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Goshen Health Insurance

Facts and Figures

  • Insured 0
  • Uninsured 0
  • Insurance
  • Number of
    Primary Care Physicians
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Insurance Carriers

  • Altius One
  • BlueCross BlueShield of Wyoming
  • UnitedHealthcare
  • IHC Group
  • WINhealth Partners
  • Celtic Ins. Co.
  • Physicians Plus Health Insurance
  • Security Health Plan Health Insurance
  • Standard Security Life Health Insurance
  • UnitedHealthOne Health Insurance
  • Unity Health Insurance Health Insurance
  • WPS Health Insurance
  • WorldIns ExpressMed Health Insurance

Heath Care Reform

“Immediate Benefits for Wyoming

Small business tax credits. 13,800 small businesses in Wyoming could be helped by a new small business tax credit that makes it easier for businesses to provide coverage to their workers and makes premiums more affordable.1 Small businesses pay, on average, 18 percent more than large businesses for the same coverage, and health insurance premiums have gone up three times faster than wages in the past 10 years. This tax credit is just the first step towards bringing those costs down and making coverage affordable for small businesses.

Closing the Medicare Part D donut hole. Last year, roughly 6,470 Medicare beneficiaries in Wyoming hit the donut hole, or gap in Medicare Part D drug coverage, and received no extra help to defray the cost of their prescription drugs.2 Medicare beneficiaries in Wyoming who hit the gap this year will automatically be mailed a one-time $250 rebate check. These checks will begin to be mailed to beneficiaries in mid-June and will be mailed monthly throughout the year as new beneficiaries hit the donut hole. The new law continues to provide additional discounts for seniors on Medicare in the years ahead and completely closes the donut hole by 2020.

Support for health coverage for early retirees. An estimated 5,930 people from Wyoming retired before they were eligible for Medicare and have health coverage through their former employers. Unfortunately, the number of firms that provide health coverage to their retirees has decreased over time.3 Beginning June 1, 2010, a $5 billion temporary early retiree reinsurance program will help stabilize early retiree coverage and help ensure that firms continue to provide health coverage to their early retirees. Companies, unions, and state and local governments are eligible for these benefits.

New consumer protections in the insurance market beginning on or after September 23, 2010.

Insurance companies will no longer be able to place lifetime limits on the coverage they provide, ensuring that the 304,000 Wyoming residents with private insurance coverage never have to worry about their coverage running out and facing catastrophic out-of-pocket costs.

Insurance companies will be banned from dropping people from coverage when they get sick, protecting the 36,000 individuals who purchase insurance in the individual market from dishonest insurance practices.

Insurance companies will not be able to exclude children from coverage because of a pre-existing condition, giving parents across Wyoming peace of mind.

Insurance plans’ use of annual limits will be tightly regulated to ensure access to needed care. This will protect the 268,000 residents of Wyoming with health insurance from their employer, along with anyone who signs up with a new insurance plan in Wyoming.

Health insurers offering new plans will have to develop an appeals process to make it easy for enrollees to dispute the denial of a medical claim.

Patients’ choice of doctors will be protected by allowing plan members in new plans to pick any participating primary care provider, prohibiting insurers from requiring prior authorization before a woman sees an ob-gyn, and ensuring access to emergency care.

Extending coverage to young adults. Beginning on or after September 23, 2010, plans and issuers that offer coverage to children on their parents’ policy must allow children to remain on their parents’ policy until they turn 26, unless the adult child has another offer of job-based coverage in some cases. This provision will bring relief to roughly 1,980 individuals in Wyoming who could now have quality affordable coverage through their parents.4 Some employers and the vast majority of insurers have agreed to cover adult children immediately.

Affordable insurance for uninsured with pre-existing conditions. $8.4 million federal dollars are available to Wyoming starting July 1 to provide coverage for uninsured residents with pre-existing medical conditions through a new transitional high-risk pool program, funded entirely by the Federal government. The program is a bridge to 2014 when Americans will have access to affordable coverage options in the new health insurance exchanges and insurance companies will be prohibited from denying coverage to Americans with pre-existing conditions. If states choose not to run the program, the Federal government will administer the program for those residents.

Strengthening community health centers. Beginning October 1, 2010, increased funding for Community Health Centers will help nearly double the number of patients seen by the centers over the next five years. The funding could not only help the 18 Community Health Centers in Wyoming but also support the construction of new centers.
More doctors where people need them. Beginning October 1, 2010, the Act will provide funding for the National Health Service Corps ($1.5 billion over five years) for scholarships and loan repayments for doctors, nurses and other health care providers who work in areas with a shortage of health professionals. This will help the 20% of Wyoming’s population who live in an underserved area.

New Medicaid options for states. For the first time, Wyoming has the option of Federal Medicaid funding for coverage for all low-income populations, irrespective of age, disability, or family status. “

State Government Insurance Programs Offered

Medicaid (EqualityCare)

The Medicaid program is called EqualityCare, which provides health insurance coverage for certain low-income residents and disabled citizens. Services include but are not limited to Inpatient and outpatient hospital care, Nursing home care, Physician services, Laboratory and x-ray services, Immunizations and other Early and periodic screening, diagnostic, and treatment (EPSDT) services for children, Family planning, Health center and rural health clinic services, Nurse midwife and nurse practitioner services. Treatment for special health problems like breast cancer, kidney problems, nursing home needs, and AIDS.

Wyoming Kid Care

The Wyoming Kid Care program is the state’s Children’s Health Insurance Program (SCHIP), which provides low-cost or free health coverage for children who do not qualify for Medicaid. KidCare CHIP: Inpatient and outpatient hospital services, Doctor visits, Laboratory and x-ray services, Well-baby, well-child and well-adolescent care, Immunizations, Prescriptions, Mental health services, Dental services, Medically-necessary orthontics, Vision services, Physical therapy, and other Health benefits Must be Wyoming residents and U.S. citizens or legal aliens who have lived in the U.S. for at least 5 years. Must be children 0–18 years old with family incomes of up to 200% FPL. Must not be in a public institution, not a dependent of employees of the state of Wyoming, not eligible for Medicaid, and must have no insurance for 30 days prior to applying, unless insurance was involuntarily canceled.

Wyoming Breast and Cervical Cancer Early Detection Program

Low-income women in Wyoming can receive free mammograms and cervical cancer screening through this program.

Wyoming Medicare

Seniors can find Wyoming health insurance through Medicare Advantage, Supplement and Original Medicare.

Best Beginnings

Financial assistance for eligible women, Pregnancy counseling and teaching, Eeferrals to appropriate resources in the community, Education about pregnancy, Smoking-cessation assistance and referral, Prenatal class/support group, parenting classes for parents of newborns, Home visits for moms and babies, and breastfeeding support.

"Vista Health Solutions" Tel (888)215-4045 Email [email protected]