small business insurance

A Guide To Small Business Insurance

If you are running a small business, you must also know about the commercial insurances you might need for the safety of your small business. It is important to make the right choice about the insurance plan that covers all your needs. Choose the right insurance policy for your business that fits your needs and protects you and your workers in case of accidents, loss, or pertinent risk.

 

Types of small business insurance

Following are the basic types of insurance best for your business and your workers.

  • General Liability
  • Property Insurance
  • Small Business Health Insurance
  • Errors And Omissions Or Professional Liability
  • Workers’ Compensation

 

General Liability Insurance

A general liability policy is designed to help cover legal costs or any settlement amount if your business is in any legal problem.

It usually covers claims that are made on activities or operations of a small business, for example:

  • Bodily Injuries
  • Property Damages
  • False Advertising
  • Libel And Slander

General liability also helps you provide coverage for legal matters like paying for lawsuit costs, settlement costs, monetary and non-monetary damages, compensatory damages. These expenses are covered by your respective insurance company whether they are due to an employee or a class-action lawsuit.

 

Errors and Omissions Insurance or Professional Liability Insurance

Errors and omissions insurance also called professional liability insurance, is a type of small business insurance that can assist in defending a business against expenditures due to lawsuits and claims filed by customers and clients.

Professional liability insurance covers liabilities that might result as a result of risk factors in your business. It is always strongly recommended to get errors and omissions insurance for your small business to protect your business against any unforeseen major claims.

 

Small Business Health Insurance

  It is essential to take care of employees’ health to keep your business up and running. Health insurance covers the medical and emergency hospital costs of your employees and provides coverage for medical bills.

Small business health insurance, also known as group health insurance, provides medical coverage and health benefits to employees. Your company can be eligible for this insurance if you hire one common-law worker that is not the owner of the business, neither the owner’s spouse nor an independent contractor. Moreover, a business must register officially according to the state laws in which they are doing business.

 

Workers’ Compensation Insurance

Workers’ compensation insurance is designed for the management of expenses of workers in the workplace.  It covers the medical expenses of any employee who gets ill or injured during work. It also helps compensate partial wages for the sick employee or disabled one. This type of insurance can also help compensate the family of a deceased employee who died from any work-related injury.

 

Property Insurance

Property insurance provides coverage and manages costs of your property due to hazards like fire, earthquake, or vandalism. The physical disasters covered by insurance depend upon what are the contents of the package you choose for yourself. This type of insurance specially fits the business requirements that have a physical location to run their business. If you lose your property due to an accident or natural hazard, the insurance company covers all costs for its restoration along with the technology, furniture, and all the items required in it. The insurance company will pay for the restoration and repair of the building in case of any incident that causes damage to business property.

Top-Health-Benefits-That-Employers-Can-Offer-Health-Insurance-Claimlinx

How to See if Your Healthcare Plan Covers Your Prescriptions

There are many reasons why you’d want to look out if your insurance plan covers your medication prescription. If you’re looking around for a new insurance plan and it’s important to find out if your current medications are covered.

Maybe your healthcare professional just prescribed an alternative medication and you would like to see it before you choose the insurance policy. While this information is searchable, it does require some skill to find it. We will help you through this article.

Whenever doctors prescribe an expensive form of medication, the first thought in your mind is if your insurance plan covers the cost. Or even you would like to understand what tier a drug is in, or whether it is a preferred or non-preferred brand.

You have different options for getting this information. We’ll assist you in understanding where to look for it.

 

Does my new insurance plan cover my prescription?

Follow the following steps to figure out the prescriptions covered under your new Marketplace plan:

  1. Visit your insurer’s website to review an inventory of prescriptions your plan covers
  2. See your Summary of advantages and Coverage, which you’ll get directly from your insurance firm, or by employing a link that appears within the detailed description of your plan in your Marketplace account.
  3. Call your insurer to inquire what’s covered. Have your plan information available. It all available on your insurance card, the insurer’s website, or the detailed plan description in your Marketplace account.
  4. Check out any details your insurance firm sent you for the coverage you have got

 

Summary of Benefits and Coverage (SBC):

This document may be a summary of what the health plan covers. While the formulary doesn’t actually tell you ways much different tiered drugs will cost you, the SBC will outline what quantity your copay is for every tier.

When you’re buying healthcare plans or determining whether to stick or to not stick with your current one, use the formulary and SBC to search out whether a selected medication is covered. Based on an example of a tier 3 medication such as insulin SBC, is to be considered a “non-preferred brand”, meaning that you simply need to pay 40% of the drug’s cost. When choosing a health plan option, it’s important to get one with a cheap premium provider (the amount you buy insurance every month) and also consider which plan has the simplest coverage and possibly the lowest out-of-pocket expenses for your medical needs.

