Author : Entries by Sean

Sean Sheffer The Challenges of Individual Health Insurance for Young Adults

There comes a time after we graduate from high school – a time where we have to stand up for ourselves, move on to the real world. This is a time of uncertaintly of what career to pursue, our financial independence, and a question of our future - a time where we are young adults.

Now according to a population study by the Employee Benefit Research Institute (EBRI) released in 2007, young adults, which ages include 19-25, are most likely to be uninsured. Why is that? Well it’s a combination of many factors.

Let’s take a look, a young adult ...

Sean Sheffer A New Primary Care Service Provider - Will You Soon be Able to Get Healthcare where You Get Groceries?

 

If the reports are true, you soon will be able to get health services from your local Wal-Mart.

That’s right, according to a report from National Public Radio a 14-page document sent to various healthcare vendors outlines how Wal-Mart "intends to build a national, integrated, low-cost primary care healthcare platform."

“Great Value” for your healthcare costs?

The retail giant based in Arkansas is looking to partner with outside healthcare companies in order to treat a range of serious medical conditions. Some key services that are outlined and could be available in the 140 store clinics:

  • HIV management
  • Obesity Monitoring ...

Sean Sheffer Does the Affordable Care Act Mean the End of Employer-Sponsored Health Insurance?

Think of the changes that will take affect by 2014, a health insurance exchange in every state, and broader terms of Medicaid coverage for families who make $30,000 or less and for individuals who make $15,000 or less. Will that mean that individuals who utilize the online insurance exchanges will find a better plan than their employer offers? Will this trend then disincentive employers to offer coverage because it will save them money from paying a group premium?

Well the simple answer is: No

Why is that? Well according to a brief released by researchers at the Urban ...

Sean Sheffer Affordable Care Act – A Timeline

Do you know some of the major provisions that have already taken place within the Affordable Care Act? It’s pretty difficult to understand the magnitude of what exactly will change and when they will change, so here is a general timeline of what has already happened and what you should expect.

Some of the provisions have already taken effect, such as an extension for young adults to stay on their parents health plan to see how real the timeline really is.

Some Keywords:

“Cost-Sharing” refers to co-payments and deductibles that patients have to pay along with the health insurance ...

Sean Sheffer A First-Hand Experience in Dealing with Health Insurance

 

After outlining the many challenges that young adults face in dealing with health insurance, here is my first hand experience with everything I have to consider.

After reading how young adults are most likely to be uninsured and how thankfully I can still be covered under my parents health insurance policies – getting PSIP – or Penn Student Insurance Plan seemed like more trouble than it’s worth.

Universities offer their own health insurance plans – it makes sense because here you have an institution that has a population of over 3,000 people. This includes, professors, undergrads, facility workers and graduate students ...

Sean Sheffer What exactly is "Good" Health Insurance? Does your plan measure up?

 

Ask anyone what defines “good” health insurance, and you could get a bunch of different answers from: “one that covers me from everything from bruises to surgeries” to “one that has real people to answer my questions”.

Here are our suggestions for what to look for in a good health insurance plan.

Physical Treatments

Take a deep breath and get your checklist out – here are the things to look for, preventive care, maternity care, emergency services, hosptiatlization, prescription drugs, outpatient visits, and visits to your doctor.

Mental Treatment Options

You may not consider these parts of health insurance important, your ...

Sean Sheffer Using the HSA to Your Advantage: The Breakdown

Your seeking ways to save money, and you’ve been thinking about the Health Savings Account partnered with a high deductible health plan. You hear about all the tax benefits you would receive and – but really, how does it work?

Some brief History:

Under the Medicare Modernization Act of 2003, tax exempted benefits for health related costs were offered. This tax exclusion is very substantial – money that went to the government before is saved in your pockets!

But where do the number really add up?

Get ready because it’s time to get our hands dirty with some math comparisons ...

Sean Sheffer Understanding Your Health Insurance Costs, Where Does Your Money Go?

 

Every month you pay your monthly premium, when you visit the doctor you have a copay, and throughout the year you have a deductible before your insurance will cover the rest of your expenses.  You stop to think one day, where does health insurance cost so much? Is it because the doctor down the corner wants to take an early vacation? Is someone in the insurance office throwing spinning a wheel to determine costs? Here’s how Insurer’s distribute payments.

Health insurance costs are divided into the costs of supply and demand. On the supply side we have

Costs ...

Sean Sheffer Affordable Care Act the Cause of Rising Health Care Costs?

The tremulous jungle of health care has been shaken once again due to a survey from the Kaiser Family Foundation finding that insurance premiums rose by 9 percent last year.

“Rising Health Care Costs” we hear that every day, could it be some of the health insurance providers are just having a bad day and want to take it out on good old John Doe? Maybe someone just managed to earmark “Oh yeah, and raise peoples’ health care costs while we’re at it” to the bill? Or is there actually some reason behind it?  

Well here’s the breakdown ...

Sean Sheffer Applications for State Health Insurance Exchanges Due Fall 2012

“Crunch time.” This phrase must be running through the heads of all state governments wishing to establish their own state health insurance exchange – or else have the federal government step in.

The Department of Health and Human Services sent out a notice on November 9th, 2011, that briefly outlines what requirements an exchange must comply with in order to be funded by the federal government.

“States seeking to establish an Exchange must build an Exchange that meets the [ACA] requirements. In order to ensure that a State seeking certification as a State Exchange meets all applicable requirements the Secretary ...