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Health Boards how can one get a surgery done when the hospital wants alot of money u..  
16:54 11-Jan-08   [Replies: 2, Views: 240]    By: Unnamed
I have insurance but they will not cover the surgery. How can one get a surgery done when the hospital wants alot of money upfront and with the % off if i pay it off in 2 months it is still 30,000...
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Health Boards Will insurance cover broken nose surgery?  
20:08 8-Jan-08   [Replies: 4, Views: 1091]    By: Unnamed
First, I am 18 and starting college this fall. About 2 years ago I broke my nose, without at the time reaizing it. However recently I have had trouble sleeping at night, largely caused by a stuf...
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ActuarialOutpost Med Supp ER & Office Visit Assumption  
16:59 8-Jan-08   [Replies: 2, Views: 221]    By: Unnamed
I'm looking for some kind of basis that I could use to set assumptions for: What % of Part A claims are for emergency room visits? What % of Part B claims are for office visits? Is there indu...
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ActuarialOutpost selection factors  
14:59 8-Jan-08   [Replies: 1, Views: 265]    By: Unnamed
Can someone please point me to any studies done on Product selection relationships in a multi option environment? thanks ...
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ActuarialOutpost Annual renewable term DI product in the US?  
17:12 7-Jan-08   [Replies: 3, Views: 191]    By: Unnamed
Is the above product offered by any companies in the US? ...
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Health Boards Insurance  
05:40 5-Jan-08   [Replies: 0, Views: 165]    By: Unnamed
Anybody out there covered with united American Insurance Co. Did you have any issues with this company. ...
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Health Boards Help with Medicaid  
16:22 4-Jan-08   [Replies: 1, Views: 151]    By: Unnamed
Well my doctor of a few years no longer accepts this plan. Which sucks cause he was right around the block from my house and i really liked him. Anyways i need to find a new one now but i'm not su...
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Health Boards Health Insurance Question  
12:54 4-Jan-08   [Replies: 3, Views: 158]    By: Unnamed
Hello, I will be as clear as I can. As a resident of New York, a little over 2 years ago, I signed up with their Healthy NY program for individuals whose employers didn't provide health insur...
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Health Boards Totally ignorant question: cash only possible?  
20:59 3-Jan-08   [Replies: 0, Views: 151]    By: Unnamed
I am 18, and still dependent. I am insured under my father's company plan, but my parents have been uncooperative regarding my condition (whatever it is), so I decided some time ago to try to act...
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ActuarialOutpost Health Actuaries, what are your thoughts on this?  
16:50 3-Jan-08   [Replies: 36, Views: 1341]    By: Unnamed
so my husband "threw his back out" over two months ago. he was out of work for some time. he went through the short term disability waiting period, then we filed a claim and filled out...
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ActuarialOutpost CMS Medicare Bidding questions  
13:06 3-Jan-08   [Replies: 7, Views: 1103]    By: Unnamed
I am new to CMS Medicare bidding process and have many questions. If you are familiar with this area and willing to help out, please pm me. Thanks in advance! ...
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ActuarialOutpost One-year full preliminary term reserve  
14:40 2-Jan-08   [Replies: 2, Views: 250]    By: Unnamed
I know that net premium for 1st year should equal expected incurred claims of 1st year, so that the terminal reserves = 0 at the end of 1st year. But how do we calculate the reserve for year 2,...
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Health Boards Need to find a rhemuatologist ASAP!!  
04:11 31-Dec-07   [Replies: 0, Views: 118]    By: Unnamed
Hi Everyone, My name is Laurie, I'm 26 and I've had Lupus for 18 years now. I'm in desperate need of a Rhemuatologist. I live in TN, and there are only 3 doctors on my insurance. I have ...
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Health Boards reasonable & customary charges  
09:53 30-Dec-07   [Replies: 2, Views: 344]    By: Unnamed
Do you have problems with your insurance co saying the charges are not reasonable & customary? Everytime a charge is turned in to UHC for consideration, it's suddenly not covered, things they...
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Health Boards Claim denied sent to collection  
22:25 28-Dec-07   [Replies: 1, Views: 180]    By: Unnamed
I was sent to a Perinatolgist (sp) high risk pregnancy Dr. due to preterm labor when I was four months pregnant. The Dr. sent me to another facility to have an ultrasound. This ultrasound was ve...
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Health Boards I am having real problems with CIGNA.  
21:54 27-Dec-07   [Replies: 2, Views: 282]    By: Unnamed
hi, I am having real problems with CIGNA. All my bills have been returned on one or other pretext even though I may 700+ per month for my family (3). can you pl give me an approach to deal with th...
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Health Boards etna (aetna) health insurance  
21:46 27-Dec-07   [Replies: 0, Views: 116]    By: Unnamed
I am looking for info on etna (aetna) supplemental insurance. It is called the Golden Advantage policy. Anyone heard of this? Thanks. ...
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Health Boards breast reduction what type of insurance do i have to have  
15:28 27-Dec-07   [Replies: 2, Views: 329]    By: Unnamed
breast reduction what type of insurance company do i need to switch to ...
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ActuarialOutpost New York Med Mal  
13:26 27-Dec-07   [Replies: 3, Views: 414]    By: Unnamed
from the New York Sun [http://www.nysun.com/article/68523]>: Quote: A $50,000 extra fee imposed on each doctor in New York State or “substantially” higher insu...
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ActuarialOutpost Delaware Proposes Single-Payer  
03:29 27-Dec-07   [Replies: 2, Views: 311]    By: Unnamed
Quote: n the 2008 state legislative session, our Act will be re-introduced as Senate Bill 177 with an initial co-sponsorship of 18 state legislators... Our current Delaw...
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Health Boards Bipolar and SSI  
13:41 26-Dec-07   [Replies: 1, Views: 132]    By: Unnamed
Hi, I'm 40 and deleted having difficulty with my job. I am missing work and am wondering if I am able to get SSI. I have a sister who is on SSI for the same thing. I have a husband who...
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Health Boards Dental Insurance in NYC  
12:00 26-Dec-07   [Replies: 4, Views: 187]    By: Unnamed
I am really looking for a good dental insurance plan for individual. I have these dental issues i really need to take care of. My work ain't got none. anyone knows any good one or good discounte...
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Health Boards Bipolar and getting approved for SSI  
23:22 21-Dec-07   [Replies: 1, Views: 208]    By: Unnamed
Hi, I am a female in my mid thirties. I have been diagnosed bipolar a little over a year ago. I have found I was bipolar way back in my teenage years. My sister is bipolar, my mother and my niece....
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ActuarialOutpost Why are LTC Rates Unisex?  
18:23 19-Dec-07   [Replies: 3, Views: 657]    By: Unnamed
Why are LTC Rates unisex? More female sales, higher morbidity, implies female antiselection. If we charge females more, does sales volume drop too much? LTC is already expensive, perhaps too e...
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Health Boards sonogram vs. breast ultrasound  
05:51 18-Dec-07   [Replies: 0, Views: 128]    By: Unnamed
what is the difference between a sonogram and a breast ultrasound? ...
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