During open enrollment periods (the time people are buying new plans, insurance companies are required to form list of medicines and SBCs available. It’s your right to request a list of medicines for an idea you’re buying.

 

Can I attend my regular pharmacy to urge my medication?

Just like different health plans cover different medications, different health plans allow you to buy your medications from different pharmacies (called “in-network pharmacies”). Call your insurance firm or visit their website to seek out whether your regular pharmacy is in-network under your new plan and, if not, what pharmacies in your area are in-network. You’ll also learn if you’ll get your prescription delivered within the mail.

If you’ve got additional questions, call 800.858.1772 to get the required information.

 

Anthem Blue Cross Blue Shield Health Insurance

Everything You Need To Know About Anthem Blue Cross Blue Shield Health Insurance

Here at Claimlinx, we quote all different kinds of insurance companies and providers. This is just a spotlight on one in particular.

Anthem is among the top companies in the USA that provide healthcare and medical coverage services. It works in association with Blue Cross Blue Shield Association for better healthcare solutions. Anthem functions by affiliation with many companies across the country, and more than 100 million people and 42 million families currently take advantage of Anthem healthcare plans.

Every one out of eight people in America has opted for Anthem-affiliated plans for medical advantages. In California, the company goes by the name Anthem Blue Cross. More than 0.8 million people receive their health insurance throughout the year, making it the top health insurance provider in California. Anthem provides health insurance, Medicare, and Medicaid coverage, and much more!

Medicaid

Medicaid is healthcare designed for people with fewer wages per annum. Due to this, by opting for this plan, they either have to pay a considerably less amount or no money at all to receive this plan. Individuals like kids, disabled people, pregnant women, and adults can be eligible to receive this healthcare coverage. This plan not only ensures that you stay healthy but is also a reliable fallback option in case you fall sick. The benefits of the plan vary in every state, but some of these benefits are the same all over the country like:

  • Hospital expenditures.
  • Family planning services.
  • Regular doctor visits
  • Laboratory and X-ray services

Some of the benefits that only a few and not all Medicaid plans are dental coverage, optician services, chiropractic services, prescription drug coverage, physical therapy, and more!

Anthem provides coverage plans to people availing Medicaid healthcare. They give their extra member benefits along with Medicaid services. These benefits are called common-value added benefits, such as:

  • Extra dental and vision coverage.
  • Free Boys & Girls Club memberships.
  • Rides to and from doctor visits, WIC visits, and other community locations.

Medicare

Unlike Medicaid, Medicare is a healthcare program that provides medical benefits for older adults over 65 years old and young disabled people. Medicaid offers a variety of options with varying money contributions and benefits. Anthem guides you in choosing the most profitable plan.

Types of Medicare coverage

 

Medicare Advantage Plans (Part C)

This plan combines the benefits of Part A, B, and D so that you get more advantages than the original plan. These plans include auditory, dental, and vision coverage and cover prescription drug expenses. This plan also provides membership for SilverSneakers, money for over-the-counter items, etc.

Prescription Drug Plans (Part D)

Coat for prescription drugs is covered under Medicare Part D. You should opt for Part D instead of original Part A and B if you consume medication for a regular condition like high blood pressure.

Medicare Supplement Insurance Plans

Original Medicare plans cover expenses like laboratory and x-ray services, hospital stays, and other medical benefits; the plan does not cover deductibles, taxes, and coinsurance. If you can’t afford them, you can go for Medicare Supplementary plans that cover all the expenses.

Medicare Dental and Vision Coverage

Medicare initially does not cover dental and vision expenses, but Medicare Advantage plans may come with dental and vision plans. If the given plan is not a right fit for you, Anthem provides add-on plans for Medicare Advantage and Medicare Supplement plans.

Cash in on savings on prescriptions

Consultants look at drug costs to find savings

ClaimLinx analyzes each company’s drug usage to find cost-cutting measures. First, it saves employers money. Most importantly, it helps workers be able to afford the medications they need consistently.

Why ClaimLinx Focuses on Rx Costs

Medications are one of the most important tools people have to maintain their health. However, prescription drug costs keep rising each year. By the end of last year, more than 20 generic drugs had a price increase of 29.4%. Also last year, the cost of more than 1,200 drugs rose by 5-6%. It’s a trend that has so far continued into 2021.

