KIM KARDASHIAN NEWS TODAY, AND GET HEALTHY INSURANCE INFORMATION

Doesn't this girl's knee look like Kanye West?

From the pyramids to Picasso, from Steve Jobs to, erm, Willie Wonka. He is all of these things, according to himself.


But it was only a matter of time before people started turning the tables and comparing themselves to him.


However few would have thought they'd ever be confronted with the following: a girl with a knee that looks exactly like Kanye West.


Seriously. It does.


While it's not entirely clear whether the image presents a genuine genetic quirk - a natural fold of the skin that creates the spitting image of ol' Kneezy - or a very clever Photoshop job done by a fanatic with far too much time on their hands (in their laps?), we - and half of the users of Imgur - are finding it rather uncanny.


As of yet, a spokesperson for Kanye West is yet to respond to requests for comment on whether the rapper feels the knee is truly representative of his God-like self.


So until then, we'll let you judge for yourselves...


Health insurance ads undergoing a makeover

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It might not be long until the squawking ducks and funny cavemen are trying to sell you a health insurance policy.


'Fifteen years ago, would you have imagined a talking gecko selling you [auto] insurance?' asked Brian Wieser, senior analyst at Pivotal Research Group, an Oregon marketing agency. 'So there you go.'


The health insurance market will soon come to resemble the home and auto insurance markets -- more ads, with a variety of different tones, all trying to speak directly to the buyer. As a result, Aetna Inc. CEO Mark Bertolini told the Wall Street Journal last week that 'we want to [spend] significantly more on consumer advertising.'


Other health insurers will follow suit, or are already doing so, hoping to reach the 75 million retail purchasers of health insurance expected to be shopping for policies by 2020, as the industry shifts slowly away from group markets, he said. WellPoint Inc., for example, spent $100 million in the closing weeks of 2013 on TV, social media and print ads.


That's why TV executives in particular are forecasting an ad-buying bonanza over the next several years. Up to $1 billion might be spent through 2015 on TV ads related to the 2010 Affordable Care Act, a law that requires the uninsured to buy a policy from a private insurer, if they are ineligible for government insurance.


Most of that $1 billion will be spent in local markets, rather than during national airtime. Meaning that local affiliates of the major networks stand to gain the most from the coming ad blitz. Outside the largest players such as Aetna and UnitedHealth, Most insurance companies are regional, or even state-based, and have no reason to advertise nationally, said Scott Roskowski, senior vice president of marketing at TVB, a New York media company.


'We see this as a long term revenue stream and growth' for local TV affiliates through 2020, he said. If health insurers see -- as now predicted -- $350 billion in new revenue via the Affordable Care Act over the next seven years, and spend just a fraction of that on advertising, it's still worth billions to network affiliates and local cable.


'We knew that this was going to be big' right after the U.S Supreme Court upheld the Affordable Care Act, Mr. Roskowski said.


As health insurance becomes more of a retail experience, the carriers will have to market more heavily to the patient, rather than to the employers, which -- for now -- still provide health benefits for the bulk of under-65 Americans. That means the tenor of the ads will change, too, away from the generic 'branding' ads that you see now.


We're going to see a 'morphing of traditional brand advertisement,' toward ads that push consumers to action, said Lindsay Resnick, chief marketing officer for KBM Group's health services line, based in Texas. Some of those will target specific age or ethnic groups; some will be serious, others might be funny.


'If you take a sampling from some of the state-run exchanges, [many] of them have been trying to target a younger demographic,' he said.


In Colorado, for example, the 'Got insurance?' social media ad campaign featured a number of funny, even risque images: In one, a young woman holds a packet of birth control pills, standing next to a young man. 'My health insurance covers the pill, which means all I have to worry about is getting him between the covers,' the ad said.


Another ad targeted frat boys ('Keg stands are crazy. Not having health insurance is crazier').


Those ads were commissioned by advocacy groups, not a particular insurance company, and not by the state-run 'exchange' (the website where those who lack coverage scan shop for policies). But insurers targeting that demographic might have to try some unconventional ads, as well.


'Every year there will be people aging off of their parents' plans,' Mr. Resnick said. One of 'Obamacare's' many provisions was one that allowed young adults to stay on their parents' insurance until they turn 26. 'It's going to be a big market.'


The insurers themselves will be the biggest spenders, particular after the exchanges gain a toehold and people understand what they are, and how they work. But until then, both the state exchanges and the federal Department of Health and Human Services will be running lots of TV spots, too.


And, in an election year, you can expect big spends from Obamacare friends and foes, Mr. Roskowski said, hoping to sway voters either on the virtues of the law, or conversely, the shortcomings of the federal healthcare.gov website and the failure of its rollout.


Bill Toland: btoland@post-gazette.com or 412-263-2625.


Obamacare Increasing Health Insurance Costs For Mayo Clinic Employees




Obamacare Increasing Health Insurance Costs For Mayo Clinic Employees

New Obamacare health insurance mandates are increasing costs for Mayo Clinic employees, KTTC-MN reports. The Mayo Clinic is a nonprofit medical practice based in Rochester, Minnesota.


This is the first time in 10 years the Mayo Clinic has changed healthcare options for its employees.


The average cost for a middle tier 'select plan' will increase by $180 a year for a single employee and by $576 for a family.


Employees are 'upset, confused, and frustrated' by management's decision to alter health insurance options. Many of the changes were required by the Affordable Care Act. CEO Dr. John Noseworthy said the changes were necessary to ensure Mayo Clinic's 'long term success.'


Kanye West's face appears on woman's knee


Kanye West famously declared 'I am a God' last year, and some took him at his word, forming the new religion Yeezianity to venerate the rapping deity that walks among us. And now comes the clearest sign yet of his ineffability: an appearance on an unidentified woman's knee.


The image is doing the rounds on Reddit and elsewhere, and Yeezy's scowl - most often used against those who would doubt his fashion design - is clearly visible. Kanye moves in mysterious ways, not least when he did that Katy Perry collaboration, but this is the kind of miracle that his newfound disciples have been crying out for.


Kim Kardashian's ex Reggie Bush steps out with fiancee Lilit Avagyan at LAX

By Daily Mail Reporter


PUBLISHED: 12:12 EST, 30 January 2014 | UPDATED: 13:28 EST, 30 January 2014


They welcomed their first child in May last year.


But it looks as though Kim Kardashian's ex Reggie Bush and his fiancée Lilit Avagyan have managed to get some alone time together.


The pair were pictured without their baby as they arrived at LAX on Wednesday.


However, stepping out of the car in tight black gym wear, Lilit looked more like his famous ex Kim than ever.


Despite her brunette hair not currently matching Kim's blonde locks, the dancer showed off her similar shape in her workout gear as she helped Reggie with their luggage.


Reggie famously dated Kim on-off for several years before finally calling time on their relationship in March 2010.


The Detroit Lions running back has been dating 26-year-old dancer Lilit for almost two years.


During their relationship, Lilit has been compared to Kim - both are of Armenian heritage, have dark hair and voluptuous figures.


Bush confirmed Lilit was pregnant in October 2012, two months before 32-year-old Kim announced that she was pregnant with boyfriend Kanye West.


Speaking at the time of his happy announcement, Bush told Florida's Paul and Young Ron Morning Show. 'I have a little one on the way. We're pretty excited.'




Naya Rivera Steps Out Looking Like Kim Kardashian's Twin

It's not the first time we've thought to ourselves that Naya Rivera and Kim Kardashian could pass as twins, but we did a double take once again now that the 'Glee' star is rocking blond locks.


On Monday (Jan. 27), the 27-year-old actress was spotted leaving a studio in West Hollywood, Calif., and if we didn't know better we'd have sworn she was Kim. In addition to her lighter hair color, Rivera was wearing a curve-hugging skirt paired with a crop top, not unlike many of the outfits Kardashian has been donning lately. There was one dead giveaway, however, as Kardashian would only be caught wearing sneakers at the gym.



Also on HuffPost:


Kim Kardashian Planning $30 Million Wedding To Kanye West

After saying she would never have an extravagant wedding like she did to Kris Humphries - which cost $10 million - a new report claims she actually has a 'go big or go home' attitude for this time around!

Kanye West and Kim Kardashian are planning a June wedding in Paris, and one things for sure - there will be fighter jets! After Ye revealed that in an interview on Oct. 28, it's no surprise that the couple is reportedly planning to spend a whopping $30 million on the big day.


Kim Kardashian & Kanye West Planning $30 Million Wedding

'[Kim and Kanye] want it as extravagant as possible and have zero considerations about cost,' a source told In Touch mag. 'They agreed they would spend whatever it takes.'


It's a little surprising since Kim dropped $10 million on her 2011 wedding to Kris Humphries, and afterward admitted that she made too big of a deal out of it all.


Kim Kardashian Talks Paris Wedding


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According to the mag, Kim's wedding planning is 'becoming a circus' because of the crazy expensive and specific details she and Kanye want. From location - flying all their guests to a Paris castle could cost $10 million - to the cake, which they are reportedly trying to get something made from Mimi So jewelers and Beverly Hills' La Patisserie Artistique. They make the $20 million cake.


