Maximize Your Health Insurance Benefits with Home Healthy Visits

Health Insurance Companies Promote Preventative Care

Health insurance companies are increasingly offering incentives to individuals who allow home healthy visits as part of their wellness and preventative care initiatives. These visits, known as Annual Wellness Visits, serve the purpose of updating and verifying medical records while also collecting data on lifestyle factors that may impact an individual's health. In this article, we will explore the motivations behind these visits and how insurance companies benefit from conducting them.

Comprehensive Understanding of Health and Context

For individuals with Medicare, a 30-minute annual visit with a doctor may not provide a complete picture of their health. That's where home visits come in. By conducting these visits, insurance companies can gain a more comprehensive understanding of an individual's health and context. This allows them to tailor insurance plans to fit specific needs, potentially reducing costs for both parties involved.

Identifying Health Risks and Tailoring Insurance Plans

During a home visit, insurance companies not only update medical records but also assess lifestyle choices and potential health hazards in the house. By examining the individual's fridge and pantry, they can evaluate the healthiness of their food choices. Additionally, they may identify health hazards such as mold or extreme filth that could impact a person's well-being and potentially require more insurance coverage.

Analytics and Tailored Benefits

The data collected during home visits is invaluable for insurance companies. It helps them create plans, adjust benefits, and tailor offerings to fit the specific needs of their members. By gathering demographic information, such as age cohorts and income levels, insurance companies can create more targeted plans that align closely with the health needs of individuals. This not only benefits the members but also allows insurance companies to optimize their offerings and potentially reduce costs.

Compliance and Star Ratings

Medicare requires these home visits, known as HEDIS metrics, to demonstrate that insurance companies are actively providing preventative care and working to reduce costs. The information collected during these visits contributes to star ratings, which impact the budget Medicare allows for benefits and the amount Medicare will pay for each member. By ensuring compliance and maintaining high star ratings, insurance companies can maximize their benefits and provide better coverage for their members.

The Shift towards Preventative Care

The implementation of Obamacare has shifted the focus of insurance companies towards preventative care. With the obligation to cover treatment costs regardless of an individual's health status, insurance companies are motivated to keep individuals healthy and avoid costly treatments. By investing in modest amounts of money for preventative care, insurance companies can help individuals stay healthy and reduce the need for expensive treatments in the long run.

Tailored Medicare Advantage Plans

Medicare Advantage plans vary from zip code to zip code and county to county, allowing individuals to enroll in plans that closely align with their health needs without increasing costs. Home visits play a crucial role in gathering demographic information and targeting specific medical needs. This allows insurance companies to create more tailored plans and adjust benefits accordingly, ensuring that individuals receive the coverage they need.

Home healthy visits provide insurance companies with valuable data and insights that inform their future plans and benefit offerings. By conducting these visits, insurance companies can identify potential health risks, tailor insurance plans, and promote preventative care. These visits not only benefit insurance companies but also help individuals stay healthy and avoid costly treatments. So, if you have the opportunity to participate in a home healthy visit, consider taking advantage of the benefits it offers for both your health and your insurance coverage.