What is the Statement of Health Status in Insurance?

The declaration of health status is only a questionnaire that is usually included in the insurance application and must be signed by the insured and by the policyholder in case the latter is a different person.

This statement serves, like the insurance application, as a basis for the future contract, since it contains elements of judgment that allow the insurer to evaluate the risk.

It is important to keep in mind that each insurer establishes, according to its own rules, if this health declaration is sufficient, or if in any case it is necessary to carry out a medical examination of the insured future.

That is to say, it will be the insurance entity itself that establishes at what age and from which capital to ensure the medical recognition of the insured future is necessary, as well as the depth of said explorations and analysis.

In any case, the medical examination is carried out by a doctor appointed by the insurer, who will issue a detailed report on the health status of the insurance candidate.

The declaration of health and, where appropriate, the result of the medical examination of the candidate, will be examined by the insurance company to decide whether the risk is normal or aggravated according to its own selection criteria.

If the risk is classified as aggravated, that is, not included in the forecasts made by the insurer, it can set the necessary conditions for the risk to be accepted. What are the most frequent conditions for the acceptance of aggravated risks? We review them!

Most frequent conditions for the acceptance of aggravated risks

Most frequent conditions for the acceptance of aggravated risks

  • Application of an overpriming.
  • Reduction in the duration of the insurance requested.
  • Reduction of the insured capital during the first years.
  • Establishment of a grace period.

Notes:

Super premium is an extra amount of money that the insured has to pay to the Insurance Company because there has been an increase in the risk that it covered.

Term deficiency is a period of time from the date of effect of the insurance, during which the insured can not benefit from all or part of the insurance guarantees contracted.

To consider

It is important not to lie when filling out the health questionnaire, because who does it can be accused of attempted fraud. In the event that there are diseases or pathologies prior to the signing of the policy, these are defined as pre-existing, and normally are not covered by health insurance. In the world of insurance are known as pre-existing, the pathologies of the client existing prior to the date of contracting the product.

Information contained in the health declaration

Information contained in the health declaration

Within this document, the company requests the following information:

  • Personal information: Name and surnames, marital status, date of birth and your ID.
  • Name of the company through which you have your current health insurance.
  • Affiliation or not to Social Security.
  • The employment performed by the applicant at the time of contract of the policy.
  • If the applicant owns some kind of disability pension.
  • If the applicant was insured with the company in question at a previous time.
  • The data of the beneficiaries of the policy (children, husband / wife…)
  • If the applicant has undergone some type of surgical intervention: the type of operation and the approximate date.
  • If any of the beneficiaries has suffered an illness or suffered an accident.

If you have been interested in this Post and want to keep getting involved in insurance, you may also be interested in our entry on What is considered to leave irrefutable evidence in insurance? How to change insurance company? or frequent questions about insurance.

 

 

Medicare Low Aid Income

 

Eligible

Eligible

Medicare provides medical insurance by the federal government to qualifying persons. Individuals with end-stage renal failure or amiotrophic lateral sclerosis qualify for Medicare at any age. Those who qualify Social Security disability benefits for Medicare after 24 months. If you worked and paid 10 years or 40 credits from Federal Insurance Contributions Act for Social Security and Medicare, you qualify for Medicare at age 65.

cover

cover

Medicare has four sections that provide different cover for medical needs. Part A is hospitalization insurance, Part B covers outpatient medical care, such as doctor visits and diagnostic tests. Part C is Medicare Advantage that works like a preferred provider or health care organization to give you better value. Part C can cover both Part A and Part B. Part D is prescription drug insurance to help pay for medication.

state assistance

States provide Medicare assistance to qualified low-income residents. Proof of low income is required. Programs differ, and some countries assist with monthly premium payments while others help with co-payments or coinsurance amounts. State the parameters and requirements program changes from time to time, so it is essential to inquire at the nearest Social Security or health condition and human services office for current information.

special program

special program

Low Income Subsidy, operated by Medicare and Medicaid Services centers, lowers the cost of low-income individuals who qualify for it. This program helps with the payment of monthly premiums, annual excesses and prescription co-payments and can assist with the coverage gap. SSI recipients with Medicare automatically qualify, just like some other classes of individuals such as Medicare Savings Plan recipients. Some applicants must work through the Social Security Administration to access this program. Contact your local Social Security office and ask for low subsidy income.