Kim & Kanye Want 'Matching Couture'

As for their wedding day outfits, it's no surprise that Kanye has a big say - he 'wants them to wear matching couture,' a source said. Riccardo Tisci is a close friend of the couple, so if he makes them custom Givenchy, it could be worth more than $250,000.


Kim wants to reportedly wear 'a replica' of the $1 million Cartier tiara that Kate Middleton wore in the Royal Wedding, too.


'They want it to be the craziest, most elaborate wedding experience anybody has ever had,' the source added.


What do you think, HollywoodLifers? Is it a good idea for Kim to plan another extravagant wedding or should she keep it simple? Let us know.


- Emily LongerettaMore Kim Kardashian News: Kanye West Writing Wedding Vows Since Day He Met Kim Kardashian Kim Kardashian & Kanye West Will Marry In June - Report Kanye West: The Reason He Skipped The Grammys Revealed

Kim Kardashian wants North West on reality show but Kanye West doesn't

By Heidi Parker


PUBLISHED: 12:04 EST, 30 January 2014 | UPDATED: 12:16 EST, 30 January 2014


With the ratings for Keeping Up With The Kardashians continuing to slide down, producer Ryan Seacrest is looking for something to kick up the numbers.


And the producer thinks North West is the answer, according to a Thursday report from RadarOnline.


Too bad for Seacrest the child's parents Kim Kardashian, 33, and Kanye West, 36, don't agree on whether the little girl, who is only seven months old, should become a reality star or not.


'Kim really wants to put North on the show,' a Radar source said.


'Viewers and fans of the show want to see Kim interact with her daughter, and how she is as a mother.'


The engaged star has already shared several shots of her daughter on Instagram, her last one this week, but oddly she decided to hide most of the child's face.


'Kim has always been an open book with her fans,' the source told reporter Jen Heger.


'But once Kanye came on the scene, that all changed. Kanye shuts Kim down whenever she brings it up.'


The rapper doesn't want his only child to ever pop up on the E! show, the source added, because he believes reality TV is 'tacky.'


'He doesn't want North on display. He will be very happy when Kim is done with the show,' said the insider.


But he will allow his over-the-top wedding to Kim - which will take place this summer in France the beauty confirmed to Jimmy Kimmel - to be filmed, according to Radar.


'Kim persuaded Kanye to let the cameras roll because E! will pick up most of the cost of the wedding,' clarified the source.


InTouch put the cost of the wedding, which they reported could take place at Chateau d'Usse, at $30m.


As for the reality show, viewers are not tuning in like they used to.


The season nine premiere in January saw only 2.56 million viewers. That's almost 500,000 less eyes than the premiere of season eight in June 2013.


Ryan, who is also the host of American Idol and has a radio show, had personally asked Kim to bring her first child on the show, showing just how anxious he is to help win new fans.


The multitasker is very close to the family, even being a part of Khloe's 2009 wedding to Lamar Odom.


Kim's sister Kourtney has allowed her son Mason - who gets his own paycheck for his services - to appear not just on Keeping Up With The Kardashians but also Kourtney & Khloe Take Miami as well as other spinoffs.




Kanye West Writing Wedding Vows Since Day He Met Kim Kardashian

How romantic! A source close to Kanye tells HollywoodLife.com EXCLUSIVELY that he knew he was going to marry Kim the moment he laid his eyes on her - and he's been preparing his wedding vows ever since.

Kanye West has got to be one of the most romantic men alive. The Yeezus rapper always knew he would marry fiance Kim Kardashian, a source tells HollywoodLife.com EXCLUSIVELY, and he's been working on his wedding vows longer than any of his albums - in fact, he started writing them the first day they met!


Kanye West's Wedding Vows Revealed

The 36-year-old rapper is no stranger when it comes to putting his thoughts on paper. So what are Kanye's pored-over vows going to say? Well, when Kanye looks Kim in her eyes this summer when they wed in Paris, he'll reveal every single feeling he's been harboring in his heart.


Kim Kardashian Wardrobe Malfunction


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'He will tell her how much she means to him, how she's singlehandedly changed his life by loving him unconditionally and having his child,' a source EXCLUSIVELY reveals to HollywoodLife.com. 'He will tell her that nothing else in this life means as much to him as she and North do.'


Oh Kanye, we never knew you were such a Casanova.


Kanye West Secretive On Wedding Location

While the couple publicly says their wedding will take place in Paris, details on the exact location are scarce.


'It's all coming together but Kanye has not decided on a location just yet,' the same source says. 'Everybody thinks they know where it's going to be but nothing is set in stone. They don't have to hurry up and rush for a place either. Over there in Paris, they're royalty and everything is available to them.'


No matter where the wedding is though, we're sure Kanye is going to sweep Kim off her feet.


- Eric Ray More Kanye West & Kim Kardashian News: Kim Kardashian & Kanye West Will Marry In June - Report Kanye West: The Reason He Skipped The Grammys Revealed Kim Kardashian: 'Desperate To Be A Size Zero Bride' For Wedding

Naya Rivera Steps Out Looking Like Kim Kardashian's Twin

It's not the first time we've thought to ourselves that Naya Rivera and Kim Kardashian could pass as twins, but we did a double take once again now that the 'Glee' star is rocking blond locks.


On Monday (Jan. 27), the 27-year-old actress was spotted leaving a studio in West Hollywood, Calif., and if we didn't know better we'd have sworn she was Kim. In addition to her lighter hair color, Rivera was wearing a curve-hugging skirt paired with a crop top, not unlike many of the outfits Kardashian has been donning lately. There was one dead giveaway, however, as Kardashian would only be caught wearing sneakers at the gym.



Also on HuffPost:


These States Are Passing Laws To Restrict Health Care "Navigators"


To help consumers and small businesses make sense of their new health insurance options, the Affordable Care Act createdoutreach personnel, or ' navigators,' tasked with distributing information about coverage and walking people through the application process. On January 23, Texas passed a set of measures aimed at restricting these navigators because of lawmakers' concerns about patient privacy. That same day, a federal judge in Missouri temporarily blocked enforcement of similar restrictions, ruling that they created too large an obstacle to enrollment.


'It is an abuse of your oversight authority to launch groundless investigations into civic organizations that are trying to make health reform a success.'


This tug of war is about a seemingly straightforward program: The navigators, which are required by law to be both unbiased and free, are meant to help uninsured Americans enroll in either Medicaid or private insurance plans. Depending on whether a state has opted to use it's own insurance marketplace, navigators get funding through state or federal grants. For example, Planned Parenthood of the Heartland, in Iowa, received a $214,427 grant from the Department of Health and Human Services (HHS) to employ navigators, which will give in-person assistance by preparing applications and helping consumers determine which plans they qualify for, in 61 of 99 Iowa counties.


But Republican lawmakers have cried afoul, arguing that navigators could steal private information like Social Security numbers and medical records. In an August letter to Kathleen Sebelius, the secretary of the HHS, the attorneys general of 13 states said they were concerned that HHS had 'failed to adequately protect the privacy' of consumers because it does 'not even require uniform criminal background or fingerprint checks before hiring personnel.' Texas Senator John Cornyn, for example, praised his state's regulations, saying on his Facebook, 'Obamacare presents enough problems for Texans without the risk of a convicted felon handling their personal information.'


Privacy claims have led to a surge of restrictive measures like those in Texas. At least 17 states have passed regulations on health care navigators since, including Georgia, Ohio, and Tennessee, which barred navigators from educating consumers about the specific benefits, terms, and features of a particular health plan. Here is a map of states that have passed laws restricting navigators:



Many policy makers and health care professionals say that these privacy concerns are unfounded and worry that partisan bickering will hurt underserved populations. After 15 Republicans members of the House asked for details and briefings on 51 navigator groups, Democratic representative Henry Waxman wrote, 'It is an abuse of your oversight authority to launch groundless investigations into civic organizations that are trying to make health reform a success.' The Democratic members of the Committee on Energy and Commerce also noted that there are already significant privacy safeguards in place, including a $25,000 penalty for disclosing personal information and mandatory navigator training.


Peter Shin, professor of health law and policy George Washington University's School of Public Health and Health Services, says that conservatives are more interested in decreasing enrollment and making Obamacare look bad than they are in protecting patient privacy. 'I think the privacy concern is more of a political issue than a common sense one,' says Shin.


The result of conservative politicking? Underserved populations will remain so, as outreach resources are strained. 'The purpose of the navigator programs is to help those who will need most in terms of understanding their options,' says Shin. 'The more disenfranchised communities will be hurt the most from the navigator restrictions.'


Several navigator programs have already closed shop because of anti-navigator laws. Cardon Outreach, a Texas-based organization that has helped people enroll in Medicaid in the past, returned its grant from HHS. As the Columbus Dispatch reported, Cardon's chief legal advisor stated in an email that the state and federal regulatory scrutiny surrounding navigators 'requires us to allocate resources which we cannot spare and will distract us from fulfilling our obligations to our clients.'


Kanye West Allegedly Confronted Anna Wintour About Lena Dunham Getting a ...


Lena Dunham's cover for the February issue of is still generating headlines. Apparently, Kanye W est confronted the magazine's chief editor Anna Wintour at the Beverly Hills Polo Lounge about why the Girls star made the cover instead of Kim Kardashian.


No word yet if anyone ordered the spaghetti bolognese.


