The language barrier for recent immigrants to the United States is taking a toll on how they receive access to and understand their health care options, according to a recent report by Kaiser. This further exemplifies the holes in the United States’ health care system, and raises huge concerns over those who are eligible and paying for health care yet are not receiving what they deserve. What is happening here and how can it be fixed?

Health care and immigration

I can only imagine how frustrating it is to be a newcomer to this country and want to get health care coverage, but not be able to find a single person to help you understand your options. For many who call the help lines for a plan like Medicaid, you may find that you can get instructions in Spanish, but what about the other hundreds of languages that immigrants speak? And what about other options for helping recent immigrants understand their health care options?

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Editor’s Preface: The new American Recovery and Reinvestment Act (ARRA) is a revolutionary step in addressing our most vital economic challenges. A significant portion of the money doled out by the ARRA ($59 billion) will go towards immediately addressing the health crisis. This is the second part in a two-part series on subsidies for COBRA in the ARRA. We have also extensively covered this subject in “COBRA Health Coverage in a Bad Economy” and “Stimulus Package and COBRA Health Coverage.” You can find Part 1 of this series at: “COBRA Health Subsidies and the Economic Recovery Act“

COBRA Subsidies and Your Health Insurance

Knowing who is and isn’t qualified for this 65% COBRA subsidy coverage can get a little sticky. The ARRA only provides the subsidy to AEI, or “assistance eligible individuals.” Who qualifies as one of these special AEI’s? Anyone who is eligible for COBRA coverage on or before September 1, 2008 or on or after December 31, 2009. This is an interesting way of looking at things, because wouldn’t it just be simpler to say anyone on or after September 1, since December 31 falls after that date? Moving on. An AEI is also someone who chooses to use COBRA during the original COBRA period, or during a special period of coverage. Just what is a special period of coverage? This special election period begins on the date of enactment of the ARRA and ends 60 days after the person’s health plan administrator provides the required notice to the individual. You also have to be covered by COBRA via an involuntary termination (covered in my last post) by your former employer’s health insurance coverage plan.

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Editor’s Preface: The new American Recovery and Reinvestment Act (ARRA) is a revolutionary step in addressing our most vital economic challenges. A significant portion of the money doled out by the ARRA ($59 billion) will go towards immediately addressing the health crisis. This two-part series by Tara Barnes will delve into the benefits of the stimulus package’s COBRA subsidy. We have also extensively covered this subject in “COBRA Health Coverage in a Bad Economy” and “Stimulus Package and COBRA Health Coverage.”

It cannot be denied-COBRA is a huge topic in the United States right now. People are up in arms about COBRA coverage (as can be seen from response here on previous blog postings) and some significant changes and new legislation put into place by the Obama administration may change the face of COBRA.

Spending in the ARRA for Health Insurance and Care Compared with Other Sectors

The ARRA (the American Recovery and Reinvestment Act) was signed on February 17, 2009 and directly affects the COBRA continuation coverage rules. Because so many Americans are upset with the way COBRA coverage works, will these changes benefit or hurt those who need to rely on COBRA to keep their health insurance? Are these new changes really going to make a difference in the things that citizens are frustrating about, like the monthly cost of COBRA? Read on to find out about the new act passed and how it will affect COBRA for those people living in the real world.
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Although the new administration seems to have gotten the ball rolling as far as changes to policies go, the future is still looking pretty bleak according to many analysts. The number of uninsured Americans right now stands at 45 million people in 2009. If there aren’t significant changes made in health insurance policies, that number will skyrocket to 54 million uninsured people by the year 2019. That would mean that over 17% of our entire population would be without health insurance. In this post, we’ll look at what people are calling for in terms of change, and what members of our government have to say to the President.

What Are the Problems with Current Health Policies?

The increase in the numbers of uninsured would be driven by the costly insurance premiums whose prices rise faster than incomes can keep up with them. If people simply can’t afford to keep paying health insurance premiums, they’re going to let them go and join the ranks of the uninsured. Many health treatments are deemed wasteful and unnecessary, and people pay well over what they should for these services.