What research has shown is that when medication are expensive, people do not fill the prescription or do not do so consistently. In fact, between 20-30% of prescriptions are never filled because of costs. Up to 50% of medications for chronic illnesses are not taken consistently because they’re too expensive. That all adds up to a real impact on members’ health.

That’s why ClaimLinx prioritizes savings on prescriptions. We know it’s important for employees to take their medications consistently to be productive at work. We also know employers don’t have endless funds for drug coverage. To help with that, we focus on finding a balance between the two.

How ClamLinx Saves on Prescriptions

Our consultants get real-time data on prescription usage through our partner pharmacy benefit managers (PBM). Unlike with a standard insurance plan, ClaimLinx sets up a prescription drug plan with a PBM we trust. That allows our consultants to see which medications workers need and how much they cost. From there, our service team has many methods they can use to cut costs on prescriptions. That saves money for both the employer and the employee.

Enrolling in drug coupon programs

One of the ways ClaimLinx cuts costs on prescriptions is by researching drug programs and coupons for medications. These are many coupon programs through the manufacturers and through different pharmacies. There are also cost sharing programs available for those with financial need. We seek these out because they help the employer. But more importantly, they help the employee afford the drugs they need to stay healthy.

Moving members to a new plan

Another cost-saving measure is to move certain members on the plan to new health insurance plans with more prescription coverage or discounts. For some members, it makes more sense for them to be on a more comprehensive plan. The plan may be higher cost, but it will save in the long run if the drugs are expensive. Our agents are seasoned in taking this into account when finding members the plan that’s going to work best.

Finding generic version of drugs

As a part of ClaimLinx’s overall solution, we place an emphasis on educating members on costs so they can be good healthcare consumers. To help with that, we recommend members have an open dialogue with their providers about their prescriptions. We tell members to ask their doctors if they have chosen a brand name drug why that is. Is there an alternative that can achieve the same results. We also help workers research generic versions of brand name drugs, if they are available. Sometimes providers are unaware of the costs of prescriptions so it’s important to talk with them when the drugs are expensive.

Shows Schedule of Benefits at work

ClaimLinx customizes every client’s Schedule of Benefits

Every ClaimLinx client receives a custom schedule of benefits. ClaimLinx experts design it to fit the company’s needs, usage and budget. That is flexibility in plan design you can’t find anywhere else.

What is a Schedule of Benefits (SOB)

A Schedule of Benefits, or SOB, is a list of the services a health plan covers. It’s a record of the fees a member will be charged for certain standard services. Members receive an SOB at the beginning of their policy. It shows what treatments will be covered and at what dollar amount or percentage they will be covered. That way members know about how much the visit will cost before they arrive.

How ClaimLinx customizes SOBs

For any company that chooses the ClaimLinx Simple Option Solution, one of our expert consultants creates a custom SOB. For new clients, we typically base the first SOB on the company’s previous plan. That way there’s no disruption in coverage or benefits. It’s a seamless transition from a client’s old plan to the ClaimLinx Solution.

After the client has made the transition, our consultants look at usage throughout the year. That’s because ClamLinx is a third-party administrator. That means we process the claims in-house. This allows us to see how members are using the plan in real time. Using that information, our consultants can make adjustments to help the plan work better. With regular group insurance, employers never see how much their workers are using the plan. But with ClaimLinx, we’re able to tell you what services members are using. That way, we can tell you what changes to make to either cut costs or improve benefits.

Because the plan is not through a big insurance company, it does not have to fit a certain mold. We can change how much a member pays for specific services without having to change the entire plan. Also because this is all done in-house, it can be done quickly, even before renewal.  You will not find more flexibility in a health plan.

Why custom benefits are better

Being able to customize the health plan helps companies make sure budget and and benefit goals are in sync. Because our consultants can see actual plan usage, they can tell clients where they may be able to adjust the plan to lower costs. For example, we often see companies that have a lot of emergency room claims, which tend to be very expensive. In this scenario, we recommend raising the cost of those claims to the employee and lowering the cost of urgent care visits. That way, members are being taught and encouraged to find lower costs alternatives to going straight to the emergency room.

Custom benefits are also great because they can be adjusted to reflect your company’s specific needs and/or demographics. For example, a company with a lot of families may want to make sure the cost of office visits stays low to ensure children and parents can afford preventative care visits. Or, alternatively, a company with a lot of older employees may want to cover more testing procedures or prescription medications to help works afford to manage any chronic conditions they may have.

There is so much our consultants can do to make sure the health plan is working for everyone. It doesn’t have to break the bank. And at the end of the day, having healthy employees improves productivity for the company. That’s happy for everyone.