An insider source of Radar's said that, during a recent lunch where the two had an 'intense' talk, Kanye was lobbying hard to get Kim on the cover, saying Kim is, 'just as talented as Lena, if not more so.' The anonymous insinder (always a questionable source) also said, 'He thinks Anna is listening to a bunch of 'know-nothing' corporate haters, as he put it. He's upset that Anna isn't willing to do him this personal favor and put Kim on the cover.'


As adidas and Nike now know, once Kanye sets his mind on a goal, he'll remain pretty persistent until he sees his ends achieved. However, he's going against the personality of the seasoned pro who semi-inspired the fashion-boss-from-hell in The Devil Wears Prada.


Kim Kardashian Causes Divorce In Saudi Arabia? Plan Backfires After Woman ...

Kim Kardashian's famous body is the reason behind a divorce in Saudi Arabia. A woman, who has not been identified, wanted to look like the reality star after seeing that her husband admired her.



Amethyst Tate graduated summa cum laude from Middlebury College with a B.A. in Sociology/Anthropology. During her time at IBT, her articles have been sourced by various... Continue Reading


Obamacare open enrollment: Here's everything you need to know

(CNN) -- Amy Braun-Gross had been counting the hours until January 1. It wasn't her birthday, nor was it her anniversary.


January 1 was the first day she'd be eligible to get health insurance.


That's what she thought anyway.


As soon as the Obamacare marketplaces opened in October, the Wisconsin stay-at-home mom tried to log into the website. It crashed. Repeatedly. She said she tried seven or eight times.


'I kept seeing the news stories that said it was supposed to get smoother, but I'd get all the way to the end of signing up and it would crash again,' Braun-Gross said.


48 million Americans without health insurance

She ended up calling the marketplace's official phone bank. That did the trick, but it still took weeks for the paperwork to get to her so she could finally pick a plan. Despite the aggravation she said having health insurance will totally be worth it.


Having previously been denied insurance because of pre-existing conditions, including her weight, she has worried every day for the year she has lived without it. She wonders what would happen if she or her husband got sick; he has a physically demanding job running a tree-cutting business.


'You know something as simple as a sprained ankle, none of that is covered right now. None of it,' Braun-Gross said. 'To add the cost of that to the debt we already have, we'd basically be up a creek.'


Braun-Gross is like more than 48 million other Americans who weren't eligible or didn't have enough money to pay for health insurance in the past.


Obamacare is supposed to change all that. The law forbids insurance companies from rejecting people like Braun-Gross because of their pre-existing conditions. To make that affordable, though, the administration had to require all Americans, with a few exceptions, to buy a health insurance policy. That part of the law went into effect this year.


The idea is that more healthy people will buy insurance, and the money the insurance companies save on them will cover the costs of insuring the older and sicker people who will now be in the system.


Some 2.1 million have gotten private health insurance in the first three months of open enrollment. And nearly 1 million signed up for Obamacare in the first weeks of January alone, according to the administration.


Health care timelineObamacare: Everything you need to know

Employers will provide health insurance for three out of every five Americans in 2014, according to the Congressional Budget Office. Another 12% will get it through Medicaid or the Children's Health Insurance Program.


Foes Go All Out To Undermine Obamacare

But for those Americans without insurance, a central feature of Obamacare -- health insurance marketplaces, also known as exchanges -- can make a big difference in helping them find a plan. Many are eligible for government assistance to pay for those plans.


Clinton asks Obama about Obamacare

With so many politicians fighting over this controversial legislation, and with all the computer glitches, the details about how to sign up may have gotten a little lost. More than half of Americans still don't know about the important Obamacare deadlines, according to one survey.


You've got until Wednesday January 30 to sign up if you want coverage to start on March 1.


Here's what you need to know:


Open enrollment runs through March 31. Plans bought through the exchanges this month won't start until the next.


In most of the country December 24 is the cutoff date if you want your plan to start on January 1. On Monday, the administration said it was extending the December 23 deadline for another day.


America's Health Insurance Plans, the health insurance industry trade group, said consumers now have until January 10 though to make their first payment for coverage retroactive to January 1. If you sign up after that in January or February your coverage will start the following month. The enrollment period closes March 31 and won't re-open until October 15.


Opinion: Worried about Obamacare? Fear not

When Massachusetts rolled out a similar health insurance mandate in 2007, the biggest spike in enrollments came in the two months before people would be charged a penalty for not having coverage, according to Jon Kingsdale, who ran the state's health benefit exchange then. He also noticed many people came back to the state's website to evaluate the potential plans more than once.


The experts advise you to take your time. Comparison shop to find the policy that works best for you.


Where to start

If you have Internet access, start with the Web. Healthcare.gov will have the information you need. The government site will link to where you sign up for the program.


There have been challenges with these websites, but the Obama administration said December 16 that the issues should be resolved.


If you can get into the website, go first to 'get insurance.' That tab will get you to a page that will walk you through whatever marketplace is available to you. Some states set up their own; the federal government runs the rest. On this site you can also compare the plans available in your area.


You may also want to see if you are eligible for Medicaid here. So far, 26 states have decided to expand who is eligible for the federal government-funded health program for lower income families and individuals. Four others are currently considering expansion.


You can also enroll by mail.


Obama offers funding to help communities understand Obamacare

The government has set up call centers to help people with open enrollment. Call 1-800-318-2596 (TTY: 1-855-889-4325). The number is staffed around-the-clock. Information is available in more than 150 languages.


There will also be specially trained advisers in communities. These ' navigators,' as they are known, can help you in person. There will also be federally authorized marketplace-designated organizations. They will be based in community health centers, at the mall, in drug stores and in churches. Depending on state law, traditional agents and insurance brokers can also help.


If you would like to find a navigator, go to Localhelp.healthcare.gov. The government site lets you plug in your ZIP code and it will give you the closest location to get help. The website will list the phone number, the address, the e-mail address, the website address, the office hours, and details on how they can help.


Unlike brokers or agents, navigators and marketplace-designated organizations can educate you about the plans, but they cannot tell you which plan to pick. Their advice is free. If someone who is a navigator or a federally designated organization tries to charge you, it is a scam.


Most common Obamacare scams so far

There are several. The bronze level will be basic, silver midrange, while gold and platinum will be higher-end. There will also be a catastrophic option. Catastrophic insurance covers three doctor visits per year at no cost and preventive care such as screenings and vaccines. This plan will carry a higher deductible.


All plans bought through the exchanges must offer the same coverage benefits. All offer free preventive care. Nearly all cap out-of-pocket costs to $6,350 and $12,700 per family. No one can be turned away. No one will be penalized because of their gender (women often paid more in the old insurance system). Only smokers may be penalized in some plans and some older people may pay more.


What varies with the plans is cost. Some will carry higher deductibles. Some ask for higher co-pays. Costs will vary based on where you live. If you want to see what your bill may look like, be sure to check out the premium estimate tool on HHS.gov.


The majority of people uninsured today can find a policy for $100 or less a month, taking into account subsidies and Medicaid eligibility, according to the Obama administration.


No matter what the cost, you will pay a monthly premium, and may also have a co-pay or be asked to meet a deductible when you go to the doctor or hospital.


Millions eligible for Obamacare subsidies, but most don't know it

The good news is if you go through the exchanges rather than buy directly from an insurance company, you will likely be eligible for tax breaks and subsidies to pay for your insurance. The assistance is available to those with incomes of up to four times the federal poverty level -- this year, that's $45,960 for an individual or $94,200 for a family of four -- and will be calculated on a sliding scale.


You can take this subsidy as a tax credit or the government will pay the insurance company directly.


Exemptions

Some Americans will be exempt from the health insurance mandate, according to the Congressional Budget Office.


These are people who can't afford it: For example, people who make so little they don't have to file a tax return are exempt.


People who are in this country without authorization are exempted, as are members of a federally recognized American Indian tribe who are eligible for services through an American Indian health care provider and people with certain religious beliefs that conflict with acceptance of the benefits of private or public insurance.


People with certain hardships are also exempt; so are people in states that don't expand Medicaid.


If you don't get insurance

If you don't sign up to get insurance, you'll list that on your 2014 tax return.


The fee for the first year is $95 per adult and $47.50 per child (up to $285 per family), or 1% of your income, whatever is higher.


In 2015, it jumps to 2% of your income, or $325 per adult and $162.50 per child. In 2016, it will jump to 2.5% of your income.


No thanks, Obamacare I'll pay the penalty

While some may rather pay the small fee the first year than pay premiums that would cost more, experts predict most people will sign up for insurance.


'I think the penalties should be higher, but they are still enough to make the law effective,' said Jonathan Gruber, an economist at MIT who was an architect on both the Massachusetts and U.S. health plans. 'In Massachusetts we had people flooding in to sign up. You know Americans are almost uniquely law-abiding people, we massively overpay our taxes in terms of what people do in the rest of the world. When you say it is the law to have health insurance I think people will get health insurance.'


Enroll America, a nonpartisan nonprofit that is helping educate Americans about the program, said it has had a positive response once people have an explanation of what's coming.


'For the most part, the people we encounter are thrilled that they will finally have health care,' said Enroll America's Jessica Barbara Brown. 'For many people this will be the first time they have ever had access to care. This can be life-changing.'


