Top 10 most costly areas for ACA health insurance plans Anyone buying health insurance inside a Colorado resort town may feel as if closing the laptop and schussing the slopes to ease frustration. These areas were just named the foremost expensive for medical coverage beneath the Affordable Care Act (ACA ). Let Insurance. com assist you find affordable health insurance now. Kaiser Health News — which says its findings are depending on recent data coming from the Kaiser Family Foundation, the federal HealthCare. gov website and state exchanges — gives Colorado’s Eagle, Garfield and Pitkin counties (including Aspen and Vail ski getaways ) the very best premiums, at $483 a month. Rural regions of Georgia, Mississippi and Nevada aren‘t far behind, as is really a Connecticut suburb of New York City, all Alaska and the majority of Wyoming. The premiums are driven by lowest price ” silver ” plan, and that is mid-level coverage that almost all consumers are buying with the exchanges. Here will be the 10 most costly areas, depending on monthly premiums, consistent with Kaiser Health News : $483 — Colorado mountain resorts (Eagle, Garfield and Pitkin counties). Also, premiums in Colorado’s Summit County are $462. $461 — Southwest Georgia (Baker, Calhoun, Clay, Crisp, Dougherty, Lee, Mitchell, Randolph, Schley, Sumter, Terrell and Worth counties). $456 — Rural Nevada (Esmeralda, Eureka, Humboldt, Lander, Lincoln, Elko, Mineral, Pershing, White Pine and Churchill counties). $445 — Western Wisconsin (Pierce, Polk and St. Croix counties). $423 — Southern Georgia (Ben Hill, Berrien, Brooks, Clinch, Colquitt, Cook, Decatur, Early, Echols, Grady, Irwin, Lanier, Lowndes, Miller, Seminole, Thomas, Tift and Turner counties). $405 — Most of Wyoming, but excluding Natrona and Laramie counties. $399 — Southeast Mississippi (George, Harrison, Jackson and Stone counties). Also, the lowest price plan in Hancock County is $447. $395 — All of Vermont. $383 — Southwest Connecticut (Fairfield County). $381 — All of Alaska. The Kaiser report says the lofty premiums in Colorado could be blamed on high costs for medical care in those areas. In other pricey regions, insurers can inquire about more income because there‘s a limited quantity of hospitals and specialists open to patients. ” High individual insurance rates also reflect the extra costs that come when locals are likely to have poor health and where large numbers of individuals lack employer-sponsored insurance, leaving providers with increased charity cases and lower-reimbursed Medicare patients, ” based on the report. Health insurance options beyond the health insurance exchanges The ACA requires the uninsured have coverage from the March 31 deadline or face a penalty. The fine in 2014 is $95 or 1 percent in an individual’s taxable income, whichever is higher. The penalty climbs to $325 in 2015 and $695 by 2016. Subsidies can be found to assist shoulder costs for people who qualify. Consumers are eligible for any tax credit in the event that they earn as much as 400 percent from the federal poverty level — that is $94, 200 for any family of four in 2013. The tax credits aren‘t available for health insurance purchased outside the exchanges. You are able to shop for insurance with the government-run exchange with your state, but additional options : • Can you get it at work? Most employer-sponsored plans meet minimum standards set from the feds ; your boss should have notified you of the by Oct. 1. Bear in mind, though, that almost all employer-based plans have open enrollment in the autumn. Your workplace can provide you with the specific details, including deadlines. • Does an employer’s plan cover spouses or dependents? Most work-based health plans extend benefits to spouses, albeit they are not legally needed to. Again, check along with your employer. Also, anyone under 26 can remain on the parent’s medical plan, even if they should already get access to health insurance elsewhere, do not live with these or are married. • Do you qualify for a government health insurance plan? The ACA says you are covered when you have Medicare or Medicaid ; your children are covered in the event that they receive benefits beneath the Children’s Health Insurance Program. Medicare is typically eligible to anyone 65 or older, possess a disability or end-stage renal disease. Have the ear of a seven-month period (starting three months before your 65th birthday ) to join Medicare in the government’s Medicare. gov site. In case you do not check in then, you are able to enroll from Jan. 1 to March 31 of each and every year. Medicaid eligibility, which is expanded beneath the ACA, is founded on income and family size. Can you qualify? You are able to fill out a credit card applicatoin at the state’s health insurance exchange to see. You may also find out if your children could be covered with the Children’s Health Insurance Program. • Go directly to a health insurer Some companies that provide medical coverage — – including United Healthcare, Humana, Aetna, Cigna and Coventry — are not participating at many of the exchanges. But, in fact, they are still selling health insurance. You will get relevant information by checking out their websites, speaking with their representatives or dealing with an insurance agent. These companies may provide a bigger sort of plans compared to the exchanges, which offer more standardized coverage.

