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You can reduce insurance premiums and lower your medical expenses. Millions of Americans benefit from this advice and now you can too! See the doctors you want to see! Health insurance should protect you against financial ruin, not cause it! The trick to choosing the right plan for your family is to do some homework first. Like a"friend in the business" this book outlines the things the insurance company's don't want you to know, that will save you thousands of dollars. You can keep your money in your wallet and put money in the bank! Don't let the monster eat your health care dollars. "Who knew a book about insurance would be a page turner?" Dr. B. Orange, MD "You are the Suzie Orman of Health Insurance." Robert Foster, Bridgewater Marble and Granite "An invaluable resource I go back to again and again." M. Hanhart, Business Coach " I never met anyone who worked so hard to talk me out of spending money." N. Lordi, Nalpro Business Solutions
Provides practical advice on paying for health care services, finding long-term care and paying for long-term care.
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
The health insurance industry has changed. Gone are the days when you paid your premium, and your plan picked up the tab for all your health care. Nowadays the average deductible is over $2,000, which means that you will have to pay for most, if not all of your health care in any given year. Even worse are the dirty marketing tricks used to sell health insurance. You can spend thousands of dollars a year on a policy that you'll most likely never use, or you can spend even more to get a lower deductible that only gives you the illusion of better coverage. In this book physician and licensed health insurance agent Dr. Kevin Wacasey shows you how to save money on health insurance, and health care. First he cuts through the complexity of buying health insurance, by proving that upgraded plans with supposedly better coverage often end up costing more than you could ever save. Next Dr. Wacasey takes the reader along as he shops for a health insurance plan, then using a simple formula to compare ten different scenarios (pulled straight from healthcare.gov), Dr. Wacasey demonstrates that - in all ten cases - the Bronze plan will end up saving the consumer the most money. Both in sickness, and in health. Finally Dr. Wacasey reveals how much health care goods and services really "cost," and offers tips on how patients can save money on everything from ambulances to operations. Individuals, business owners, and anyone else who has to pay for health insurance, or for health care, will find Dr. Wacasey's book invaluable as he shows how to save lots of money - yet receive better care than ever before - in the first consumer-driven health care system the U.S. has ever known.
Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Most people don't understand health insurance, and insurance companies know it. Unfair denials, late payments, and hopeless confusion are the norm. At last there is a solution. In eight easy steps, Making Them Pay gives practical advice about the things that drive people crazy. Like: -Figuring out what health plans really say -Understanding what benefits they provide -Finding, and understanding, the exclusions -Determining what health plans really cost -How to talk to customer service, and other painful details -Easy ways to keep good records -Laws that can change your life-like the mandatory benefits laws in all fifty states -How to prepare successful appeals Along with this useful advice, Making Them Pay offers a much-needed sense of humor. It's filled with cartoons, sidebars, and vignettes that will make you laugh as you learn. Based on Rhonda D. Orin's extensive experience as a litigator, a journalist, and a mother fighting her own family's insurance battles, Making Them Pay is the book your health insurer doesn't want you to read. "A compact reference [that] simplifies a convoluted subject. -
Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.