Taxpayer guide to Obamacare

Amy Braun-Gross agrees. Her health insurance will come just in time as she, like her husband, will take on a physically demanding job next month. She is going to be a fitness instructor.


'Not having insurance because of the pre-existing conditions got me thinking -- I want to be healthier,' Braun Gross said. 'I'm losing weight, feeling healthier and now if something were to happen I'll be covered.'


The First Video For The Religion Based On Kanye West, Yeezianity, Is A Twisted ...

'But, like, all religion is a twisted fantasy, ya heard?' - Deep Thoughts with Kanye

As Kanye West attempts to convince the world that he is the greatest that has ever been or ever will be at both rapping and making ugly-ass bags, a religion based on his teachings, Yeezianity, is looking to make believers out of doubters everywhere. Yeezianity, for those who can only stomach one hokey religion at a time, teaches that Kanye was 'sent by God to usher in a New Age of humanity.' Here's an illustration!



Naturally, like all things in life, the so-called 'THE BEST CHURCH OF ALL TIME!!!!!' was founded by an unemployed 23-year-old white dude who lives with his parents in posh Westchester County, New York. That just means he has more time to spread the word about the Church of Yeezus. (The word is: 'Hobbit.')


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Kim Kardashian Cuddles With North West, Hugh Grant Fathers Third Love Child ...


Celebrity parent news was abundant on Wednesday, Jan. 28. Kim Kardashian cozied up with her daughter North West, and fathered a third love child with Swedish TV producer Anna Elisabet Eberstein. See the Top 5 stories:


1. Kim Kardashian Nuzzles North's Head in Sweet New Instagram Picture

Now that's how you start the day! Kim Kardashian kicked off Wednesday, Jan. 29, with some cuddly one-on-one time next to her 7-month-old baby girl, North.


2. Hugh Grant Fathers Third Love Child, Swedish TV Producer Anna Elisabet Eberstein Welcomed Son in September 2013

Good thing Hugh Grant knows About a Boy! The famed British bachelor, 53, is now the father of three love children after Swedish TV producer Anna Elisabet Eberstein secretly gave birth to a baby boy in September 2013. A copy of a birth certificate obtained by Us Weekly confirms that the child was born at Queen Charlotte's and Chelsea Hospital in London on Sept. 3; though the baby's first name is not listed, his surname is 'Grant,' and the actor's full name, Hugh John Mungo Grant, is listed as the father on the document. Grant's rep did not return Us Weekly's requests for comment.


3. Kate Hudson's Adorable Sons Ryder, 10, and Bing, 2, Model Alongside Mom in New Campaign: See the Pictures!

Kate Hudson's boys are ready for their close-up! The Wish I Were Here actress, 34, is keeping her kids in the family business by incorporating them into her new ad campaign for Ann Taylor's spring 2014 collection -- and Us Weekly has the adorable photos!


4. Brandi Glanville: Ex-Husband Eddie Cibrian and I 'Were Never Truly Rich' During Marriage

Brandi Glanville is an open book. The Real Housewives of Beverly Hills star may live in an expensive area code and show up at various red carpets year round, but getting to where she is now was no easy feat. The 41-year-old recently touched on her less than financially abundant life while she was married to ex-husband Eddie Cibrian.


5. Daft Punk's Thomas Bangalter Removes His Helmet, Shirt on Beach With Sexy Wife: See the Pictures

Daft Punker revealed at last! French electronic duo Daft Punk made out like bandits at the 56th Annual Grammys in L.A. this past Sunday. Although the group (who won four 2014 Grammys in all, including Album and Record of the year) is now officially a household name, very few folks have ever seen what the two musicians actually look like! In all of their concert and other public appearance, DJs Guy-Manuel de Homem-Christo and Thomas Bangalter, both 39, have famously chosen to obscure themselves with elaborate helmets and gloves to maintain their so-called robot personas.


Woman Sues West Hartford Employer For Allegedly Failing To Provide Health ...


WEST HARTFORD - An employee of Brookdale Place of West Hartford has filed a discrimination complaint against the company for refusing to provide health insurance to her wife because they are a same-sex couple.


Kerry Considine of Griswold is a licensed physical therapist for Brookdale Senior Living, a Tennessee-based company that operates more than 550 senior living facilities, including four in Connecticut.


She has worked there since October 2012, according to the complaint she filed with the Connecticut Commission on Human Rights and Opportunities and the federal Equal Employment Opportunity Commission dated Jan. 17.


Considine, 36, married her wife, Renee, on Nov. 1, 2013, according to the complaint. She had called the company's human resources department that October to inquire whether she could add her to her health and dental insurance plans as her legal spouse.


'I was told on the phone that Brookdale did not offer health insurance coverage to same-sex spouses, even though I am otherwise qualified to receive those benefits,' Considine wrote in the complaint.


She emailed the department to request that Renee be added to her policies on the day of their wedding; the request was denied in a Nov. 4 email, according to the complaint.


'Brookdale has refused and continues to refuse to provide spousal health and dental insurance coverage for my spouse because of our same-sex sexual orientation,' Considine said in the complaint. 'As a result of Brookdale's refusal and continued refusal to provide spousal health and dental insurance coverage for Renee, we have suffered negative financial, health, as well as emotional and physical harm and pain.'


According to a news release from Boston-based GLAD, Gay and Lesbian Advocates and Defenders, Renee Considine is a graduate student studying to be a guidance counselor and has an inadequate student health insurance plan. The couple hopes to have a baby with Renee carrying the child, but is worried about how they will cover the related expenses.


Jim O'Neill, a spokesman for the Connecticut CHRO, declined to comment on the specific case but said if a company has a presence in the state, they're 'liable to abide by the state laws of Connecticut.


'And one of the state laws protects equality between people when it comes to benefits regarding marriage,' he said.


Connecticut became the third state in the nation, after California and Massachusetts, to legalize same-sex marriage with an Oct. 10, 2008, state Supreme Court ruling.


'Presumably, this company offers benefits to married couples, but they don't recognize same-sex couples, therein is the rub,' O'Neill said. 'Their apparent position is that Tennessee defines marriage differently than Connecticut, therefore Tennessee law trumps Connecticut law. It doesn't.'


Julie K. Davis, a spokeswoman for Brookdale, said in an emailed statement that the company could not comment on the case because it has not yet received a copy of the complaint.


'When we receive a copy, we will review it promptly and respond appropriately (as we do with any complaint),' Davis wrote. 'Brookdale believes strongly that we succeed through partnership with our employees; we recognize that good people make the difference and are the key to our success. Our culture values all of our associates, and we are grateful for all they do each day to serve our residents.'


In an emailed statement, EEOC spokeswoman Justine Lisser said, in part, 'We are not aware of any court decisions yet on whether it violates Title VII's prohibition on sex discrimination in benefits for an employer to engage in disparate treatment of married employees based on the sex of their spouse (i.e., providing a benefit only to those employees in opposite-sex legal marriages but not those in same-sex legal marriages), and the Commission has not issued policy guidance on this question.'


Lisser said she couldn't comment on Considine's case.


Janson Wu - an attorney with GLAD who helped Considine file the complaint - said Brookdale is not alone in its actions.


'Even after the demise of the Defense of Marriage Act, employees are still discriminating against gay and lesbian employees, even in states that allow them to marry,' he said. 'Many employers, including Brookdale, are refusing to give benefits. Ultimately, this is a case about equal pay for equal work.


'It's not just unfair, it's illegal,' Wu said.


Considine said she was 'devastated' when the company denied her request.


'My wife and I have been together now for over 12 years; we got married in November, we're in this loving, committed relationship and I just want to be treated equally and fairly to my co-workers,' she said, but she was denied coverage 'just because I'm a woman married to a woman.


'It's just a little surprising, Brookdale being a health care provider, caring for people and promoting that health and wellness, they're unable to provide that for their employees.'


America's Health Care Crisis Is Far From Over, In 1 Chart

Even Americans who have health insurance struggle to pay their medical bills, according to a startling new analysis of Census data. And it's not clear if Obamacare will make the problem totally disappear.


One in five U.S. families with health insurance have medical bills that they cannot afford to pay in full, according to a recent brief from a division of the Department of Health and Human Services that looked at 2012 data.


As you can see from the chart below the situation is far more dire for those without insurance -- in families where no one has health insurance, nearly 40 percent have bills that they cannot afford to pay.



On the whole, more than one in four families faced financial burdens of medical care, according to the data. (The study's wonky definition of a family: 'an individual or a group of two or more related persons living together in the same housing unit.')


Thankfully, Obamacare sets limits on annual out-of-pocket costs like deductibles and co-payments for policies sold on the health insurance exchanges. In 2014, those limits are $6,350 for an individual and $12,700 for a family. Those limits were supposed to apply to all insurance plans, including those provided by employers, but some were exempted for one year.


The law also aims to expand health care coverage to all Americans, which could drastically cut the number of families with outstanding medical debt. But as the chart above indicates, increased access to coverage isn't enough to make health care affordable for everyone.


(Hat tip: NBC News)


Also on HuffPost:


Kim Kardashian Nuzzles North's Head in Sweet New Instagram Picture


Now that's how you start the day! Kim Kardashian kicked off Wednesday, Jan. 29, with some cuddly one-on-one time next to her 7-month-old baby girl, North.


