In this episode, we get our bearings on self-funded insurance plans, and how they affect the average — sometimes burned-out — American worker trying to get answers about insurance.
New, often lower-cost plans capitalize on the convenience of telemedicine — and patients’ growing familiarity with it. But consumers should weigh costs and care options before enrolling in a “virtual-first” plan.
The law says nonprofit hospitals are supposed to offer low-income patients financial assistance. But the average person doesn’t know about it. Here’s how to get help.
Gov. Gavin Newsom wants to regulate out-of-control health care spending in California. The effort is being shaped by the very health industry players that would be regulated.
Patients are caught in the middle as insurers clamp down on paying for treatments or force prior authorizations for care.
The covid pandemic has caused millions of people, particularly LGBTQ adults, to lose their jobs and enroll in Medicaid or insurance through the Affordable Care Act. Yet these plans often don’t fully cover the basics needed by many transgender Americans, such as injectable estrogen, a hormone therapy commonly used by trans women.
A patient from Dallas got a PCR test in a free-standing suburban emergency room. The out-of-network charge: $54,000.
Efforts to give 2.2 million Americans health insurance hang in the balance as Congress debates a massive spending bill. The so-called Medicaid gap is felt most acutely in Texas, where about half of those who stand to gain coverage live.
More than 2 million low-income adults are uninsured because their states have not accepted Medicaid expansion under the Affordable Care Act. Congressional Democrats want to offer them coverage in the massive spending bill being debated, but competition to get into that package is fierce.
Private agencies that bring young adults to the U.S. to care for children generally offer basic health insurance, but plans may exclude many types of necessary care. What the agencies might not mention is that au pairs are eligible to enroll in comprehensive coverage on the Affordable Care Act marketplaces and likely qualify for premium subsidies that would make the insurance affordable.