Recent Top News
|
| Click Here to Read the Top News Story |
|
| Getting Prepared for Flu Season |
| 10/8/2009 |
 |
Health Insurance
|
| The World Health Organization (WHO) is advising
countries in the northern hemisphere to prepare for a second wave of pandemic
spread. In many cities and towns, schools and hospitals are already dealing
with wide-spread outbreak. A vaccine for the H1N1 strain of flu is expected
later this fall, and the U.S. Centers for Disease Control suggest that the
following groups consider the vaccine: pregnant women, people who live with or
care for children younger than 6 months of age, healthcare and emergency
medical services personnel, persons between the ages of 6 months and 24 years
old, and people 25 through 64 years of age who are at higher risk for 2009 H1N1
because of chronic health disorders or compromised immune systems.
|
| It’s always important to understand your health
insurance policy, but with the potential for an increased demand for health
care services, you need to be even more aware of your specific plan details.
Take a few minutes to read your policy carefully in order to answer the
following questions:
|
1. Is the vaccination covered by my insurance?
|
-
The seasonal flu vaccine and the H1N1 flu vaccine will be administered
separately. Because H1N1 vaccinations have not yet been authorized by the Food
and Drug Administration, they may not be covered by health insurance. Check
with your insurance company to verify that your coverage will extend to the
H1N1 vaccine.
|
2. Do I have a cost-sharing responsibility for the vaccinations?
|
-
Many health insurance policies have co-payments for yearly flu vaccinations.
Ask your insurance company if you will have a co-pay for the H1N1 vaccine and
what the cost will be.
|
3. If an office visit is required to obtain the vaccinations, does it require a
separate co-payment?
|
4. Does your policy require a pre-authorization for hospital admission or other
services?
|
5. What is your co-payment for the most common H1N1 treatments?
|
-
The two drugs doctors can prescribe to treat H1N1 flu are Tamiflu and Relenza.
In addition, you should know of any limitations on the number of doses covered
by your policy – per prescription or per year.
|
6. Does your policy cover over-the-counter medications?
|
7. Is your coverage accepted at walk-in care facilities?
|
-
If your area is heavily affected by the spread of the H1N1 flu outbreak, your
regular physician might not be able to see you in a timely manner.
|
8. What is your out-of-network co-payment?
|
-
If you must go to an out-of-network provider, be aware you will likely pay a
higher co-payment for your office visit and any tests run during the visit.
|
Be prepared for any eventuality with the following checklist:
|
-
Have your health insurance ID card readily available.
-
Review your health insurance policy provisions. Know which doctors and
hospitals are in your network.
-
Make note of your co-payments. Know how much a doctor’s office visit will cost.
Check to see if your co-payments go up if you go out-of-network.
-
Keep handy a list of pharmacies and medications covered by your health
insurance policy.
-
If you have plans to travel, make sure you check to see if there are any
doctors or medical facilities in-network where you will be visiting.
-
Make sure you have contact details for your health insurance company available
in case you have questions.
-
Ask your employer or insurance company for any and all applicable health
insurance information that might be available to you in a simple-to-reference
format. Post this information where it can easily be accessed by everyone.
|
Business Interruption Insurance
|
| Business owners might be concerned about having
to shut down their operations due to an outbreak or absenteeism. Check your
business interruption policy to see what eventualities will trigger coverage
under your plan. Coverage generally requires the interruption to be caused by
physical damage or loss (e.g., fire or weather). Business interruption policies
generally will not be triggered by epidemic or pandemic warnings or alerts from
public officials. Business owners will need to rely on existing risk management
and business continuity plans to mitigate losses due to emerging public health
crises.
|
More Information
|
|
The federal government has created a Web site with information:
www.pandemicflu.gov.
|
|
The U.S. Centers for Disease Control also has extensive information about H1N1
Influenza on its Web site: www.cdc.gov/swineflu/.
|
|
If you are unable to resolve any concerns you have about your health insurance
with your insurance company, contact the Alabama Department of Insurance at
800-433-3966. You may ask a question or file a complaint through its website at
www.aldoi.gov.