PHOTOS: North West's fabulous life

In an intimate new picture posted to Instagram, the 33-year-old reality star gazes up at the camera while lying next to her daughter and nuzzling the top of little Nori's head. (North herself is only visible from her eyebrows up.) 'Good morning,' Kardashian captioned the sweet shot.


PHOTOS: 2013's babies of the year

The proud first-time mom -- who welcomed North last June with fiance Kanye West -- recently revealed to fans that cuddling is her favorite part of being a mom. 'We cuddled and played all day,' she gushed on Jan. 15.


PHOTOS: Kim's post-baby style

Indeed, the Keeping Up With the Kardashians star can't seem to get enough of her daughter. 'She changes all the time,' she told Ellen DeGeneres two days later on Jan. 17. 'One day she'll look like Kanye, one day she'll look like me. It's so crazy. And her personality is so cute. She is really calm and really quiet.'


PHOTOS: Kimye's sweetest moments

'I know it sounds crazy, but I love my time with her when she's on the changing table,' she added, noting that rapper West, 36, is 'not a diaper kind of guy,' though he'll step up in an emergency. 'I really enjoy that bonding time when I'm with her.'


Kanye West 'Settles With Alleged Assault Victim For $250000'

By Rebecca Merriman On January 29, 2014


Kanye West has reportedly reached an out of court settlement with the 18 year-old he was accused of attacking at a chiropractor's office in Los Angeles earlier this month, paying him $250,000.


The 36 year-old was accused of punching the teenager after he hurled racial abuse at West's fiance, Kim Kardashian. Sources have reportedly told TMZ that while it had yet to be decided if there was a case to be heard by the District Attorney, West has agreed a civil settlement with the teen. The teen will reportedly not now go forward with a criminal prosecution.


TMZ report that the teen initially asked for a six figure settlement, so $250K is viewed as a good deal for the star.


Kanye West has reportedly reached an out of court settlement (SplashNews)

While neither Kim or Kanye have spoken out about the drama, momager-in-law Kris Jenner did appear to confirm the incident during an interview on Australia's 2DayFM Breakfast Show.


Presenters asked if it was true West had 'assaulted an 18-year-old man by punching him in the face,' to which Kris replied: 'Well, that sounds like, a lot like what I heard.'


She added: 'I do know that how it started was this person got really a lot of racial, hateful, horrible things that he was saying. Apparently many times. Very hateful person. And I think that's where it started. I'm not quite sure how it ended.'


Kanye was reportedly defending girlfriend Kim Kardashian (SplashNews)

Though revealing she hadn't actually spoke to her daughter about it she went on: 'I got wind of this last night because I'd been out of town, and I've literally been doing some press all day today and have not been home so I haven't talked to anybody to give you a better update.


'But I think that what happened was that somebody got really out of line.'


Rob Kardashian Weirded Out by Kim Kardashian Lactating on Keeping Up With ...


Mother Nature must approve of Kim Kardashian! Keeping Up With the Kardashians got super natural in its latest episode, which aired Sunday, Jan. 26 -- much to Rob Kardashian's dismay.


The new mom to now 7-month-old daughter North West was relaxing in the kitchen with her younger siblings, Khloe Kardashian and Rob, when she started lactating on Sunday's show.


PHOTOS: Kim's post-baby body and style

'Your boob is like, leaking out of control,' Khloe told the breastfeeding champion. 'It's like, a water fountain.' Kanye West's fiancee, who was wearing a low-cut, feather gray T-shirt, was dripping breast milk on one side through her top. The unfazed star calmly responded by readjusting her famous assets before the cameras -- stuffing her bra with tissues to remedy the leakage.


PHOTOS: Kim's post-baby bikini bod!

Her shocked brother, however, was still in utter disbelief over the natural side effects of breastfeeding: 'What the f---?' he said to his big sis. 'That weirds me out for real,' the 26-year-old sock designer continued as he walked out of the room.


PHOTOS: Kimye's sweetest moments


The 33-year-old reality star was hardly offended by his reaction and bursted into laughter over the incident. 'Okay, sorry. Sorry guys,' she said.


PHOTOS: Kim's pregnancy


(As Us Weekly previously reported, Kim has been settling into motherhood naturally after giving birth to her daughter last June. 'Breastfeeding is working for her and she already feels she has bonded with Nori,' a source told Us. Another confidant added, 'Kim is breastfeeding constantly. She's loving it.')


Tell Us: What do you think of the entire incident?


Kanye West 'settles case with Beverly Hills assault victim for $250000'

By Colette Fahy


PUBLISHED: 18:50 EST, 28 January 2014 | UPDATED: 19:26 EST, 28 January 2014


Kanye West has reportedly paid $250,000 to a man who accused him of beating him up.


The 36-year-old rapper became the focus of a battery investigation after he reportedly chased the 18-year-old into a chiropractor's office and punched him after the teen apparently hurled racial slurs at Kanye's fiancé.


However, TMZ reports the duo have now come to an agreement and Kanye has paid $250,000 to the man who no longer wishes to go ahead with prosecution.


While the District Attorney has not yet decided whether to charge Kanye with battery, if he does go


ahead it will be harder to prove his guilt without a willing witness.


TMZ also reports the alleged racial abuse by the victim means jurors won't mean sympathetic to him.


While Kanye has not spoken out on the claims, his soon to be mother-in-law Kris Jenner appeared to confirm the reports of the incident during an interview on Australia's 2DayFM Breakfast Show earlier this month.


After hosts Jules Lund, Merrick Watts, Sophie Monk and Mel B gave Kris a rundown of the incident, saying, 'Kanye assaulted an 18-year-old man by punching him in the face. He was defending Kim,' she replied, 'Well, that sounds like, a lot like what I heard.'


Kris added: 'I do know that how it started was this person got really a lot of racial, hateful, horrible things that he was saying. Apparently many times. Very hateful person. And I think that's where it started. I'm not quite sure how it ended.'


However, she admitted she has not spoken to her 33-year-old daughter or Kanye since the incident occurred.


'I got wind of this last night because I'd been out of town, and I've literally been doing some press all day today and have not been home so I haven't talked to anybody to give you a better update,' she said.


'But I think that what happened was that somebody got really out of line.'


Meanwhile, a source told RadarOnline that Kim is 'proud of Kanye' for sticking up for her.


The insider said: 'Kim loves that her man is protecting her. Unlike [her ex-husband] Kris Humphries, whom she never felt had her back, Kim is telling people that Kanye is a real man.'


The dramatic altercation allegedly unfolded two weeks ago Kim ran into the man when he held the door for her so she could walk into a furniture showroom in Beverly Hills - just before midday today.


'As Kim walked in, the guy allegedly said, 'F**k these fa**ot-ass n****rs' referring to the paparazzi,' TMZ reported.


The reality star told the young man that the N-word was not appropriate to use.


That's when the teenager turned on the TV star, screaming, 'F**k you bitch. Just trying to help you. Shut up n****r lover, stupid slut.'


A perturbed Kardashian allegedly phoned Kanye to tell him what was happening.


Then, according to TMZ, 'when the guy realised Kanye was on the phone he allegedly said, 'F**k you N****r.' - so that the rap star could hear.


However, just minutes later, an enraged Kanye arrived to meet up with Kim.


They stormed into the office and reportedly found the teen sitting there. 'Witnesses say Kanye punched the guy and Kim screamed, 'We have it all on tape'.


MailOnline has reached out to West's lawyer for comment.




Kanye West reaches settlement with teen over alleged attack: report

Jack-juliano-primo/http://ift.tt/1k3HEHj

The teen who allegedly hurled the N-word at Kim Kardashian and got a biblical beating from Yeezus is reportedly enjoying a six-figure payday.


The unidentified 18-year-old has negotiated a $250,000 civil settlement with Kanye West after claiming the rapper attacked him inside a Beverly Hills office building Jan. 13, TMZ.com reported Tuesday.


A source previously told the Daily News that the teen had been 'ducking' cops as he reached out to West to discuss payment.


RELATED: KANYE WEST UNDER INVESTIGATION FOR ALLEGEDLY PUNCHING TEEN OVER RACIST REMARKS

'He initiated something with Kanye's reps, an overture for money,' the source said.



The teen is now satisfied and no longer supports criminal prosecution, TMZ.com reported.


Still, Beverly Hills Police submitted evidence in the misdemeanor battery case to the Los Angeles District Attorney on Monday, and it's 'under review,' a DA spokeswoman said Tuesday.


RELATED: KIM KARDASHIAN MAY FILE REPORT ON TEEN ALLEGEDLY HIT BY KANYE

A different source previously told The News that the teen unleashed a racist rant on Kardashian before his confrontation with West.


'F--k you b--ch. Just trying to help. Shut up n----r lover, stupid slut,' the teen allegedly shouted after the reality TV temptress scolded him for foul language directed at paparazzi, the source said.



The teen also threatened physical harm and followed Kardashian as she tried to walk away and meet West elsewhere in the building, the source claimed.


RELATED: KANYE WEST'S ALLEGED BATTERY VICTIM ASKING FOR MONEY: SOURCE

'He threatened to hit her. He said, 'I bet I could beat you,'' the source said, referring to the teen.


