Health Insurance

The Death of the Legacy Agent: Why Your Toolkit is Your Survival Strategy

The traditional health insurance broker—armed with a Rolodex, a smile, and a basic spreadsheet—is an endangered species. In an era where regulatory volatility and algorithmic underwriting dictate market movements, success is no longer about “selling a plan.” It is about managing the friction between complex healthcare data and the consumer’s cognitive load. If you are still manually entering lead data or relying on carrier-provided portals as your primary interface, you aren’t an advisor; you are an unpaid data entry clerk for the carriers.

To win in this …

More Texans than ever enrolled in ACA health plans, feds say

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More Texans than ever have signed up for cheap or free health care coverage through the Affordable Care Act, with more than 1 in 9 residents covered under government-subsidized health plans for 2024, according to federal health data released on Wednesday.

In a state that has the highest number of uninsured residents in the nation, public health advocates say it’s an encouraging trend that the number of Texas enrollees in ACA programs climbed by 37% to nearly 3.5

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4 Reminders About Getting Care With TRICARE For Life > TRICARE Newsroom > TRICARE News

FALLS CHURCH, Va. –

Whether you’re new to TRICARE For Life (TFL) or you’ve had it for years, you may have questions about getting care with TFL.

TFL is Medicare-wraparound coverage for military retirees and their family members who are TRICARE-eligible and have Medicare Part A and Part B. Medicare is your primary health coverage when you have TFL.

“This means that Medicare pays first on a health care claim,” said Anne Breslin, TRICARE For Life program manager. “TRICARE pays second, or last if you have other health insurance.”

Knowing how Medicare coverage works can help you avoid unexpected costs.

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Health insurance: What The New ‘Cashless Anywhere’ Initiative Entails

A key advantage of health insurance is the benefit of cashless claim settlement when a policyholder is admitted to a hospital for treatment — whether it is planned or emergency-driven. Cashless treatment is generally allowed by insurers when admitted in their empanelled or network hospitals.

But late this January, the General Insurance Council rolled out a new initiative called ‘cashless anywhere’ that allowed insurers to settle claims even when treatment is taken in non-network hospitals.

When there is a large list of network hospitals provided by any insurer, will anyone prefer a non-network hospital? Consider a few situations. What if

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Manipal Cigna Health Insurance provides customized insurance solutions to bolster healthcare in Hyderabad. Details here

Manipal Cigna Health Insurance, a rapidly expanding independent health insurance company in India, is proactively enhancing its footprint in Hyderabad and nationwide. It aims to cater to various healthcare financing needs and introduce its innovative health insurance solutions to new customer segments.

In the fiscal year 2022-2023, the insurer achieved a substantial gross written premium of approximately more than ₹150 crores in Andhra Pradesh and Telangana, establishing itself as the second-largest market for business growth in South India. The company is dedicated to increasing the adoption of health insurance in the Andhra Pradesh and Telangana regions, ensuring its customers

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10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision

Medicaid enrollment increased since the start of the pandemic, primarily due to the continuous enrollment provision.
KFF estimates that between 8 million and 24 million people will lose Medicaid coverage during the unwinding of the continuous enrollment provision.
The Medicaid continuous enrollment provision stopped “churn” among Medicaid enrollees.
States approaches to unwinding the continuous enrollment provision vary.
Maximizing streamlined renewal processes can promote continuity of coverage as states unwind the continuous enrollment provision.
States have obtained temporary waivers to pursue strategies to support their unwinding plans.
Certain groups may be at greater risk of losing Medicaid coverage during the unwinding

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Health insurance for 65-plus doesn’t address the key issue of affordability

The Insurance Regulatory and Development Authority of India (IRDAI) has lifted the age ceiling of 65 years on purchasing a health insurance policy. It has advised insurance companies to offer health insurance products to all age groups, including senior citizens, covering all types of existing medical conditions.

Earlier, in a 2016 notification, the IRDAI had set an entry age of ‘at least up to 65 years’ for insurance companies to provide health insurance cover. Although there was no bar to sell health insurance policies to those over 65, only a handful of insurers sold health policies to first-time buyers beyond

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What is keeping Indians away from health insurance?

Higher premiums and lack of urgency along with high complexity are the prime reasons for many Indians not buying health insurance, find a survey on the trend among insurance buyers in India.

Lack of affordability, higher premiums, difficulty in understanding health insurance clauses, and insufficient funds, emerged as the main obstruction for people who are willing to buy health insurance, according to the policybazaar.com’s report, titled ‘How India buys Insurance’.

As per the survey, 43 per cent of all the respondents who didn’t take any health insurance cited high premiums as the main reason for not doing so. Out of

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