Posts Tagged ‘Carolina’

Remarks of Mr. Calhoun of South Carolina on the bill to prevent the interference

Wednesday, September 29th, 2010

Product DescriptionAt the last session of Congress, it was avowed on all sides that the public debt, as to all practical purposes, was in fact paid, the small surplus remaining being nearly covered by the money in the Treasury and the bonds for duties which had already accrued; but with the arrival of this event our last hope was doomed to be disappointed.

Remarks of Mr. Calhoun of South Carolina on the bill to prevent the interference

Maternity / Pregnancy Insurance Options in North Carolina

Saturday, July 17th, 2010

There is not much information available online about strategies for planning for maternity benefits, including prenatal care and childbirth, North Carolina, so I decided to write this article, provide a quick overview of the issue.

If you are pregnant now, your options in order of preference, Medicaid, group insurance and prepayment schemes are. Once you are pregnant, it is not possible, a single political issue. The application will be rejected automatically. If you’re planning your pregnancy, the best ways to cut costs on Medicaid maternity, group insurance, individual insurance with Blue Cross Blue Shield plans early repayment, in order of preference.

The average total maternity expenses submitted to Blue Cross Blue Shield of North Carolina in 2007 was $ 20,015 in the first pregnancy A patient may be required to pay in full, but many families to negotiate with hospitals and providers at a price reduced, if the only way to pay pay out of pocket.

In planning, the cost of maternity, the four main options in North Carolina are as follows:

First Group of maternity insurance coverage. This is often the cheapest way to pay maternity expenses, due to group policies to cover maternity leave for all women in politics, without additional driver. Also, if you’re pregnant and do not meet the requirements of Medicaid income is your best chance of pregnancy always covered by an insurance company. In addition, some group policies

not consider pregnancy a preexisting condition, then it is a good way to check if you are already pregnant.

Once the charges submitted to insurance, it pays to the hospital to ask if you can get a discount by paying the deductible in its entirety, as opposed to payments over time. I am aware of where I updated the franchise was for a full and immediate payment.

Individual second maternity insurance with Blue Cross Blue Shield. At the time of this writing, I am not aware of an individual health insurance in North Carolina that provides coverage for maternity. The company is Blue Cross Blue Shield and Blue Advantage policy is Blue Options HSA ®, and SM. I am not aware that some health insurance covers you if you are pregnant. HumanaOne already offered an individual maternity policy, but since it has set. I’m generally skeptical of health insurance for small when you are in a position, one that maternity services are, because they are often tight and budgets because of its policies often contain gaps difficult.

Blue Cross Blue Shield policy results is somewhat similar to a plan for repayment by a hospital as a grant to add the driver of motherhood are quite considerable. However, the benefit of the policy, in case of pregnancy complications brings with it the costs are more predictable. Pregnancies with complications are often much more expensive than a normal delivery, this option is more desirable than a prepayment plan.

map of Blue Cross Blue Shield makes use of the maternity deductible and coinsurance plan, it is justified, it is important to the various costs of maternity riders under the franchise and coinsurance to evaluate each plan. Assuming that the rider for a maternity plan was $ 350 per month. Suppose that this plan has a deductible of $ 2,500 with 100% co-insurance. However, the total cost of pregnancy during one year is $ 350 times 12 months = $ 4,200 + $ 2,500 = $ 6,700 deductible for pregnancy. Assuming that a second plane had a maternity rider for $ 450 per month. Suppose that this plan has a deductible of $ 1,500 with 100% co-insurance. Now, the pregnancy would cost $ 450 times 12 months = $ 5,400 + $ 1,500 = $ 6,900 deductible. With this hypothetical scenario, the first option is preferable, even if the deductible is higher. The purpose of this example is to illustrate the importance of attention to how much is your deductible to reduce costs.

With rate maternity Blue Cross Blue Shield, it is also important to plan the timing of pregnancy. Resetting every franchise, every first of January, so it is best to begin a policy of maternity early and start trying to get pregnant at that time. Otherwise, pregnancy overlap calendar years, and you must meet your deductible more than once.

3rd Medicaid cover maternity. Visit the website of the implementation of State requirements and income eligibility statements.

4th Plans prepayments. I you are pregnant, plan of redemption is a last resort. In this case, you should negotiate on caregivers of antenatal and delivery rate was prepaid. Many hospitals offer discounts for paying out of pocket in advance. In the implementation of negotiations in advance, it is important, very specifically, what mentioned in the agreement, and if the price included complications during pregnancy or normal childbirth.