'She's tiny, and if someone is following you screaming, 'Slut! N---er lover! C--t,' you don't know if you're dealing with an insane person who will go postal and hurt you,' the source said. 'She was so upset, she was crying.'


West raced to his fiancée's side after speaking with Kardashian by cell phone, the source said.


According to TMZ, West went ballistic and punched the teen multiple times inside a chiropractor's office.


ndillon@nydailynews.com


Kim Kardashian Says Khloe is Baby North West's 'Best' Babysitter; Is She the ...


(PHOTO REUTERS/Danny Moloshok


Kim Kardashian revealed who in the Kardashian family is baby North West's best baby sitter during an appearance on 'Jimmy Kimmel Live!'

The reality TV star, 33, did not hesitate when late night talk show host Jimmy Kimmel asked her to make the revelation. Kardashian, who gave birth to her and rapper Kanye West's first child in June, revealed that her younger sister Khloe is her daughter's best baby sitter.


'Khloe,' Kardashian told Kimmel. 'She's the best [baby sitter].'


Kardashian was then asked who in her family is the least trustworthy with baby North, and she admitted that her brother Rob is the most unreliable.


'I would say Rob,' she said. 'I tricked him the other day and I told him that I had a meeting that was really important and could he please baby sit for an hour... He never showed up.'


Fans were not surprised to hear the E! Star's revelation about Khloe, 29, being the best baby sitter and insiders previously claimed she was selected to be North's Godmother. Khloe, who has openly struggled with fertility issues in recent years, is already godmother to sister Kourtney's 3-year-old son Mason Disick.


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'Khloe will be the godmother,' a source previously told HollywoodLife.com.


Baby North, whose nickname is Nori, has reportedly been helping Khloe cope following the breakdown of her four-year marriage to Lamar Odom.


The E! Star filed for divorce from the NBA star in December after months of split rumors and spending time with Nori has been a pleasant distraction for Khloe.


'Khloe loves visiting Nori,' a source told Us magazine last year. 'It's a nice distraction. That little baby can light up any bad situation.'


In August West, 36, debuted the first photo of baby North during an appearance on the 'Kris Jenner' show and Khloe took to Twitter to gush about her rumored goddaughter.


'My little angel,' Khloe tweeted shortly after the East Coast airing of the 'Kris Jenner Show.' 'How gorgeous is North?!?'


Kanye West SETTLES Case With Bev Hills Beating Victim

SETTLES Case With Bev Hills Beating Victim


The guy Kanye West beat up in the waiting room of a Beverly Hills chiropractor hit the jackpot ... scoring a settlement of MORE THAN $250,000 ... TMZ has learned.Sources familiar with the negotiations tell us ... the young man who allegedly hurled racial epithets at Kim earlier this month has agreed to the civil settlement and now feels satisfied enough that he does NOT want to go forward with a criminal prosecution.Law enforcement sources tell us ... the D.A. has not decided whether to charge Kanye with battery. The reality is ... there's almost no chance of that happening. First, the D.A. now has an uncooperative victim. Second, the victim's alleged racial epithets will not sit well with the jury. And there are probably lots of Kanye fans in the jury pool.We're told during the settlement negotiations the victim's demand soared to the upper 6 figures, so $250K is just a fraction.We called Kanye's civil lawyer, Shawn Holley for comment ... but we got nothin'.Nevertheless ... we're calling it case closed.


How Much Health Insurance Should You Have?


The short answer: enough to help you and your family weather an unexpected illness or injury and/or manage chronic health conditions without undue financial hemorrhaging.


'You know you'll likely need something, even if you're a totally healthy person,' says Amy Bach, executive director of United Policyholders, a San Francisco-based insurance consumer advocacy group. 'For most people, it's about comparing deductibles, copays, benefit limits and reimbursement rates -- basically, everything that you could be responsible for -- and then any portion of services that would fall to you, such as hospital stays.'


Not much freedom of choice

Unlike home or auto insurance, there's no way to place a value on the asset being insured -- in this case, your health and the health of your family. And because the worst-case cost of medical remediation can be astronomical, insurers tend to hedge their risk and keep coverage affordable by offering their densely detailed cost-sharing contracts with little or no customization. So, often the question isn't really, 'How much health insurance do I need?' but, 'What health insurance can I get?'


'Health insurance is offered much more on a take-it-or-leave-it basis,' says Bach. 'About the only thing you get to choose is how many people you put on your plan.'


Typically, the employer-sponsored group plans that cover most Americans cost consumers less than individual insurance policies because the employer pays part or all of the premium.


The downside is, employers tend to offer only a limited number of plans, often one each from a health maintenance organization (HMO), a preferred provider organization (PPO) and/or an exclusive provider organization (EPO). Choosing from such a small slate of group plans may sound simple, but there can be challenges.


'You don't want to sign up and find that the doctor you really like and have been going to for 10 years isn't in the plan you chose,' says Dr. Keith Davis of Shoshone, Idaho, named 2014 national Family Physician of the Year by the American Academy of Family Physicians. 'That could steer your decision.'


Not 'How much?' but 'Which plan?'

Like work-based health insurance, individual coverage that you buy directly from insurers on the private market also presents more of a question of 'Which plan?' than 'How much?' And, selecting the right individual market plan has not been easy.


'You couldn't do an apples-to-apples plan comparison because the plans looked so completely different,' says Bach. 'There was no way to categorize them.'


That challenge eased dramatically late last year with the opening of the state health exchanges, America's first public health insurance marketplace, created by President Barack Obama's landmark Affordable Care Act.


The one-stop, online marketplaces provide easy-to-browse summaries of every policy in your state that is exchange-approved to comply with the Affordable Care Act. For ease of shopping, the exchanges organize their plans into four metal categories: from the highest priced/lowest deductible platinum plans on down through gold and silver to the lowest priced/highest deductible bronze plans.


Jen Mishory, deputy director of Young Invincibles, an advocacy group for consumers aged 18 to 34 years old, says the new federal minimum coverage requirements for exchange policies further simplify shopping for coverage.


'On the exchanges, you now have the 10 essential health benefits, so you know that you're getting a plan that covers a lot of the services that young people need, such as free annual checkups, access to prescription drugs, and mental health and maternity services,' she says.


Get a health insurance quote.


Health insurance rules of thumb

Follow these steps to find the right health insurance plan for you:


Do a health inventory: How's your overall health? How often do you visit the doctor? Is your lifestyle risky? 'The same principles apply to buying health insurance that apply to any other kind of insurance, which is: Try to know your risk,' says Amy Bach. Measure your health care consumption: How many times did you visit the doctor last year? The year before? 'If you went an average of 10 times a year, and your primary care copay was $20, that's $200,' says Bach. 'Now break out your copays for specialty/urgent care, lab tests, prescription drugs and so forth. That should give you the rough math of your health care consumption.' Survey your options: If you have health insurance through work, understand your choices. Or, if you buy your own coverage or are currently uninsured, peruse your state exchange to become familiar with your plan options there. You may qualify for a tax credit to help pay your exchange plan premium. Identify your priorities: Lower deductibles and copays will be top of mind if you make frequent visits to your doctor or have a chronic health condition. Or, a lower premium may matter more. 'The classic mistake would be to have a low deductible when you don't really need to and overpay for premiums,' says Dr. Keith Davis. 'High-deductible plans can benefit a lot of people.' Find your best fit: Once you've narrowed the field, closely compare the details of the plans most likely to meet your needs. 'Don't go on price alone,' Davis warns. 'You may be happy with it because it's inexpensive, but it may not really give you good value.' Get a second (or third) opinion: Before signing on for coverage, run your short list by others who are familiar with buying health insurance. 'I still think getting an insurance agent is wise,' says Davis. 'Before changing plans or for a first-time purchase, I would get an opinion from at least one independent agent to make sure you're on the right track.'

Sources: Amy Bach, Dr. Keith Davis, Jen Mishory


How much is just enough?

If your most basic answer to the 'How much health insurance?' question is, 'As little as possible,' then you'll want to know that the exchanges also feature a list of compliant 'catastrophic' plans for those who don't mind risking a high deductible in exchange for the lowest-possible premium. But be forewarned: Catastrophic plans are reserved for consumers who are under 30, or who have faced hardships, including having their previous health insurance canceled.


'If you're considering a catastrophic plan, it's important to think about your out-of-pocket burden,' Mishory advises. 'For instance, you could end up spending $6,000 or more in deductible out of pocket before you see any cost-sharing from your insurer. Maybe for you that makes sense if you're willing to essentially self-insure to that amount.'


So, how much health insurance do you need? As reforms continue to take hold, Bach expects more consumers will come to have a better understanding of what's 'just right.'


'Once we get through this painful period where people suddenly have to pay attention to health insurance for the first time, things are going to be a lot better for everybody,' she says. 'Part of what drove health reform was the need for people to take a little bit more responsibility for their health benefits. This will not only get more people into the system to balance it, but also encourage people to be more savvy consumers of health insurance.'


Copyright 2014, Bankrate Inc.


House approves emergency health insurance bill


Gov. Martin O'Malley's emergency plan to give insurance to people unable buy it through the broken health exchange cleared the House of Delegates along party lines Tuesday.


The plan, approved 94-24 with support from only one Republican, would allow people stymied by the technical troubles of the state's online marketplace to get retroactive health care through a state program. The state's Senate needs to sign off on some small changes before the bill goes to O'Malley for his promised signature.