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Sometimes you just need to get seen by a doctor, stat. Maybe you aren’t having an emergency like having a baby or cradling your severed limb in your hands, but things like a sprained ankle or a rapidly rising temperature require some fairly prompt attention. According to Health Net’s website, urgent care services are “medically necessary services which are required for an illness or injury that would not result in further disability or death if not treated immediately, but require professional attention and have the potential to develop such a threat if treatment is delayed longer than 24 hours.” What is the difference between emergency and urgent care? How can you get seen quickly without spending a ton of your hard earned dollars? How can you make sure that your urgent care visit will be covered by your health insurance? Read on to learn the best way to approach urgent care.

Assess Your Symptoms

If you are feeling like you are having a heart attack, get thee to an emergency room, stat. Urgent care centers are not for people who feel like their lives are in danger. But, if you’re uncomfortable from a minor sports injury or your flu feels like it’s just getting worse, an urgent center will be the way to go. Before you hop into a car to head for the emergency room or an urgent care center, ask yourself the following questions: Could I tolerate the way I’m feeling for another 48 hours? Do I want to spend less than $600 on a visit? Do I have the time to wait to be seen? If you answered “yes” to all of these questions, point your car in the direction of the nearest urgent care center.

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You may be asking yourself “Just what in the heck are alternative therapies?” According to Northwestern Health Sciences University, alternative therapies are “Interventions for improving, maintaining and promoting health and well being, preventing disease, or treating illness. Encompassing over 200 modalities and more than 10,000 uses, alternative and complementary therapies are not part of the standard North American biomedical regimen of health care or disease prevention. Standard refers to practices commonly taught in U. S. medical schools, covered by major insurers, or referred to as allopathic or Western medicine.” This article will seek to explain some forms of alternative therapies and help you look into whether they might be the right choice for you.

Acupuncture

Do you often find yourself feeling like you’re on pins and needles? With acupuncture, you literally are. Acupuncture is a technique in which incredibly thin needles of varying lengths are inserted into your skin to help treat a variety of conditions. Although acupuncture isn’t touted as an actual treatment for cancer, studies have shown it can help in battling the nausea that comes along with chemotherapy and radiation. It aids in relieving pain after dental surgery, treating headaches, rehabilitation after strokes and helping to treat a number of different muskuloskeletal conditions. The points in which needles are inserted into your skin are called acupoints, and to keep a healthy energy flowing through the body, the needles are only inserted deep enough into the skin to keep them from falling out. If you are cringing and imagining feeling like a walking (or, laying down) pincushion: never fear. The most skilled acupuncturists do not cause any pain.

Chiropractic Care

If thinking of a visit to the chiropractor has you your head filled with visions of cracking bones and anguished faces, think again. It is a very safe and effective practice when performed by a professional. According to the American Chiropractic Association, “chiropractic is a health care profession that focuses on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. Chiropractic care is used most often to treat neuromusculoskeletal complaints, including but not limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches.” Although chiropractic care itself does not hurt the patient, it is common for there to be a little bit of soreness and discomfort following any procedure. One benefit to an alternative therapy like the two listed is that they do not involve any type of drugs at all, simply trying to treat any illness or ailments through addressing it as directly as possible in the body.

Reflexology

Therapy through the hands and feet? This may sound like utter voodoo (or just plain gross to some) but reflexology is a calming and effective form of an alternative therapy. Reflexology is a form of therapy that uses pressure on specific areas of the feet (or the hands) with the goal of relieving a variety of problems and balancing the flow of vital energy throughout the body. While evidence does not support reflexology for a treatment for something serious like cancer, it has been shown to help with relaxation and relieve certain types of pain and anxiety. The theory behind reflexology is that there are certain points on the hands and feet that are associated with other body parts and organs. When these points on the hands and feet are stimulated, it is though t promote health and well being in the related body parts.

While alternative therapies tend not to be covered under standard health insurance packages, some companies will offer them at a slightly higher co-pay. If you are interested in learning more about these therapies and if they are available through your insurance provider, contact them today to find out more.

photo credit: Thunderchild tm