their claim, even after they approve the services under a provider, clients should be always informed and they should also be calling their insurance companies and demand an answer (since us the Providers never get a real answer from insurance companies). It's a disappointing time with health insurance companies that continue to play with funding $ that is for the people, gambling 🎰 at its finest to their detriment. https://lnkd.in/gQXWZfGu

https://lnkd.in/egXS7jxi I have had long-term care insurance since I'm quite young, and yes, the premiums have gone up to keep up with inflation. But even if I have to shell out more money each year, the insurance has afforded me tremendous security. I'm not sure what would have made the difference in the solvency of the very comprehensive insurance plans, but I would think that it has something to do with the fact that so few people have purchased it, and so the pool is not large enough to make it sustainable. But I will let the experts explain that, and what I find ironic is that Covid improved the bottom line for insurance, because people died and didn't utilize the policies. Maybe this should be a lesson that we need health care reform that also includes some focus on long-term care benefits. We can always have a role for private insurance. But, it seems that so far people are willing to live with the uncertainties, and then complain about the unaffordability of services or having to spend down for Medicaid. I don't regret having a long-term care insurance plan, one which is no longer available. And until we have some kind of strategic, comprehensive planning in this country we are on our own; and, I do recommend that people seek financial advising, and also investigate what insurance options might still be advantageous to purchase. Raymond Lavine Charles Eggleton Danielle Miura, CFP®, MSFP, EA

🚨Don't let this happen to you! 🚨 A new concerning health insurance trend has emerged: unauthorized plan switching. KFF Health News reports that this switching is happening with surprising ease in the 32 states that serve the Federal Marketplace. Customers find themselves enrolled in new plans without their knowledge or consent. Read more to learn what too do in this case and how to prevent having your health insurance policy inadvertently switched: https://lnkd.in/etJky2PP

Around 70% of adults aged 65 years and older will require some form of long-term care. And more than 20% of these individuals will need care for five years or longer. But what many people aren't ready for is the cost of this care. When your primary health insurance doesn’t foot the bill, who will? Long-term care insurance isn’t right for everyone, but it could be a saving grace if your existing health insurance doesn’t cover the care you need. Learn more about it here: https://loom.ly/3t6oC7k

For private companies it was much easier to give health care benefits through health insurance policies. Thus post liberal economy era gave way to health insurance policy business to take off. Though all 4 government owned general insurance companies were offering health insurance policies along with other portfolios like marine, fire, asset and burglary, health insurance was a micro business back then. Insurance companies didn't have the expertise to adjudge the admissibility and authenticity of the claims. Understanding the medical terms and taking decisions on admissibility often was a major problem to them. Then came the TPAs. TPAs in addition to claim processing, they started establishing their network of hospitals with which they negotiated tariffs and started extending cashless facility to the policy holders. To be continued.....

I see so many therapists and clinicians on here complaining about not being able to keep full caseloads or make money. Look: the reality is that most Americans have health insurance and prefer to use it for their medical care. If you refuse to learn how to navigate the insurance system and rely solely on out-of-pocket clients, you will probably continue to experience low caseloads-- particularly during a time when many people are feeling financial anxiety. Yes, the system is broken and it is a nuisance. Yes, it eats up our time and can be frustrating. Yes, we sometimes need to fight with insurance companies to get properly reimbursed. BUT if access to services is important to you, then denying clients the care they desire because you're taking a "stand" against insurance companies is neither productive nor effective. Without going through a tech company or MH platform, you can learn how to navigate the insurance system, which will make your services more accessible and bring you more consistency with your caseload. Yes, it's unfair and not a good system BUT if you neglect 75% of the market, you simply can't be surprised if you're not bringing in the number of clients you'd like to.