The extra help and the Medicare Savings programs work at the state level to provide assistance for Medicare payments. Medicare Saving Programs help qualifying individuals pay for Medicare Part B medical care premiums. The Medicare Savings Program can pay if you pay Medicare Part A premiums and also pay Part A and B co-payments and co-payments. Pharmaceutical aid programs run by states or pharmaceutical companies also low-income Medicare recipients help with drug costs.

How to Verify Medicaid Eligibility

 

Medicaid is a federal United States health program that provides low-income families and individuals assistance for medical-related costs. Although it is a federal program, each state has its own set of rules and regulations, as each state manages Medicaid for its citizens within its borders. If you live a resident or a resident alien life in the United States of America, on a low income, you may be eligible for Medicaid benefits received.

Medicaid eligibility

Medicaid eligibility

Read about the information provided on the US Department of Health Information Human Services “Review of Medicaid Eligibility” section, linked in the article Resources. This site provides comprehensive information to help you determine if you are eligible for Medicaid. Be sure to click on the links to the “Are you eligible?” and “Compulsory eligibility Groups” pages. These links can be found on the links; side of the “Overview of Medicaid Eligibility” page.

Fill out a display tool to determine if you are eligible for Medicaid. Once such a display tool is located on the GovBenefits website, linked in the Article Resources section. This tool is titled “Take a Questionnaire” and will help you qualify your Medicaid as well as any other service you can apply for verification. Fill the display tool with accurate information.

Contact your local Medicaid office. This can be done by visiting the US USA website’s State Information Technology page, linked in the Resources section. Click on your state. A box will pop up on the right side of the card. Click on the “Government Links” link. Scroll down until you find the “state government Links” text. Click on the link you ordered to your state’s Medicaid website. Search the site and get the contact details on the page. By contacting your local Medicaid office, you will be able to ask questions related to you in your particular condition.

Diagnostic Tests in Private Health Insurance

Private health insurance

Private health insurance

Today we are going to talk about an important section of coverage of a fundamental importance in all private health insurance. We will refer to the diagnostic tests.

These are different tools and procedures designed to know the existence or not of a disease, disorder or pathology, its degree of intensity or its level of advance or setback. Special tests or, simply, routine (but not for that reason) in order that we can verify that our health is adequate or, if not, what should be the steps to follow to try to recover. Most of us have made them, or we are going to do them at some point in our lives, since they are essential for a good medical diagnosis and we must take them into account when we are thinking about hiring a health insurance.

Diagnostic tests are, therefore, an important step for those who carry them out; as a valuation element after a surgical operation; well at the beginning, continuation or end of a specific medical treatment ; or to offer us the tranquility, for sure, that we have been able to overcome certain ailment, injury or illness. They are crucial when it comes to enjoying adequate medical care today, and therefore are part of the usual health care at the service of the citizen in both public and private medicine. The latter extends the offer of tests available to customers who hire it and usually shortens the waiting times for interventions, in addition to helping to streamline and decongest the public system.

Read the conditions of the policy

Read the conditions of the policy

Once reviewed its importance, we will focus the focus on its connection with the branch of medical insurance. Generally speaking, we must point out in the first place that almost all insurance companies in this area (if not all) include them in their most basic insurance. But that does not mean that the offer is practically the same in this sense, because it is always convenient to read the policy carefully.

