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- Tougher Rules for Affordable Care Act Special Enrollment Periods
As the rules stand now, people can purchase health insurance coverage after the enrollment deadline if special circumstances apply, such as a change in employment, the birth of a new child, marriage and divorce. Exceptions were also made for uninsured people looking to get coverage at the same time as they did their taxes or for those who had technical problems with the insurance website. Insurers believe that the rules concerning signing up for healthcare insurance outside of the official enrollment period are way too broad as they stand, allowing people to take advantage of the fact. According to a top federal official, the administration plans to eliminate some of the criteria for late sign-ups in addition to making the criteria language clearer to help cut down on costs. A New Task Force Andy Slavitt, the administrator of the Centers for Medicare and Medicaid Services, believes that tightening the existing rules will help ensure that the special enrollment period will serve its original purpose. A new task force will be implemented to make sure that people are honest in regards to health insurance purchases. The task force will even terminate health insurance coverage for any consumers that enrolled outside of the official deadline without having a legitimate reason for doing so. Rules for special enrollment periods are set to become much stricter. For more information concerning the Affordable Care Act or for advice on how to enroll, visit us at The Benefits Store today.
- The Zika Virus: What You Need to Know
WHO estimates that between three million and four million people throughout the Americas will be infected with the Zika virus over the course of this year. The virus is spread by the Aedes aegypti mosquito and has broken out in 29 countries so far. Because it is connected to a neurological birth disorder, the Centers for Disease Control (CDC) is recommending that pregnant women not travel to these countries. In fact, health officials in these countries have even begun recommending that female citizens avoid getting pregnant for upwards of two years. The U.S. Defense Department is currently offering pregnant employees and their beneficiaries that are stationed in affected countries voluntary relocation. The director of the National Institute of Allergy and Infectious Diseases, Dr. Anthony Fauci, called the viral outbreak a pandemic in progress. The following are important facts that everyone should know about the Zika virus: What is it?—The Zika virus is similar to the yellow fever, dengue and West Nile viruses. However, there are no vaccines or medicines to treat the Zika virus as of yet. What does it cause?—The virus is linked to microcephaly, which is a neurological disorder that causes abnormally small heads in newborns, which can lead to severe developmental problems or even death. There were only 146 cases of microcephaly in 2014. Since the outbreak, there have been 404 cases since November 2015 in Brazil alone. Learn more about the condition by reading this article about microcephaly. How is it spread?—The most common way that it’s spread is through Aedes mosquito bites. However, the CDC reported that the latest outbreak was transmitted via sex. Be sure to avoid traveling to areas currently dealing with a serious Zika outbreak. Here at the Benefits Store, we aim to keep you updated on all the newest health-related news.
- Could Dementia Villages Come to the US?
Such structured environments did not exist before for those suffering from dementia. Many people simply did not know how to handle those that suffered from dementia other than by levying restrictions on their day-to-day lives as a way to protect them. However, the success of the dementia villages in the Netherlands has led many people in the U.S., as well as in England, to explore ways in which they can create a dementia-friendly environment in which those suffering from dementia can still remain involved in both social and cultural activities, thereby maintaining their quality of life. A Familiar Environment The dementia village in the Netherlands is a residential facility outside of Amsterdam that looks like a normal community—it boasts parks, a post office, a restaurant, a grocery store and other amenities that elderly residents with dementia can use at their pleasure. There are 152 residents with moderate dementia that live in groups of six or eight along with one or two caretakers. There’s only one door out of the town, thereby limiting the risk of residents wandering away. The familiar environment created by the dementia village may be more restrictive than typical communities, but it provides dementia patients with more freedom than they typically have, thereby allowing them to maintain some semblance of independence. Whether or not dementia villages are set up in the U.S., the country can certainly learn many lessons from their success. For more information regarding advancements in dementia and other health issues, be sure to visit The Benefits Store today.
- Fight Continues To Raise Smoking Age
Younger individuals aren’t as worried about their health as older adults, which makes them more susceptible to trying and becoming addicted to tobacco use. Tobacco companies recognize this and have targeted younger Californians with their advertising. The younger an age that they turn a person into a smoker, the more business they’ll have from that individual over their lifetime. Among the reasons for the initiative to increase the age restriction on tobacco purchases from 18 to 21 are that it will help reduce the number of Californians that become addicted to tobacco use at an early age, and that it will save California money on healthcare costs, since sustained tobacco use is directly linked to a variety of chronic illnesses. However, there are a number of people opposing the proposition. These people believe that since the age of 18 is considered an adult age, people that are 18 years old should retain the right to make their own decision regarding whether to smoke cigarettes or not. Additionally, opponents to the proposed law point out that the state could end up losing money. This is because the state taxes cigarette sales, and if sales go down, so will the money coming from taxes. There are both pros and cons to raising the age restriction on tobacco purchase, but one thing is certain—tobacco is harmful to the health of those that use it. For more information about proposed health laws and health insurance in general, visit the Benefits Store today.