Waspada Penularan HIV Melalui Facial


Kisah seorang perempuan yang mengaku terkena human immunodeficiency virus atau HIV melalui peralatan facial viral di media sosial. Kisah itu berawal dari unggahan aktivivis kesehatan sosial, Andrea Gunawan melalui akun Instagram pribadinya 

Ketika itu, Andrea meminta respons pengikutnya mengenai HIV. Dia menerima ratusan cerita dari warganet dan salah satunya adalah kisah perempuan yang terkena HIV melalui perawatan facial. Akun Instagram perempuan itu sengaja ditutup untuk menjaga anonimitas.

"Kemungkinan saya terkena (HIV) dari perawatan facial. ... Menurut dokter, klinik tempat saya facial enggak steril peralatannya dan itu berhubungan dengan darah (pencet jerawat), memang kasus saya ini tergolong kasus langka," ungkap perempuan itu, dikutip dari Instagram Andrea.


Andrea mengaku, cerita penyebaran HIV melalui peralatan facial ini bukan satu-satunya yang ia terima. Dia juga mendapatkan beberapa cerita penularan penyakit Hepatitis B dan C melalui facial, suntik vitamin C, alat cukur, dan akupuntur.

"Ada sekitar belasan cerita yang masuk ke aku, tapi memang enggak semua aku post ulang," kata Andrea 

Andrea menjelaskan, penularan penyakit, khususnya HIV, melalui peralatan facial mungkin terjadi meskipun kemungkinannya kecil.

Virus HIV hanya dapat tertular melalui perpindahan langsung cairan vagina, cairan sperma, anus, ASI, dan darah. 

Dalam kasus facial, virus HIV dapat disebarkan oleh darah yang tertinggal dari orang dengan HIV. Pada darah, virus HIV jika terpapar cahaya matahari dan udara bebas, akan mati. Semakin tinggi tingkat virus HIV, semakin lama waktu yang dibutuhkan untuk membunuhnya.

Menurut Pusat Pengendalian dan Pencegahan Penyakit Amerika Serikat (CDC), dikutip dari Healthline, HIV dalam jarum suntik pada suhu kamar dapat bertahan hingga 42 hari, sedangkan pada suhu yang lebih tinggi dapat bertahan hingga tujuh hari.

Andrea menduga, penyebaran HIV melalui facial itu terjadi melalui darah yang tertinggal di dalam tabung suntikan.

"Kalau dari jarumnya mungkin tidak karena akan mati terekspos udara, tapi kemungkinan dari dalam suntikan yang tidak terekspos dan cairannya masih aktif," tutur Andrea.

Menurut Andrea, hal ini terjadi lantaran klinik kecantikan yang melakukan facial tidak menerapkan prosedur yang benar dan higienis. Pelanggan pun seharusnya memeriksa kebersihan alat yang digunakan terlebih dahulu.

Dia menyarankan agar memilih klinik kecantikan yang memiliki standar prosedur yang jelas.

"Lebih baik ke klinik yang memiliki SOP yang jelas dan pencucian alat terbuka dan jarum suntik masih disegel, bukan salon abal-abal. Dan aku juga enggak tahu apa salon itu ada pengawasan atau tidak," ucap Andrea.

Pencegahan dan Penanganan HIV

Sebagai langkah pencegahan penyebaran HIV, Andrea menyarankan orang yang berisiko untuk melakukan pengecekan HIV. Orang yang berisiko itu melingkupi perilaku seks yang berganti-ganti pasangan dan tidak menggunakan kondom, penggunaan jarum suntik bergantian (narkotika).
"Tiga bulan setelah kontak berisiko itu disarankan untuk cek langsung. Karena masa inkubasi virusnya berlangsung setelah tiga bulan," ujar Andrea.

Pengecekan ini penting untuk dilakukan lantaran setelah masa inkubasi, HIV tidak memperlihatkan gejala khusus. Baru setelah lima hingga 10 tahun, HIV mulai menunjukkan gejala.

Pengecekan ini dapat dilakukan secara gratis karena merupakan bagian dari program pemerintah di puskesmas dan rumah sakit.

Jika dinyatakan positif, Andrea mengimbau untuk tak perlu takut. Sebab, saat ini sudah tersedia obat ARV yang dapat menekan virus hingga tak lagi bisa menular kepada orang lain dengan catatan dikonsumsi setiap hari.

"Kalau misalnya positif, ya, sudah enggak usah takut karena ada ARV, kan," ujar Andrea. 

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