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California Health Insurance: Costs
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Basically, the law requires HMOs and other health insurance providers in California to give you the right to a second opinion. Oftentimes, this may require that you go outside of your HMO network for proper treatment. Under old laws, you would be responsible for all or most of your treatment costs outside of your network provider. However, new laws allow you to sue your HMO to cover these costs when medically necessary. Even if you've been denied, you can legally obtain reimbursement in many cases.
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ABX1 1, backed by Governor Arnold Schwarzenegger and Assembly Speaker Fabian Nunez, requires that consumers prove they have private health insurance but does not limit what insurers can charge for coverage. The bill is scheduled for a vote in the Senate Health Committee on January 23. Consumer advocates at the Foundation for Taxpayer and Consumer Rights (FTCR) recently wrote to legislators explaining how the costs to consumers under the Nunez/Schwarzenegger proposal. Read the letter at http://www.consumerwatchdog.org/resources/KuehlLetterOpposeABX1_1.pdf
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When shopping for health insurance, it is a good idea to buy coverage that meets your needs and budget. It is always a good idea to avoid purchasing coverage that you cannot afford. One way to lower costs is to avoid duplicate coverage.
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