Healthcare Gov News
What Is Adverse Selection in Health Insurance?
Adverse selection happens when there is an imbalance between high-risk or sick policyholders and healthy policyholders within the realm of health insurance. The most common way of adverse selection occurring is when sick people who need more protection and coverage begin purchasing up policies in a higher rate than those who are healthy who need little to no coverage and may not purchase a plan at all. This can eventually lead to significant financial issues within the insurance industry, amounting to higher health insurance premiums for...
read moreHow to Compare Health Insurance Plans
There’s no denying it, shopping around for a health insurance plan can be incredibly daunting. But, open enrollment starts on Nov. 1, so now is the time to examine your options for the coming year! If your job doesn’t supply you with a health care plan, and you shop for coverage through the marketplace, it’s a good idea to start your research early, as there are a lot of options! No matter where you get your healthcare coverage from, it’s vital for you to understand the plans fine print, how it’ll cover your...
read moreWhat is a PPO Plan?
“Preferred Provider Organization” plans, commonly referred to as PPO plans, are one of the most common types of health care coverage within the Individual and Family market. What’s great about PPO plans is that they allow policyholders to visit whichever in-network physician or healthcare without needing a referral from a primary care doctor. How does a PPO plan work? While you usually won’t require to appoint a primary care physician, PPO plan members are encouraged to use the insurance company’s network of...
read moreThe Individual Mandate Could Be Coming Back to California
It looks as if California will be reinstating the Individual Mandate. Earlier this year, identical bills were brought to the California Senate and Assembly calling for all Californians to have health insurance coverage by 2020 or pay a tax penalty. These were brought forward to reverse the repeal by Congress of the federal order that was a part of the Affordable Care Act. Since the Affordable Care Act came into effect, California’s uninsured rate dropped from 20% to 7%. “I don’t see a very rosy picture of what is happening now that the...
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