> 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.
> Long-Term Disability (LTD) Long-term-disability plans provide income for an individual who cannot work because of an illness, disease, or non-occupational injury. Most plans require that the individual be a full-time employee for at least one year before the disability coverage applies.
> Deregulation Under Washington state law known as “use-and-file,” commercial property/casualty contracts negotiated between insurers and businesses may go into effect immediately. The policy itself can be filed for state review later.
The Mental Health Parity Act, MHPA, of 1996 requires plans that offer mental health benefits to set lifetime dollar limits equivalent to limits for medical/surgical benefits; however, it does not require all plans to offer mental health benefits. Limits for substance abuse or chemical dependency benefits are not included in the determination of parity.
Many States have their own mental health parity laws. Some State parity laws deal with substance abuse benefits as well as treatments for mental illness. To learn more about parity and mental health coverage in your own State, contact your State department of insurance.
If stress, or interpersonal or job-related tension, is interfering with your daily life or if a medical condition is causing you mental anguish, you may want to seek mental health care. If habitual use of legal or illegal substances is negatively affecting your health and/or your daily life, you should seek treatment for substance abuse. In either circumstance, you should seek care as soon as possible, before you feel that you can no longer cope with the situation. These problems are just as important, and treatable, as medical problems.
If you live in the following cities and need an Insurance Advisor or to get a
quote, you should contact our Minnesota Insurance Advisors today:
Andover
Anoka
Austin
Bemidji
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Burnsville
Circle Pines
Cottage Grove
Eden Prairie
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Minneapolis
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Stillwater
Winona
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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Minnesota and nationwide:
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Mar 02, 2007 - Make Sure Your Loved Ones Have Good Health Care ERISA Disclosure Provisions help to ensure that individuals covered by group health plans receive clear infor 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 >
Legal Disclaimers The information provided on Minnesota 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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