Generally the most widespread and basic tests (radiology, blood tests, tacs…) are included in the basic insurance that we hire regardless of the company, but the most advanced may not be included and be part of the extended coverages group. Therefore, we must analyze well what our insurance includes and what does not, especially without considering basic insurance or low price options.

These options, such as the medical chart without hospitalization or the medical chart with co-payment, the most normal thing is that they charge us a small fee for each test we perform (x-rays, radiology, ultrasound, cardiology or ophthalmological reviews, clinical analysis, electrocardiograms… ) or a larger amount in the case of other tests: magnetic resonances, colonoscopies, endoscopies, scanners, computerized axial tomography (CAT), color echo-dopplers… It should also be noted that, as is obvious, there are other factors that influence the final price to be disbursed by our insurance, such as age, work or personal health circumstances of each one.

Diagnostic tests, in detail

Diagnostic tests, in detail

A health insurance includes a wide range of diagnostic tests, although many of them are not part of the basic insurance and to have access to them we should get an extended coverage or pay them as a separate service thanks to the co-payments. In general lines are these:

  • Pathological anatomy and cytology.
  • Cardiology: coronography, echocardiography, electrocardiography, cardiac catheterizations and stress tests.
  • Clinical analysis: laboratory with biochemical, enzymatic and radioimmunoassay tests. Analysis of blood, urine, stool, sputum, seminograms…
  • Nuclear medicine: nuclear studies with scans of the liver and bile, thyroid, bone, lung and brain. Positron emission tomography (PET)
  • Diagnostic imaging techniques: ultrasound, mammography, radiology (conventional, contrast, invasive), echo-dopplers, bone densitometry, nuclear magnetic resonances, organ aspirations and punctures, computerized axial tomography.
  • Bronchial (bronchoscopy), digestive and urological endoscopies (cystoscopy, cystometry, urodynamics).
  • Clinical neurophysiology: electroneurophysiology (electroencephalography, electromyography, evoked potentials and polysomnography).
  • Study by oto-emissions.
  • Gynecological tests: amniocentesis, papanicolau, hysterosalpingography.
  • Ophthalmological tests: fundoscopy, visual acuity, tonometry, campimetry, retinal angiography, optical coherence tomography.

As we have seen, it is necessary to have diagnostic tests and you can not miss a good insurance, be informed and read the conditions and the policy will allow us to choose properly.

What is the difference between Medicare and Social Security Tax?

Medicare and Social Security tax both have different purposes. Social Security tax deducted for retirement and disability funds. Medicare tax is deducted for health insurance for persons aged 65 and over. They are typically tied together on a pay stub through the Federal Insurance Contribution Act (FICA).

Both Medicare and Social Security taxes are deducted as a percentage of a person’s income

Both Medicare and Social Security taxes are deducted as a percentage of a person

This percentage changes according to applicable tax rates each year, as well as the number of witholdings for the individual. The funds deducted from the employee’s salary are then matched by the employer. The deductions for Medicare and Social Security taxes are reported to the Internal Revenue Service (IRS) through federal income taxes.

Social benefits are distributed as pension income for the individual 65-year-old and the elderly. These benefits also apply to disability income for those who can no longer work due to a recognized disability. Current Social Security Deductions fund the benefits of those who are retired now. A percentage of the fund is held in a government trust on the reserve for later use.

Social security funds and funds can also be used to pay survivors’ benefits. These benefits are typically paid to spouses or children of those who received social security and died. They are generally assessed on an individual basis. Social Security Department representatives provide individuals with specific information about potential survivors’ benefits.

 

Medicare tax pays the cost of operating the Medicare program

Medicare

This health benefits program benefits retired people age 65 and older. The program covers hospitalization, and about 80% of all medical expenses, except prescription benefits. An optional supplementary plan may be added to this program, although this program may incur additional costs. The supplementary program pays for what Medicare does not.

All those who earn income are required to pay both Medicare and Social Security taxes. Each is a government run program and employee tax funds are used to pay for the program costs. Many individuals receive medical treatment and attention through these programs. They help secure pension benefits for people who have no other source of income.