The idea once carried a price tag of as much as $10 million, but state lawmakers said that successfully getting thousands of people in line for private retroactive coverage last week dramatically lessened the cost of this stop-gap measure. More than 1,400 households - as many as 4,000 people - have signed up for retroactive coverage through private insurers. State officials estimated as many as 5,000 people tried to buy health insurance through the exchange but could not complete their applications.


House Republicans took Tuesday's vote as an opportunity to impugne both the federal Affordable Care Act and the state's efforts to build a health exchange to implement it.


'There is no accountability here,' said Del. Tony O'Donnell, a Republican from Calvert County. 'The people who screwed this up aren't being held accountable.'


Del. Pete Hammen , a Baltimore Democrat and chair of the Health and Government Operations Committee, told his colleagues that taxpayers would have to pay hospitals for bills of the uninsured.


'We don't pass this, and your constituents will pay for it.' Hammen said, adding that the state was 'going to get this right' and the exchange will eventually work. He retierated that lawmakers would continue to probe what went wrong with the exchange.


California offering 4


Most health insurance plans offered on the state exchange will now feature quality ratings, giving consumers a better idea about their past performance.


Covered California, the state exchange, announced Tuesday that it recently incorporated the quality-rating system in its website, with marks ranging from four stars for the highest performers down to one star for the lowest.


Federal law requires the rating of plans, but officials here noted that the rating system's California debut comes about two years ahead of the mandate. Executive Director Peter V. Lee said his exchange is among the first in the nation to offer consumers a quality-rating system.


'We want to give consumers all the available tools to help them assess and choose plans in their regions,' Lee said. 'We are proud of the ratings in each of the exchange plans and recognize this is a preliminary look at exchange health plans.'


Lee previously expressed concern that incorporating the ratings for some plans and not others would dissuade people from enrolling. His original recommendation called for implementing the ratings system for all plans offered on the exchange during open enrollment in 2015.


Health policy groups and highly-rated plans suggested the exchange simply add language to those plans explaining they had yet to receive any ratings. They sided with exchange board members who strongly recommended adding the ratings as soon as possible.


The ratings, based on consumer experiences, will be familiar to users of Amazon and Yelp where customers assign grades to products, movies and restaurant experiences. In this case, each insurance plan in the marketplace is compared with plans across the western region of the country.


Scores come from the Consumer Assessment of Healthcare Providers and Systems. Four-star plans placed in the top 25 percent of all of those rated. Three, two and one stars were awarded to plans ranking 50-to-75 percent, 25-to-50 percent and 0- to-25 percent, respectively.


PHOTO: The executive director of Covered California, Peter V. Lee, speaks to members of the media during the launch of Covered California in Rancho Cordova on Oct. 1, 2013. The Sacramento Bee/Randall Benton.

Kimye's Paris wedding to be televised, says source: 'It'll be like a festival'

As Kim Kardashian and Kanye West walk down the aisle for their big day, cameras will be rolling.


Not only will their June wedding take place in Paris, but the event will be televised for all to see on 'Keeping Up with the Kardashians.'


'Kim has always wanted to be a June bride and she is finally going to get her wish,' a source told RadarOnline. 'Kim and Kanye have narrowed down the wedding location, which is being kept a secret at this point. It will be on the outskirts of Paris.'


'It's our second home,' Kardashian boasted about the City of Lights on ' Jimmy Kimmel Live.' 'We spend so much time there, we have an apartment there. We really love it.'


PHOTOS: KIM KARDASHIAN'S STYLE MAKEOVER

What's more, E! is picking up the tab for the multimillion dollar matrimony ceremony, which reportedly got West, 36, to agree to it airing on TV.



In fact, the couple need not worry about much of anything other than exchanging vows on their wedding day. The network is also reportedly taking care of logistics like security and removing cellphones from attendees.


However, the duo is still taking charge in many aspects of the planning phase.


'He knows what he wants, and I love that about him,' Kardashian told Kimmel on Thursday. 'We're kind of taking different roles. He'll take care of the music, and I'll take care of the seating chart. We're making it really easy on each other.'


PHOTOS: INSIDE KIM KARDASHIAN AND KANYE WEST'S ROMANCE

Still, North West's parents expect nothing but the best.


'Both Kim and Kanye have very high expectations for their wedding,' the source told Radar. 'It will be an over-the-top affair, and there will be pre-wedding festivities leading up to the big day for their guests. It'll be like a festival.'



While the Kardashian longed to wed at the Palace of Versailles in the French capital, which was home to Marie Antoinette, palace officials reportedly denied her request.


The 33-year-old reality TV star visited the palace earlier this month and posted a photo of her and West in front of its grand façade on Instagram.


PHOTOS: KIM KARDASHIAN, KANYE WEST ENJOY ADORABLE FAMILY DAY WITH BABY NORTH

'Versailles after dark,' she captioned the pic.


'Kim and Kanye really wanted to get married at Versailles and were both hoping to persuade officials during their visit,' the insider detailed. 'Ultimately it backfired. It was still a firm no.'


As their search for the perfect location continues, the duo is supposedly trying to be practical.


'The couple is looking for something grand,' the source added. 'But something that can offer privacy and security.'


Kimye's Paris wedding to be televised, says source: 'It'll be like a festival'

As Kim Kardashian and Kanye West walk down the aisle for their big day, cameras will be rolling.


Not only will their June wedding take place in Paris, but the event will be televised for all to see on 'Keeping Up with the Kardashians.'


'Kim has always wanted to be a June bride and she is finally going to get her wish,' a source told RadarOnline. 'Kim and Kanye have narrowed down the wedding location, which is being kept a secret at this point. It will be on the outskirts of Paris.'


'It's our second home,' Kardashian boasted about the City of Lights on ' Jimmy Kimmel Live.' 'We spend so much time there, we have an apartment there. We really love it.'


PHOTOS: KIM KARDASHIAN'S STYLE MAKEOVER

What's more, E! is picking up the tab for the multimillion dollar matrimony ceremony, which reportedly got West, 36, to agree to it airing on TV.



In fact, the couple need not worry about much of anything other than exchanging vows on their wedding day. The network is also reportedly taking care of logistics like security and removing cellphones from attendees.


However, the duo is still taking charge in many aspects of the planning phase.


'He knows what he wants, and I love that about him,' Kardashian told Kimmel on Thursday. 'We're kind of taking different roles. He'll take care of the music, and I'll take care of the seating chart. We're making it really easy on each other.'


PHOTOS: INSIDE KIM KARDASHIAN AND KANYE WEST'S ROMANCE

Still, North West's parents expect nothing but the best.


'Both Kim and Kanye have very high expectations for their wedding,' the source told Radar. 'It will be an over-the-top affair, and there will be pre-wedding festivities leading up to the big day for their guests. It'll be like a festival.'



While the Kardashian longed to wed at the Palace of Versailles in the French capital, which was home to Marie Antoinette, palace officials reportedly denied her request.


The 33-year-old reality TV star visited the palace earlier this month and posted a photo of her and West in front of its grand façade on Instagram.


PHOTOS: KIM KARDASHIAN, KANYE WEST ENJOY ADORABLE FAMILY DAY WITH BABY NORTH

'Versailles after dark,' she captioned the pic.


'Kim and Kanye really wanted to get married at Versailles and were both hoping to persuade officials during their visit,' the insider detailed. 'Ultimately it backfired. It was still a firm no.'


As their search for the perfect location continues, the duo is supposedly trying to be practical.


'The couple is looking for something grand,' the source added. 'But something that can offer privacy and security.'


Senate Republicans Develop The Most Credible Plan Yet To 'Repeal And ... - Forbes

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Tea Party Express signature wall. (Photo credit: qwrrty)

'Repealing and replacing' Obamacare with market-oriented reforms has been the Republican mantra for years now. If you're a long-time follower of this space, you know that we're skeptical that Obamacare will ever be repealed, GOP slogans to the contrary. Today, however, a trio of experienced Senate Republicans-Tom Coburn (Okla.), Richard Burr (N.C.), and Orrin Hatch (Utah)-have put forth the most thoughtful and constructive plan yet developed to repeal and replace Obamacare. The plan seeks to ensure that as many Americans have health coverage as Obamacare does. It's a proposal grounded in the real-world tradeoffs that all serious reformers must make. Want to know how those tradeoffs might affect you? Read on.


Republicans have long been complacent about health reform

Republicans are united in their opposition to President Obama's health law. But they are far from united as to what reforms they would seek in its stead.


Much of the Republican base-what some people call the Tea Party-would be just fine with repealing Obamacare and calling it a day. The vast majority of the Republican base is employed or retired; these active GOP primary voters are sometimes unaware of the degree to which their health coverage is heavily subsidized by the tax code (more than $300 billion a year, in the case of the tax exclusion for employer-sponsored coverage) or financed by the government (more than $750 billion a year in Medicare spending).


But if you're a Republican member of Congress, it's these voters who elected you. And so it's not surprising that conservative politicians have often been the most complacent about the brewing problems in our health-care system.


Conservative fiscal wonks have long known that this complacency has been unwarranted, that broad reform is necessary: both to improve the country's fiscal stability, and to make health coverage more affordable. But Republican politicians, historically, have had little electoral incentive to do anything about it.


