Clay Health Insurance
Facts and Figures
- Insurance
Carriers
9
- Number of
General Doctors22
- Number of
Hospitals
0
State Government Insurance Programs Offered
CHIP: $1M lifetime benefits
offering: comprehensive
coverage of doctor visits,
prescription drugs, outpatient
and in-hospital care, ambulance,
labs and x-rays, skilled nursing
care, home health visits,
maternity, preventive care,
transplants, rehabilitation,
durable medical equipment,
mental health and substance
abuse, and physical and
occupational therapy among
other services.
PCIP: Covers broad range of
benefits, including primary and
specialty care, hospital care, and
prescription drugs.
Ambulance
service (emergency only), Ambulatory
surgical center, Chiropractor, Dental
care, Doctor’s services, Emergency
room services, Home health
services, Hospice care, Hospital care,
Immunizations, Lab tests and x-rays,
Medical equipment, Medical supplies,
Non-emergency transportation (net)
program, Nurse-midwife (certified),
Podiatrist, Pregnancy termination,
Prescription drugs, Rural health clinic,
Therapy (physical, occupational, or
speech), Vision care.
Ambulance
service (emergency only), Ambulatory
surgical center, Chiropractor, Dental
care, Doctor’s services, Emergency
room services, Home health
services, Hospice care, Hospital care,
Immunizations, Lab tests and x-rays,
Medical equipment, Medical supplies,
Non-emergency transportation (net)
program, Nurse-midwife (certified),
Podiatrist, Pregnancy termination,
Prescription drugs, Rural health clinic,
Therapy (physical, occupational, or
speech), Vision care.
Breast Care: Mammograms,
clinical breast exams, pelvic
exams and Pap tests , and free
follow-up tests or treatment,
if needed.
Mother-Infant Program: Skilled
home nursing visits for new
mothers and infants to meet
their medical, social and
nutritional needs.
Medicare offers Part A,
inpatient care in hospitals and
rehabilitative centers; Part B,
doctor and some preventive
services and outpatient care;
Part C allows Medicare benefits
through private insurance
(Medicare Advantage); Part C
includes Parts A, B, and C not
covered by Medicare. Part D
covers prescription drugs.
Comprehensive preventive
and primary care, outpatient
and inpatient services.
Inpatient and outpatient care
(lab tests, x-rays, etc.), Doctor
visits, Preventive and major
medical care (surgery, physical
therapy, Durable medical
equipment, etc.), Mental health
and substance abuse care, and
Prescription drugs.
Medicaid & ARKids First A: Ambulance
service (emergency only), Ambulatory
surgical center, Chiropractor, Dental
care, Doctor’s services, Emergency
room services, Home health
services, Hospice care, Hospital care,
Immunizations, Lab tests and x-rays,
Medical equipment, Medical supplies,
Non-emergency transportation (net)
program, Nurse-midwife (certified),
Podiatrist, Pregnancy termination,
Prescription drugs, Rural health clinic,
Therapy (physical, occupational, or
speech), Vision care.
Heath Care Reform
Through tax credits, small business owners in Arkansas county can provide their employees with health insurance coverage without needing to spend so much on their premiums.
Medicare members who fell to the Medicare gap can expect to receive a rebate check of $250.
Early retirees who are waiting to be eligible for Medicare can be assured of continued coverage because of a $5 billion support for health plans providing early retirement coverage.
Federal funding for Medicaid is now an option for Arkansas.
The health care reform gives a $1.5 billion fund for scholarships for health care providers working in areas where there is a scarcity of medical professionals.
Funding is also provided for Community Health Centers in Alabama as well as for creation of new ones. This should make available health care to more residents.
Uninsured residents with pre-existing condition can now have coverage through a transitional high-risk pool. This is in preparation for 2014 when the health care reform’s provision that will prohibit insurers from denying coverage to applicants with a pre-existing condition.
Children until the age of 26 can stay on their parent’s policy as dependents regardless if they are still students, working (for as long as their employer doesn’t offer health insurance benefits) or still living with their parents.
No more liftetime limits on health plans. Annual limits will also be strictly regulated.
Patients will have easier access to physicians and emergency care. Women no longer need to get an approval from their primary care physician to see their gynecologist.
