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Category: Health Care
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Benefits Breakdown January 2025 | Pennsylvania Benefits Agency
PCORI Fee Amount Adjusted for 2025 The IRS increased the Patient-Centered Outcomes Research Institute (PCORI) fee amount for plan years ending on or after Oct. 1, 2024, and before Oct. 1, 2025. The updated PCORI fee amount is $3.47 multiplied by the average number of lives covered under the plan. For plan years that ended…
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ER vs Urgent Care: How to Choose the Right Care for Your Medical Needs | Pennsylvania Benefits Group
All too often, illness or injury appears out of the blue: You wake up in the middle of the night with intense abdominal pain. Or your baby spikes a high fever on the weekend. These situations are stressful and it’s hard to think when you’re under stress. But you need to decide where to go…
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Gag Clause Attestation Deadline | PA Benefits Group
As the year comes to an end, a crucial compliance deadline looms for employers with health plans. Under the Consolidated Appropriations Act (CAA), health plans and insurance issuers must submit a Gag Clause Compliance Attestation by December 31, 2024. Since its enactment in 2020, this regulation prohibits health plans from including gag clauses—provisions that limit…
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Investing in Health Prevention and Wellness: A Smart Bet | PA Employee Benefits Advisors
The old adage “an ounce of prevention is worth a pound of cure” rings truer than ever in today’s world. While reactive healthcare plays a crucial role in treating illness, a growing emphasis is being placed on the power of health prevention and wellness. Investing in preventive measures and promoting overall well-being isn’t just about…
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Benefits 101: What Is Hospital Indemnity Insurance? | Pennsylvania Benefits Agents
No matter whether it is anticipated or unexpected, a hospital stay is expensive. According to HealthCare.gov, the average 3-day hospital stay in the United States costs around $30,000. Health insurance will cover some of the costs if you are admitted to the hospital, but you may have other out-of-pocket costs. Hospital Indemnity Insurance can help…
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Benefits 101: Embedded vs. Non-Embedded Deductibles | PA Employee Benefits Agents
Everyone needs health insurance but many people don’t fully understand it. One important concept to understand is your deductible. A deductible is the amount of money that must be paid for covered services before the health insurance company begins paying for expenses. For an individual plan, the deductible is straightforward. But family plans are a…
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Health Insurance Basics: Part 2 | Pennsylvania Benefits Team
Does a Health Plan Typically Pay for Services from Any Doctor? Not always. Some types of plans encourage or require consumers to get care from a specific set of doctors, hospitals, pharmacies, and other medical service providers who have entered into contracts with the plan to provide items and services at a negotiated rate. The…
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Why Health Insurance Matters | Pennsylvania Benefits Partners
Health insurance may not be the most exciting thing to shop for but it’s one of the most important things that you can buy for yourself and for your family. Having health insurance has many benefits. It protects you and your family from financial loss in the same way that home or car insurance does. …
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Virtual Primary Care: The New Doctor’s Office? | Pennsylvania Benefits Agency
The pandemic gave us more reasons, and more options, to see doctors online. More and more, people are seeking out telemedicine services versus the traditional brick and mortar physician’s office. This trend includes telemental health services as well. And much like the necessity of remote work proved its potential to employers, telemedicine took hold as…
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ER vs. Urgent Care | PA Benefits Team
All too often, illness or injury appears out of the blue: You wake up in the middle of the night with intense abdominal pain. You stumble while carrying groceries up a flight of stairs and can no longer put weight on your swollen ankle. Or your baby spikes a high fever on the weekend. These…
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