What does health insurance do? The conversation in the attached screenshot sums it up. We have a distorted market in healthcare. For drugs, there is a middleman called PBM between the insurance and the drug companies. The PBM negotiates a higher rate than the cash price - usually 2x or 3x and then receives an under the table rebate from the drug company. It passes of portion of this rebate to the insurer. The end effect is that the bottom price for the consumer is increased. The consumer believes that their insurance saved them a lot of money. #healthcare
Satyanarayan H.’s Post
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An estimated $1.1 billion will be rebated from health insurance companies to policyholders because their Medical Loss Ratios didn't meet Affordable Care Act provisions. These state that premium dollars spend on actual healthcare (as opposed to operations, marketing and profits) must be at least 85% for large group plans and at least 80% for individual and small group plans. #ACA #healthinsurance #healthcare
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"Coinsurance" and "Copay" what's is the difference? Coinsurance and copay are both methods of sharing the costs of healthcare between the patient and the insurance provider, but they work slightly differently: Coinsurance is a percentage of the cost of a covered healthcare service that you are required to pay after you've paid your deductible. For example, if your coinsurance is 20%, you would pay 20% of the cost of a medical service, and your insurance would cover the remaining 80%. A copayment, or copay, is a fixed amount that you pay for a covered healthcare service, usually at the time of service. For example, your health insurance plan might require a $20 copayment for a doctor's visit or a $10 copayment for a prescription medication. #dailyhealthinsurancetips #themoreyouknow #copay #coinsurance Coverage Clarity
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💡 Friday FAQ: What is the difference between coinsurance and copay? 💡 Coinsurance: A percentage of costs you pay for covered services after meeting your deductible. Copay: A flat fee you pay for services, like $25 for a doctor visit. Clear knowledge of these terms empowers employees to plan healthcare expenses effectively. 💡 Have questions about how to navigate health insurance? We're here to help! Drop us a message. #InsuranceFAQ #HealthandWealth #EmployeeBenefits
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💡 Cost Sharing Reduction (CSR): A Little Extra Help 💡 Did you know that if you qualify, a Cost Sharing Reduction (CSR) can lower your out-of-pocket costs when you get care? 🏥💊 CSRs reduce the amount you have to pay for deductibles, copays, and coinsurance—but only if you enroll in a Silver plan through the Health Insurance Marketplace. ⚖️✨ Check if you qualify and save more on your healthcare costs! 💰 #HealthInsurance #CostSharingReduction #CSR #AffordableCareAct #SilverPlan #AuraInsure #OpenEnrollment #ACA
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Feeling lost in when it comes to negotiating your ABA rates with payers? 🌊 ABA Building Blocks has got you covered! Our Rate Negotiations Guide is designed to help your organization stand out when requesting ABA CPT code rate negotiations. 📄 What’s Inside? ✨ A customizable template letter highlighting key areas meaningful to health insurance companies ✨ A PowerPoint template to showcase the unique strengths of your organization ✨ Comprehensive guidance for prepping your documents to ensure the most compelling request Navigate your negotiations with confidence and clarity! 📥 Check out our Rate Negotiations Guide and strengthen your proposal for higher insurance reimbursement rates! #ABABuildingBlocks #RateNegotiations #ABAProfessionals #ABAAdvocacy
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#MedicareMonday Because Medicare can be complicated, having someone who specializes in Medicare health insurance and prescription drug plans review your coverage can help you get the coverage you need and potentially find ways to save you money—while also avoiding mistakes. It also benefits you to have someone who can review a variety of plans, instead of someone who is contracted only with one company or a few! Reach out and we'd be happy to set-up an appointment for your free annual review: thedaywaltgroup.com
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#MedicareMonday Because Medicare can be complicated, having someone who specializes in Medicare health insurance and prescription drug plans review your coverage can help you get the coverage you need and potentially find ways to save you money—while also avoiding mistakes. It also benefits you to have someone who can review a variety of plans, instead of someone who is contracted only with one company or a few! Reach out and we'd be happy to set-up an appointment for your free annual review: thedaywaltgroup.com
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GAP coverage is essential for many individuals. #closegaps #insureyourhealth helps bridge the insurance gaps for those in need of vital medical care. 🌡️💉💊 GAP insurance plans provide coverage for services your regular health insurance may exclude such as deductibles, co-payments, pre-existing conditions and more. GAP plans give patients peace of mind knowing they have a safety net to cover medical expenses if they encounter large medical bills. Various GAP options exist to suit different needs and budgets. Contact our Healthcare Solutions Team today to learn more about GAP coverage, eligibility, costs and what essential services a GAP plan can include for you and your loved ones.🙂 #insure #healthcare #affordable
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1. Choosing the cheapest plan 2. Skipping regular check-ups 3. Ignoring insurance options * vrs * What actually saves money: 1. Finding the right plan for your needs 2. Preventative care to avoid big bills later 3. Exploring government assistance programs Intrinsic rewards > status rewards. Worried about healthcare costs? 😥 You're not alone! At Davan Enterprises, we get that finding affordable health insurance can be tricky. Let's chat about options that fit your budget and keep you covered. 🛡️ Get a quote or apply online at: https://lnkd.in/gPvEqH2q 🌐 Share if you found this helpful or comment with your own tips! 🗨️ #HealthcareSavings #FamilyFirst #InsuranceEducation #davaninsurance
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1. Choosing the cheapest plan 2. Skipping regular check-ups 3. Ignoring insurance options * vrs * What actually saves money: 1. Finding the right plan for your needs 2. Preventative care to avoid big bills later 3. Exploring government assistance programs Intrinsic rewards > status rewards. Worried about healthcare costs? 😥 You're not alone! At Davan Enterprises, we get that finding affordable health insurance can be tricky. Let's chat about options that fit your budget and keep you covered. 🛡️ Get a quote or apply online at: https://lnkd.in/g6safJxh 🌐 Share if you found this helpful or comment with your own tips! 🗨️ #HealthcareSavings #FamilyFirst #InsuranceEducation #davaninsurance
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