- What to Include as Income on Your Marketplace Application
For the most part, applicants should provide their gross income, which is their total income before taxes and other deductions are applied. Applicants may have the option to provide their income estimate as either monthly or yearly. Household income doesn’t just include the estimated income of the person filling out the application. It also consists of the income of their spouse (if they have a spouse) as well as their tax dependents—even tax dependents that aren’t in need of coverage. The Types of Income Used The following are the types of income that applicants will have to include in their estimate: Federal taxable wages—If the applicant’s pay stub includes federal taxable wages, they should use that number. If it doesn’t, then they should use the gross income number and subtract the amount taken out by the employer for health insurance, retirement plans and child care. Self-employment income—Applicants should include their net self-employment income, which is what they made minus their business expenses—they will be asked what type of work they do. Social security—The full amount of both taxable and non-taxable social security income needs to be included before any deductions. Social security disability income should be included as well; however, supplemental security income should not be included. Retirement income—IRA and 401(k) withdrawals should be included. Other forms of income that have to be included include tips, unemployment compensation, alimony, capital gains, investment income, rental and royalty income, and excluded foreign income. For additional information and advice regarding a marketplace application or about health insurance in general, be sure to visit us at The Benefits Store today.
- Covered California’s Open Enrollment Deadline
Covered California Open Enrollment Process The following is the process that residents will go through in order to sign up for health insurance via Covered California: Shopping and comparing plans—Residents simply need to enter some personal information in order to receive an estimate for how much health insurance will cost. The less a resident makes on an annual basis, the more financial assistance they will receive. Applying for an insurance plan—Once a resident finds a plan that suits them, they can apply through Covered California. Residents will need to provide personal information that includes their ID, income information, social security number, zip code and proof of citizenship or lawful presence. Anyone that needs assistance during this step can simply click on the Find Local Help button located on the home page. Review choices—Once residents have applied, they can review their private insurance options. Companies included in Covered California include Anthem, BlueCross, Blue Shield of California, CCHP, Health Net, Kaiser Permanente, LA Care, Molina Healthcare, Oscar, Sharp, Valley Health Plan, Western Health Advantage and United Health Care. Begin payments—Residents will be able to make their first month’s payment online or they can choose to wait until a bill comes to their home via the mail. Covered California can help ensure that all of the state’s residents get the healthcare insurance that they need at an affordable rate. Be sure to visit the Benefits Store today in order to receive more information about Covered California enrollment or about health insurance and the Affordable Care Act in general. Remember, the open enrollment date will end this month on January 31st.
- Is It the Flu or a Cold?
The Common Cold If you have a cold, the first symptom you’ll typically have is a sore throat, which usually only lasts for a day or two. Following the sore throat, you’ll experience nasal symptoms, such as congestion or a runny nose. This is usually accompanied by a cough during the fourth and fifth days of your cold. Expect your mucus to take on a darker and thicker appearance. Unfortunately, there is no cure for the common cold, and it is very contagious in the first three days; however, it should go away within a week. The Flu Symptoms of the flu are similar to those of a cold, but they come on much more quickly. They include sore throats, coughs and congestion. However, unlike the common cold, the flu will typically also cause symptoms such as a fever, headaches, muscles aches and muscle soreness. Once you develop these symptoms, it’s a good indication that you have the flu. More severe versions of the flu virus can also result in diarrhea and vomiting. Some of the lesser symptoms, such as the cough and sore throat, will usually improve within two to five days. However, if you started off with a fever, it can return after a few days if you have the flu. The flu will also cause you to feel fatigue and weakness, and sometimes even extreme exhaustion, which never occurs with a cold. Although the common cold and the flu share a number of symptoms, you can usually identify the flu by a fever and exhaustion. We advise you to get your flu shot soon and to contact The Benefits Store for professional service for all California Medical Plans.
- Maternity Plans with Dental Coverage Encourage Better Overall Health
The Importance of Dental Health for Pregnant Women Pregnancy hormones can actually affect a woman’s dental health. According to the American College of Obstetricians and Gynecologists, the physiological changes that women experience during pregnancy can result in the following dental health issues: Gingivitis Gingival lesions Tooth enamel erosion Loose teeth Periodontitis There’s also the risk of infection, including gum disease and tooth decay, and all of these issues can in turn affect the health of the baby. Then there are some of the daily routines that pregnant women often go through that can affect their dental health. This can include taking certain prescribed medications, such as medications for high blood pressure, asthma or diabetes, which dry the mouth and can in turn result in gum disease, bacteria growth and tooth decay. Why Maternity Plans Should Include Dental Coverage The Cigna study showed that 63 percent of the surveyed pregnant women believed they had excellent dental health before pregnancy—this number dropped to 55 percent during their pregnancy. Also, 43 percent of those surveyed didn’t even bother going to the dentist for a check up during their pregnancy period. The main reason? They were worried about the costs. This is a problem since pregnant women are more likely to develop a dental health issue—which, left untreated, could grow into a bigger problem that will be more costly to treat. By including dental coverage in your maternity plans, you’ll be encouraging pregnant women to get a dental check up. Dental health is often ignored during pregnancy—but it shouldn’t be, as pregnancy can affect the health of women’s teeth. For more information about maternity plans and California medical plans in general, contact The Benefits Store today.
