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Wednesday, December 07, 2005

When disaster strikes - Find out your options BEFORE something

When disaster strikes - Find out your options BEFORE something happens
Disasters or natural calamities are both unforeseen and unpredictable. If you live in Illinois, you're most likely to be affected by tornados, floods and earthquakes. And if this means your property is damaged or destroyed, you will have many concerns: concerns about where to stay temporarily, emergency repairs and how much it will cost you to rebuild your house.

Before calamity is king: Your protection against a disaster is, as you know, homeowners or renter's insurance. Whether you own property or rent it, you must have appropriate insurance coverage for yourself, your property and your personal belongings. Check to see if your landlord has any protection against damage in such situations, though his insurance won't cover your personal precious things.

Here's what you can do before disaster strikes and damages your property:

Make an inventory of all your personal property. Make a list of all model and serial numbers of expensive products such as a TV, VCR, computer, etc. Maintain receipts of these items as they prove your ownership. You can also take videos of the inside of your home to show which products you owned before disaster struck and damaged your home.

Do you have photocopies of your insurance policies kept in a safe location before disaster could strike? Important papers must be kept away from the site of damage so that you can use them to save your property.

Keep your insurance person's name and telephone numbers handy and away from the scene of disaster. Also, familiarize yourself with the details of your insurance policy. When it comes to your property, ensure you understand the difference between actual cash value (ACV) and replacement cost coverage for your damaged contents.

After disaster, deluge and damage: Contact your insurance company once disaster has struck. Supply as much detailed information as you can about the damage to your property. Your insurance company may put out the procedures for filing a claim on the radio, TV or in the newspapers.

If no one from the company comes to you once you have made initial contact after the disaster, claiming damage to your property, ask to speak to the claims department. To be in the thick of things, you need to fully understand your rights and duties. First, accept that you will be emotionally spent, so ask a friend to help you out with routine household chores.

Makeshift arrangements: In order to save your property from any further damage, make temporary repairs such as patching holes in the walls or roofs as soon as you can. Here's a little friendly help on how to make temporary repairs to your property after the disaster:

Get in touch with your insurance company for emergency money for temporary repairs to cover all damage to your property.

Take photographs of the disaster and the extent of damage to your property before you began cleaning up and repairing it.

As a property owner, it is your duty to safeguard your property against damage and disaster.

Keep all bills pertaining to the expenses incurred due to the disaster? Don't dispose of items relevant to your damaged property.

Before you give out your house for damaged property, ensure you get prior agreement from your insurance adjuster on the disaster.

If your house is so badly damaged after the disaster that there is too much water all over your home, try to sweep it out and air out your property to dry.

Take an inventory round your property to see the extent of damage after the disaster. Look for metal objects that might have rusted by spraying them with oil. Call in an electrician to check all electrical equipment.

Call in an adjuster from your insurance company to come to your home, examine your property and write out a report of all that is damaged or a written damage estimate for the company. Get his name and telephone number in case you need to contact him. Be sure to get a copy of the estimate report and keep it safely. Also, do not hesitate to ask questions if you don't understand anything. For further questions, contact the Division of Insurance.



































When Health Insurance Doesn't Cover Your Medical CareWhile it's true

When Health Insurance Doesn't Cover Your Medical Care
While it's true that the costs for health insurance coverage continue to increase, having a health insurance plan will save you more money in the long run. But no health insurance plan will cover every medical treatment an insured individual needs over the course of his or her coverage period. No matter how good your health insurance is, you may occasionally encounter a medical treatment or condition that is not covered by your health insurance policy. Although these situations are normally confined to elective treatments like cosmetic surgery and liposuction, that is not always the case.

If you are in need of a non-elective treatment that your insurance company is unwilling to cover, and it is not specifically listed on the "excluded treatments" section of your health insurance policy, ask your insurance company for a written explanation of their reasons for issuing such a denial. Then show this to your physician. Many times, simply re-coding a procedure or treatment and re-presenting it to your insurance company are all that's needed to get approval for the treatment.

But what happens when the procedure hasn't been miscoded or can't be re-coded and coverage for a medical treatment you already received has been denied by your insurance agency? The hard truth is that by this point in the process, you do not have many options, and you may end up being responsible for paying the full cost out of your own pocket.

One option you do have is the opportunity to appeal a decision if you do not agree with it. Every insurance company has a process to go through to appeal a claim, and you need to follow the steps involved in the appeals process precisely. Insurance companies would rather throw your appeal out on a technicality than invest the resources necessary to investigate the claim. The appeal process is typically outlined in your policy handbook. You can also discuss the situation over with your medical care provider before proceeding with the appeal to get another point of view or advice on how to proceed.

If, despite your best efforts, the treatment still is denied, all is not lost. Here are some other options that are worth pursuing that may help you avoid paying full price:

1. See if your doctor will negotiate a lower payment or authorize a payment plan.

2. See if your doctor is a member of a medical discount program that you can join. There are thousands of doctors who participate in these networks.

3. If you've not yet had the procedure, shop around for another doctor who is willing to do the procedure for a lower price.

4. See if you qualify for free treatment at a public hospital or clinic because of your income level, veteran's status, or some other socio-economic reason.

With a bit of persistence and some extra effort, it is very likely that you'll end up with the treatment that you need at a price you can afford.