Prescription Drug Coverage Explained
A Basic Explanation Any new health insurance plan you buy for yourself or your family must cover medicines your doctor prescribes for you. (This is part of the healthcare reform
Preauthorization Explained
A Basic Explanation Before you can schedule certain healthcare services you may need to get preapproval from your insurance company. This is called preauthorization. (The terms precertification, prior authorization, and
Health Savings Account (HSA) Explained
A Basic Explanation A Health Savings Account (HSA) is a personal savings account, but the money you put into it can only be used for paying qualified medical expenses. You
Medicaid Explained
A Basic Explanation Medicaid is a state and federally funded program that helps Americans with limited income pay their medical bills. It also offers healthcare coverage to people with disabilities
CHIP Explained
A Basic Explanation All parents want their kids to grow up happy and healthy. For families who need some assistance in making sure their youngest members get the healthcare they
Emergency Care Explained
A Basic Explanation If your spouse suddenly has chest pains and trouble breathing, you shouldn’t have to stress about whether a trip to the ER will break the bank. That’s
Dental Insurance Explained
A Basic Explanation Everybody wants a megawatt smile, but did you know that healthy teeth and gums contribute to the overall health of your whole body? Well, they do. Research
Essential Health Benefits Explained
A Basic Explanation If you’re buying your own health insurance (meaning you’re not getting your coverage through an employer, or as part of any other group plan), you’re guaranteed coverage
Health Insurance Tax Credits Explained
A Basic Explanation An advanced premium tax credit — or simply premium tax credit — is designed to make it easier for you to afford health insurance. If you qualify,
Setting Up Defined Contribution Class Structures
Employers who sponsor self-funded group health plans (as well as fully-insured employers who want to proactively comply with non-discrimination requirements) and are moving from defined benefit (DB) to defined contribution (DC) funding arrangements need to decide and define how they allocate funds for employees to use. DC funding arrangements allow an employer to completely define their maximum annual spend for health benefits prior to open enrollment.