Summary

Overall, a financial viewpoint, Medicaid is generally the cheapest option, followed by group insurance. maternity benefits individual with Blue Cross Blue Shield is the third most desirable as a measure, the cost of unexpected complications of pregnancy be minimized. The fourth option is the payment plan negotiated directly with the supplier.

NC pregnancy, maternity insurance

First Average fees for maternity services provided BCBSNC, professional, and hospitals, etc. in 2007. Their fees can vary.

Speech of Mr. Calhoun of South Carolina on the bill to prevent disruption

Thursday, July 8th, 2010

DescriptionAt product was the last session of Congress on all sides that the public debt, for all practical purposes, was in fact paid, the surplus of offspring is almost on the money in the Treasury and the obligations for covered tasks have been strong ever run, but was disappointed by damn the arrival of this event is our last hope.

Speech of Mr. Calhoun of South Carolina on the bill to prevent disruption

Medical Liens and Patient Payment in North Carolina

Wednesday, June 2nd, 2010

INTRODUCTION

The traumatically brain injured constitute an ever growing segment of our population. Each year, approximately 1.4 million people sustain a traumatic brain injury in the United States. The costs of a brain injury are not purely financial. Often, a brain injury starts a downward spiral in the survivor’s life where the emotional and physical ramifications quickly exceed the financial ones.

Once the acute care period is over and the patient is stabilized, the resources available to the patient can substantially impact treatment and recovery. In a perfect world, every patient would have unlimited access to the best resources available to meet their needs. Ours unfortunately is not a perfect world.

The consequences of a traumatic brain injury are far reaching. Not only are there treatment costs associated with the recovery from the acute injuries, but there are the costs of long term care and supervision, the lost support to the family unit that the injured party previously contributed, the increased physical demands placed upon the caregivers and family of the survivor to meet the needs of their injured loved ones, and the family having to step into the breach of the role that the injured person previously contributed to the family.

The analysis will focus on the sources of funding for treatment and assistance to the traumatically brain injured from First Party Resources.

FIRST PARTY RESOURCES

The person who is ultimately responsible to pay for the treatment and medical care which they receive is the person receiving the care.

A. Persons who sign medical procedure authorizations are also responsible unless they specifically and carefully limit their personal responsibility in the authorizing document. North Carolina has adopted the common law Doctrine of Necessaries. Pursuant to that body of law, a spouse or parent is legally responsible to pay for the necessaries of their spouse or children. In order for the Doctrine of Necessaries to apply, the items or services provided must be required for sustenance or support.

B. Medical Liens

North Carolina allows most health care providers to assert a medical lien against the proceeds of any recovery from a third party received by their patients. The lien is creature of statute. The statute sets forth the steps and procedures which must be followed in order to maintain and perfect a medical lien. Medical liens are perfected by filing notice of the lien with the patient’s attorney.

1. The Specifics. Any person who provides drugs, medical supplies, ambulance services, services rendered by any physician, dentist, nurse or hospital or services rendered in connection with an injury is entitled to a lien upon any sums recovered as damages for personal injury.

a. No lien is valid unless the medical lien claimant “furnishes, without charge to the attorney as a condition precedent to the creation of the lien, upon request, to the attorney representing the person in whose behalf the claim for personal injury is made, an itemized statement, hospital record, or medical report for the use of the attorney in the negotiation, settlement or trial of the claim…” and a “written notice to the attorney of the lien claimed.” N.C.G.S. 44-49(B).

b. The general statutes further limit the lien to no more than fifty (50%) percent of the amount of damages recovered. N.C.G.S 44-50.

c. The medical lien is paid before disbursement of any funds to the injured party. N.C.G.S 44-50.

2. Pro Rata Distribution

Where the monies available from the settlement are insufficient, within the statutory limitation, to satisfy all the medical lien claimants, each lienholder shall receive a pro-rata distribution. The medical lien claimants are entitled to receive a certification from the payor attorney containing sufficient information to demonstrate that the distribution was pro rata and consistent with the statutes. This certification typically includes a statement of all of the following:

a. The amount of the settlement or judgment.

b. The total distribution to lienholders, the amount of each lien claimed, and the percentage of each lien paid.

c. The total attorney’s fees.

N.C.G.S. 44-50.1

CONCLUSION

Traumatic Brain Injuries are often referred to as the silent epidemic. A person’s life can be substantially and dramatically affected by a brain injury. Those of you serving on the front lines want the best outcome for their patients and clients. By securing all available funding, our patients/clients can focus on their recovery.