Choosing a health insurance plan that is best for you and your family is one of the most important decisions you’ll ever make. There have been instances where hospitals or physicians will either refuse to treat patients or treat them only minimally because the hospital or physician is not inside the plan’s preferred provider network – meaning that the patient’s health insurance will only cover a small part of the expense and the patient is liable to pay the rest of the bill.
COBRA protects individuals from losing their health insurance benefits when they lose their employment and is a temporary measure that is designed to help people through this potentially difficult time This said, not every employee who loses his employment will qualify for COBRA but employers should be conversant with the law and be able to advise their employees accordingly.
Finally, to counter the rise in health care costs, the government has installed two plans, (in 2004 and 2006), which require insured people to declare a referring doctor in order to be fully reimbursed for specialist visits, and which installed a mandatory co-pay of 1 € (about $1.45) for a doctor visit, 0,50 € (about 80¢) for each box of medicine prescribed, and a fee of 16-18 € ($20-25) per day for hospital stays and for expensive procedures.
Employees will greatly appreciate this because in a time such as this where the economy is struggling one of the most important things is being able to afford health insurance; many families are not offered group health insurance rates that are affordable to their family and by offering group health insurance rates to your employees you will be giving them a window of opportunity that they otherwise wouldn’t have when it comes to health insurance from themselves and the family.
The more likely scenario is that the federal agencies with jurisdiction over the Public Health Services Act (PHSA), the Employee Retirement Income Security Act (ERISA) and ACA will rely on their general rulemaking authority given to them under these respective laws to justify creative rulemaking that would restrict the availability of stop-loss insurance and/or make other changes to federal law that adversely affect the self-insurance marketplace.