Tuesday, 19 August 2014

Kids' vision screening is an essential benefit under ACA

August is National Children’s Eye Health and Safety Month, which is a good reminder for parents and caregivers to schedule a vision screening before or near the start of the school year.

“Vision screening is vitally important for children,” said Insurance Commissioner Mike Kreidler, who is a doctor of optometry and practiced in Olympia for 20 years. “Undiagnosed vision problems can disrupt a child’s learning for years and set them back academically and socially.”

Very young children and children with special needs often have difficulty participating in an eye exam, and often those involved in a child’s care are the first to notice warning signs of an eye problem.

Insurance plans may require a referral from your child’s primary care provider or pediatrician prior to scheduling a visit with an eye care provider. However, pediatric vision services are among the essential health benefits under the Affordable Care Act, which are the services that all individual and small employer health plans must include.

If your child does not have insurance for eye exams or for prescription eyeglasses, assistance programs such as EyeCare America, InfantSEE and Prevent Blindness may be able to help.

Washington consumers who don’t have health insurance for their children should contact Washington Healthplanfinder to find out if they qualify for Apple Health, our state’s Medicaid program.

If you are the parent of a special needs child ages birth to age 3, contact Early Support for Infants and Toddlers through the state Department of Early Learning.

Read more about how health insurance has changed for individuals and families. If you have questions about insurance in Washington state, contact our consumer advocates online or by phone at 1-800-562-6900.

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Monday, 18 August 2014

Premera, Seattle Children’s Hospital reach agreement; Regence is in the works

Seattle Children’s Hospital and Premera Blue Cross today reached an agreement to include the hospital in its medical networks, effective Sept. 1. Seattle Children’s Hospital initiated legal proceedings about a year ago when Premera, Regence Blue Shield and Coordinated Care decided against including the hospital and research facility in their medical networks because of cost concerns. Regence is working with the hospital on its own agreement, which could be done this week. The company and hospital representatives will have another conference with the hearings officer presiding over the case at 11 a.m. on Aug. 21.

Coordinated Care earlier this year made a deal to include the hospital in its network and was removed from the case.

“This is good news for consumers,” Kreidler said. “It represents the innovation that can occur when the marketplace is allowed to work. All parties deserve congratulations for the effort they have made and are making to ensure ready and affordable access to health care.

“This also furthers the discussion about how we balance the need of affordable care with the need to continue medical research without policyholders paying for it through premiums.”

The Premera deal was made in the late hours before the OIC’s hearings officer was scheduled to hear the case starting at 10 a.m. today. Kreidler’s office is currently reviewing proposed 2015 health care plans and is expected to start announcing the approved plans this week via the OIC’s online rate tool http://bit.ly/WAhealthrates.

Sunday, 20 July 2014

Is the Health Insurance provided by your employer sufficient ?

Image : Courtesy Google Images

Many of the employers provide Group Health Insurance to their employees. Whenever an employees joins an organisation, the company offers him or her a Group Health Cover which was already running for quite some time. As such, there is a little chance that the new joinees are made aware of all the provisions and facilities available under the plan.

Most of the plans have sub-limits, wherein there is a capping on room rent, ICU charges and on certain surgeries and day care procedures.Many a times, it is observed that the cover is inadequate for the family members and for the extended family.

As such, it is always advisable to buy a separate Family floater Health Insurance Plan covering all the members of the family, parents and in-laws for adequate sum insured.