 

Social Security taxes fund a pension for those who reach retirement age of 65 and over

Social Security taxes fund a pension for those who reach retirement age of 65 and over

This allows the government to contribute to the support of the elderly as well as those who are disabled. The Medicare and Social Security tax contains basic services and funds for those who are no longer in the work field.

 

Life, Health and Personal Accident Insurance – Which to Choose?

The world of insurance is so vast. It allows us to protect ourselves from a set of situations that have financial impact (and not only). In this article we will tell you generally about life insurance, health insurance and personal accident insurance and show you how to complement each other.

Life insurance

Life insurance

Life insurance is a type of insurance that guarantees compensation in case of death or disability of the insured person. Your coverages are triggered by the occurrence of a claim as being the illness or an accident and allow compensation to your beneficiary. In this case, we can have pure, safe insurance that are at the same time life insurance and savings products or life insurance credit housing

Personal Accident Insurance

Personal Accident Insurance

Personal accident insurance is a distinct type of insurance. This insurance guarantees compensation in case of an accident and may resemble life insurance coverage and practical implications.

Health insurance

Health insurance

Health Insurance is an increasingly popular insurance with increasing rates of moderation in the National Health Service and delays in treatments and consultations in this service. Thus, they are insurance that guarantee the reimbursement of expenses, the provision of health care, the cost of hospitalization and some discounts on health care providers. See “Choosing Health Insurance”.

Which of the Options to choose?

Which of the Options to choose?

In practice, you do not have and should not choose one over the other. The three types of insurance are complementary and their hiring can occur simultaneously. They are not exclusive. In your specific case, you should consider your needs and the needs of protecting your family from the impacts of unfortunate events. It is true that we do not like to pay for insurance (for some reason we only want to have auto insurance with the minimum cover), but we like to be cautious about the eventualities that put our safety in question.

How to find out if anyone is eligible for Medicaid in Illinois

 

Medicaid, also known as medical aid, is a United States government that offers free or cheap health care to individuals or families living on low incomes. Typically, help is for pregnant women, the elderly, people with long-term illnesses and the disabled. In Illinois, the Medicaid program is led by the Illinois Department of Health and Family Services. They help with the applications, view application forms and process the results.

Things you need

  • computer with Internet access
  • application form
  • Look at the basic conditions. Look online at the Illinois Department of Health and Family Services website for the list of requirements. Typically, you need to be an American citizen and stay in Illinois permanently and live on low incomes. Income requirements are defined as a percentage of the federal poverty line. For example, a family of three with an income of 200 percent of the federal level of poverty eligible for Medicaid support in Illinois. This is equivalent to an annual household income of $ 36,620, or a monthly income of $ 3052.
  • Confirm your eligibility. Visit your nearest Illinois Department of Social Services office. Arrange a meeting with a DHS staff member to discuss your background and needs. To save time, call ahead and make an appointment. Bring any relevant paperwork you have, such as medical records, with you. The staff will not be able to give you a definite answer on the spot, but they can give you an indication of whether it is worth submitting an application.
  • Apply for Medicaid. You can apply by going to your Illinois local DHS office and completing the application form. If you cannot go to the office for health reasons, call the office and ask if an application can be sent to you. In an emergency, fill in the form when you or your family member is being treated at the hospital. Ask a hospital staff member for assistance.
  • Complete the telephonic interview. After submitting the application form, a DHS staff member will arrange for a telephone interview to your application donkeys. If you meet the requirements you will receive Postal confirmation of your acceptance of the program.

Tips warnings

  • If you are not eligible for the Medicaid program look for other US government grant programs at the Department of Social Services website
  • Do not hurry your application, could lead to basic errors leading to your application without full consideration.
  • HMS: How to apply for Medicaid
  • Health Insurance Information: Illinois