- How to Prevent the Flu
Getting a Flu Vaccine The best way to prevent the flu is by getting vaccinated with a flu shot as soon as you can. Ideally, you should go get your flu shot during the fall—early fall if possible. However, you can still get vaccinated any time during the winter as well. The only danger is that you might catch the flu before you get a chance to get vaccinated. Remember, getting vaccinated for the flu is a lot different than getting vaccinated for other illnesses. Unlike many other vaccines, you’ll need to get the flu vaccine every year. This is because the vaccine is designed differently each year in order to combat the flu strains that health experts believe will be most widespread. There are different flu strains that are more common in certain areas every year, which is why even though you may have been vaccinated for a certain flu strain last year you will need to get vaccinated again this year. Other Flu Prevention Tips In addition to getting your flu shots, you should also take care to be extra clean during the flu season. Because so many people may be carrying the flu virus, you should always wash your hands after you touch potentially dirty surfaces or shake hands with somebody. When you do touch potentially dirty places, avoid touching your face afterwards. You should try to get vaccinated for the flu before winter hits. We will continue to provide you with advice concerning your health insurance, so be sure to contact The Benefits Store for information concerning all California medical plans.
- December is National Safe Toys and Gifts Month
Avoid balloons: Balloons may seem like a lot of fun as a child, but they can be quite dangerous for children under the age of eight. This is because they can easily choke on or suffocate on balloons that are broken or deflated. Avoid toys with small parts: If you are buying a toy for a child under three, avoid giving them toys that contain small parts so that they won’t swallow them, as they can cause choking. Provide safety gear: If you are getting a riding toy for a child, such as a skateboard, a scooter, or roller skates, then make sure you also provide safety gear (such as a helmet and knee pads) that properly fit the child. Throw away packaging: The packaging or plastic wrapping for many toys can become a safety hazard if you don’t discard it immediately. Supervise battery charging: If you give a young child a toy that requires batteries, make sure that they understand that they need an adult to supervise the battery charging. Always read the instructions and warnings on any toy that comes with batteries. Some chargers don’t have mechanisms to prevent overcharging, which can be dangerous if a child attempts to charge a battery. These are a few safety tips to keep in mind for National Safe Toys and Gifts Month. We want to provide you and your family with important health and safety information, so contact The Benefits Store for advice and information concerning all California Medical Plans.
- Dangerous Mosquitos Found in California: Know Your Risks
While the risks associated with these mosquitoes is still rather low, it is still imperative that precautions are taken to limit their spread. Both species, which can be identified by a distinct black and white striped pattern on their legs and thorax, are also more aggressive than typical mosquitoes, heightening the danger. They carry infectious diseases such as the dengue fever, chikungunya and yellow fever. Neither chikungunya or dengue fever have any treatment or vaccine. Most recently they have turned up in 10 of California’s 58 counties. The typical California mosquito will become most active at dusk and dawn, but the two new species to be on the lookout for will often stay active throughout the day. They will also readily enter buildings. To keep themselves safe, and also help keep these two species at bay, the public should take the following steps: Apply mosquito repellents to your skin when you plan to be outside. Effective deterrents need to include DEET, picaridin, IR3535, and/or oil of lemon eucalyptus to both clothing and skin. You should wear long-sleeved clothing, long pants, socks and shoes during the times when mosquitoes are most active. Make use of air conditioning to cool your home or business; eschew open windows or doors that could allow mosquitoes entrance. Eliminate potential mosquito-breeding grounds, such as any source of standing water. These species need only a teaspoon of standing water to lay eggs. At the Benefits Store, we know that keeping your family happy and healthy involves a large measure of prevention. Keeping you informed on the latest health news and information helps us all take better care of one another.
- Prenatal Vaccination Has the Potential to Save Thousands of Lives
The Prenatal vaccination for whooping cough is recommended by the Centers for Disease Control and Prevention (CDC) for all expectant mothers. In the past, the CDC recommended the vaccine was only given to mothers who had not previously been vaccinated. Studies such as the one conducted by the CDPH are responsible for this change, making it clear that a simple vaccination can potentially save the lives of thousands of infants. Pregnant women should be given the vaccine during the third trimester, starting at 27 weeks. Exposure to the vaccine will cause the mother’s body to produce the necessary antibodies to fight off the disease, while also passing off some of these antibodies to the unborn child. These antibodies will then provide crucial early life protection against the disease until the child receives additional vaccinations at two months. While the vaccination may not prevent the disease itself, the antibodies will provide protection from more serious complications and significantly reduce the child’s risk of death. A whooping cough vaccination can be given at vaccination clinics, doctor’s offices, and pharmacies. Providing adequate health care to both mother and baby during the course of the pregnancy is vital to the lifelong health of the child. For more information on this and other important medical and insurance issues, contact The Benefits Store today.