|
| Beware of insurance fraud during this time of
heightened awareness. To avoid insurance fraud, make sure the company you're
dealing with is reputable and licensed to do business in your state. Before
signing any paperwork or writing a check, STOP; CALL the Alabama Department of
Insurance; and CONFIRM that the insurance company or agent is legitimate and
licensed in Alabama. |
|
| DOI To Participate in Alabama I-Day 2009 |
| 9/23/2009 |
 |
|
“I am happy the Department of Insurance again has the opportunity to be a part
of this great program,” said Commissioner Ridling. “I encourage everyone with
an interest in the insurance industry in our state to attend."
|
| The program has been approved for 6 hours
continuing education credit for insurance producers and 3.4 CLE hours for
Alabama attorneys.
|
| For additional information,
click here to view the complete I-Day flyer.
|
|
| Baby On Board Changes Insurance Needs |
| 9/8/2009 |
 |
Health Insurance
|
-
Understand your coverage before the baby arrives.
Review coverage options and find out exactly how your health care plan handles
the costs of a new baby. Remember to consider prenatal vitamins, prenatal and
neo-natal screenings and tests, emergency procedures, delivery (C-section and
traditional) and pediatric care.
-
Notify your insurer of your new baby.
Make sure you are aware of the deadline and requirements to register your
newborn with your health insurance company. Similarly, if you are adopting a
child, consult your employer and health insurance provider for the requirements
to obtain health insurance coverage in advance.
-
Evaluate your options.
If both parents have employee benefit options, compare the health insurance
policies to see which one best fits the needs of your family. Review the co-pay
amounts and different options carefully to see exactly what is covered – and
what isn’t – for both parents and children. Most companies will allow you to
make enrollment changes when a baby is added to the family. Check with the
benefits administrator at your office about your options.
-
Make use of tax advantages. Ask if your employer offers a
flexible spending account or health savings account (HSA). These plans allow
you to set aside pre-tax dollars for medical expenses and child care.
|
Life Insurance
|
-
Plan the contributions of both spouses.
Consider covering both spouses with life insurance, even if one is not employed
outside the home. In the event of the stay-at-home parent’s death, the
insurance policy can help the surviving spouse with the financial necessities
of the household.
-
Account for child care costs.
In determining the amount of life insurance to purchase, take into account your
full child care costs (housing, education, child care, medical needs, etc.),
especially for children under five years old or for kids with special needs.
-
Understand the types of life insurance. Understanding your
life insurance choices will help you weigh the costs and benefits of whole life
versus term life insurance as part of your overall financial plan.
-
Whole life insurance.
Whole life insurance policies build cash value and pay a death benefit, but are
more expensive. If you can’t afford whole life insurance right now but think
you may want it in the future, consider term life insurance with a conversion
option that will let you change to a whole life policy for a fee when you are
ready.
-
Term life insurance. Term life insurance offers death benefit
protection for a specified time period. For example, term life insurance may be
appropriate during your child-rearing years or while paying off a mortgage.
Term life premiums increase as you age. Term life is typically less expensive
in your younger years than permanent life insurance, which covers you for your
entire life and typically has level premiums.
-
Keep your policy current. Remember to update your policy to
include your children as beneficiaries. If your children are under the age of
18, name a trustee who would administer the benefit of the policy until they
are adults.
|
Auto Insurance
|
-
Check rates before upgrading vehicles.
Auto insurance premiums are linked to vehicle age and type, so if you decide to
get a larger vehicle, like a mini-van or SUV, to transport your family, it
could affect your premiums.
-
Plan for carpools. Consider increasing your liability
insurance in case of an accident when transporting other kids.
|
Homeowners Insurance
|
-
Notify your insurer of major additions.
Alert your insurance company when making any major home improvements (usually
anything over $5,000) to prevent being underinsured.
-
Protect the backyard. Inform your insurance company if you
install backyard items for kids, such as a swing set, trampoline or swimming
pool. You might consider increasing your liability coverage – that protects you
in the event that someone is injured while on your property – with an umbrella
policy.
|
More Information
|
|
If you have questions or are confused about your insurance coverage, contact the
Alabama Department of Insurance at 334-269-3550, or online at
www.aldoi.gov.
|