> Preferred Provider Organization (PPO) PPOs are comparable to indemnity plans, although they require subscribers to choose their health-care providers and health-care facilities from a preferred-provider list. Because the preferred providers have agreed to the plan's requirements, including discounted fees, subscribers have a financial incentive to stay within the network.
> COBRA Benefits COBRA stands for “Consolidated Omnibus Budget Reconciliation Act of 1985,” which requires companies with 20 or more employees to offer separating employees the option to continue their group health-care coverage at their own expense.
> Exclusive Provider Organization (EPO) EPOs allow subscribers to visit any physician within the contracted network without prior approval or referrals. Services received outside the network may not be covered.
South Carolina Insurance Advisors & Nationwide News:
Secure The Right Care In Your Later Years
HIPAA offers protections for individuals who have preexisting conditions, helping them to keep coverage for those conditions or get coverage in no more than 12 or 18 months through limits on preexisting condition exclusions.
HIPAA includes protections to help ensure individuals are not excluded from coverage under their group health plan or charged a higher premium based on health status.
COBRA generally requires that group health plans of employers with at least 20 employees offer employees and their dependents the opportunity to continue their health plan coverage for limited periods of time when the employee loses his or her job due to retirement.
ERISA Claims Procedures help ensure fair and timely appeals process for covered individuals.
ERISA Disclosure Provisions require that group health plan disclosure material furnished to plan participants and beneficiaries must contain information about specialists in the plan network and the plan’s rules for accessing specialty care.
ERISA Disclosure Provisions also require that plan disclosure material must describe the ability of the employer to reduce plan benefits or terminate the plan.
If you live in the following cities and need an Insurance Advisor or to get a
quote, you should contact our South Carolina Insurance Advisors today:
Abbeville
Aiken
Anderson
Beaufort
Belton
Bennettsville
Bluffton
Camden
Charleston
Chester
Clemson
Clover
Columbia
Conway
Darlington
Dillon
Easley
Elgin
Florence
Fort Mill
Fountain Inn
Gaffney
Gaston
Georgetown
Goose Creek
Greenville
Greenwood
Greer
Hartsville
Hilton Head Island
Inman
Irmo
Ladson
Lancaster
Laurens
Lexington
Marion
Moncks Corner
Mount Pleasant
Murrells Inlet
Myrtle Beach
Newberry
North Augusta
North Charleston
Orangeburg
Pickens
Piedmont
Rock Hill
Seneca
Simpsonville
Spartanburg
Summerville
Sumter
Taylors
Travelers Rest
Union
Walterboro
West Columbia
York
Did You Know?
Payments you receive from qualified long-term care insurance contracts will generally be excluded from income
As reimbursement of medical expenses received for personal injury or sickness under an accident and health insurance contract. Also, certain payments received under a life insurance contract on the life of a terminally or chronically ill individual (accelerated death benefits) can be excluded from income. Refer to Publication 17, Your Federal Income Tax, Chapter 13, Other Income.
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Latest Insurance related news in
South Carolina and nationwide:
Mar 02, 2007 - Secure The Right Care In Your Later Years HIPAA offers protections for individuals who have preexisting conditions, helping them to keep coverage for those conditio Read more >
Mar 02, 2007 - Growth In U.S. Health Care Spending Slows Despite the slowdown, the share of household personal income spent on health care rose from 5.4 percent in 2001 to 6 perce Read more >
Jul 14, 2006 - Hurricane Insurance Claims Paid in Mississippi Approaching $3 Billion Mark Jackson –Commissioner of Insurance George Dale announced today that insurance companieshave paid out nearly $3 billio Read more >
Legal Disclaimers The information provided on South Carolina Insurance Advisors.com is not intended to be insurance advice, but merely conveys
general information related to insurance issues commonly encountered.
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