That all changed with the passage of Obamacare. Republican politicians know that they won't be able to repeal Obamacare without having something credible to replace it with. And that's where things get messy. Those most aligned with the base are fine with simple, incremental reforms like malpractice reform and buying insurance across state lines. That won't fly as a replacement for Obamacare.


GOP divided over whether to expand coverage

The Republican Study Committee, a caucus of House Republican conservatives, put out a plan last fall that would replace Obamacare by capping the employer tax exclusion, and making a standard deduction for health coverage available to everyone. A similar plan proposed by George W. Bush in 2007 would have expanded coverage by 11 million, compared to the pre-Obamacare status quo. The best thing about this approach is that it would reduce spending and reduce the deficit; Obamacare is deficit neutral, but it substantially increases federal health spending, along with its massive expansion of federal health-care regulation.


But Obamacare aims to expand coverage by 30 million, not 11 million. And so a replace plan that attempts to go into effect in 2017 will have to contend with the fact that it is likely to throw people off of their existing, Obamacare-sponsored insurance.


A separate cohort of Republican health plans has taken a different approach. They aim to offer universal coverage-though they rarely use that term-by ensuring that every American who needs one can get a federal subsidy to purchase health insurance. These plans include the Patients' Choice Act of 2009, introduced by Reps. Paul Ryan (R., Wisc.) and Devin Nunes (R., Calif.) along with Senators Coburn and Burr; and the Empowering Patients First Act of 2013, developed by Rep. Tom Price (R., Ga.).


The latest entry into this field-and thus far, the best-is the new Coburn-Burr-Hatch proposal, called the Patient Choice, Affordability, Responsibility, and Empowerment Act. (They abbreviate this as the 'Patient CARE Act'; I'll call it Coburn-Burr-Hatch, or CBH.)


Coburn-Burr-Hatch retains some popular Obamacare provisions

CBH would repeal Obamacare, and replace it with a set of more market-oriented reforms. One key point right at the start: the authors 'believe our proposal is roughly budget neutral over a decade.' That is to say, for all the reconfiguring it does to the health-care system, it doesn't substantially reduce the deficit. It may modestly reduce the amount of federal spending and taxation. The Senate trio aims to have their proposal fiscally scored by an outside group of economists, most likely Doug Holtz-Eakin's Center for Health and Economy.


While the plan would repeal Obamacare, it would preserve some of the law's most popular features, such as its ban on lifetime limits on insurer payouts, and its requirement that insurers cover adult children younger than 27. It would replace Obamacare's premium hike on young people, known as age-based community rating, with a more traditional 5:1 rating band.


It wouldn't maintain Obamacare's individual mandate, nor its requirement that insurers offer coverage to everyone regardless of pre-existing health conditions. Instead, the plan would require insurers to make offers to everyone who has maintained 'continuous coverage,' while aiding states in restoring the high-risk pools that served those who insurers won't otherwise cover. Subsidy-eligible individuals who failed to sign up for a plan would be auto-enrolled in one priced at the same level as the subsidy for which they qualified.


The proposal would do some things highly popular on the right. It would encourage medical malpractice reform by 'adopting or incentivizing states to adopt a range of solutions to tackle the problem of junk lawsuits and defensive medicine.' It would strive to expand price transparency and the supply of physicians.


Means-tested tax credits for the uninsured, funded by the employer tax exclusion

Most importantly, the CBH plan would make substantial changes to the tax exclusion for employer-sponsored coverage, in order to fund subsidies for the uninsured. 'Our proposal caps the tax exclusion for employee's health coverage at 65 percent of an average plan's cost' today, and then grows the cap at the rate of the Consumer Price Index-a common measure of inflation-plus one percent (CPI+1%).


The revenues gained from this change would then be used to offer tax credits for the uninsured, so long as their incomes were below 300 percent of the federal poverty level (FPL). Importantly, the subsidies are structured on a sliding scale so that those at 300% FPL get a smaller subsidy than those below 200% FPL. In addition, the subsidies increase as you get older; an individual aged 18-34 would get a subsidy of $1,560, whereas one aged 50-64 would get $3,720: 2.4 times what the young'uns get. The size of the subsidies would grow, again, at CPI+1%. (Obamacare offers subsidies to those below 400% of FPL.)



This is a substantial improvement from previous 'repeal and replace' plans, that offered a uniform tax credit to every American, regardless of their prior health or wealth. The CBH plan aims to let younger pay lower premiums, but subsidize those premiums at a lower level. Similarly, the subsidy level is means-tested. This is a much fairer approach, though it will run into trouble in certain states, like New York, that require insurers to charge identical rates to the young and the old, because the young will be under-subsidized (and the old over-subsidized) in that situation.


This structure, though described as a 'repeal and replace' plan, is remarkably similar to the one that Obamacare uses. What are the key differences? The CBH plan would grow its subsidies and tax exclusion cap at a higher rate than Obamacare does-CPI+1% vs. CPI+0% for Obamacare. That means the CBH plan would spend more on subsidies, and recoup less in revenues, than Obamacare does.


Milder Medicaid reform using per-capita caps

Finally, the plan would reform Medicaid using an approach first proposed by Bill Clinton, and endorsed by former Democratic Senate Majority Leader Tom Daschle: per-capita caps. Under the per-capita cap approach, the federal government would give states a fixed amount of money per person enrolled in Medicaid. It would be up to the states to use that money in the most cost-efficient way possible.


In some ways, it's a milder form of block-granting. There are a number of pitfalls in the per-capita cap approach, as I discussed in a September 2012 article for Forbes:



Per-capita caps aren't problem-free. Without other fiscal controls, states might enroll an unexpectedly high number of people into Medicaid, further straining the budget. In addition, Medicaid patients are highly heterogeneous, with the elderly and disabled costing more money than, say, children... Urban Institute researchers noted that 'a single aggregate cap would create incentives to add low-cost enrollees such as children,' and that even dividing patients into broad categories could lead to gaming.



An attractive feature of CBH is that Medicaid enrollees could take the dollars allotted to them in the per-capita cap and spend it on a regular private-sector insurance plan. Indeed, CBH could be improved if this became universal: that is to say, instead of giving states the Medicaid money, give it directly to poor people to buy the coverage of their choice with an auto-enroll feature.


Bottom line: A constructive, center-right approach

The bottom line is this. The Coburn-Burr-Hatch plan is a serious, constructive, and pragmatic one. Precisely for those reasons, it won't satisfy the purest Obamacare haters for whom there is not a single provision in the law worth retaining, nor those who think the health care system was just fine as it was. And it won't drastically shrink the scale and scope of federal spending on health care, at least in the near term.


What it will do is substantially deregulate the health insurance market, a process that is likely to make health insurance less costly over time. If health insurance is less costly, then federal spending on health insurance can shrink alongside. And it will do all of these things while approximating the number of Americans under Obamacare who have the security of health insurance coverage.


It's not perfect-no health reform plan can be-and I've listed above some of the things I would want to improve on it. I continue to believe that Republicans would be better off taking advantage of Obamacare's existing exchange structure, and using the exchanges as a vehicle for entitlement reform. But it's not politically possible for most elected Republicans to call off the repeal-or-bust rhetoric.


Short of that, this is a worthwhile entry into the debate. Tom Coburn and his colleagues have done yet one more service to their country. When Coburn retires in 2014, he will be missed.


* * *


UPDATE 1: Philip Klein and others on Twitter note that one challenge with 'continuous coverage' provisions is that they incentivize people to go on skinnier plans when they're healthy, and comprehensive plans when they're sick. At FoxNews.com, Coburn, Burr, and Hatch have published an op-ed on their proposal:



Some may suggest the smart political move is to not present an alternative but to simply stand back and watch ObamaCare implode. But the failure of ObamaCare will not guarantee the success of free market health reform. In fact, even Senate Majority Leader Harry Reid and the president have suggested the law is merely a stalking horse for government-run single-payer health care.


More importantly, we believe the American people are ready to consider a patient-centered, market-driven alternative.


Americans know the health care system was not working like it should before ObamaCare. But now they are clearly seeing how the law itself is failing.


Unlike ObamaCare, our plan acknowledges the real world in which people live and operate. We understand that markets are not perfect. But the answer is not a government-centered approach that limits choices and increases costs.


Our problems in health care are solvable if we chart a new path forward. The first step is to embrace a vision that respects individual freedom and puts our country on a more sustainable path.



UPDATE 2: Yuval Levin, in National Review, agrees that the CBH plan 'includes the combination of protections and rules that conservative health-policy experts have long proposed...for covering pre-existing conditions,' and notes that if Obamacare 'can be called 'universal coverage' then this proposal can too.' He wishes the plan had included Medicare reforms and a flat, universal tax credit instead of one means- and age-tested. Yuval notes that Orrin Hatch would become the Chairman of the Senate Finance Committee, a key health-reform post, if Republicans retake the Senate:



It's especially encouraging that Orrin Hatch-who is the ranking Republican on the Senate Finance Committee (the key committee with oversight for federal health-financing policy) and would likely become chairman of that committee if Republicans took over the Senate next year-is among the sponsors of this proposal. The ideas here are also very much in line with those laid out over the years by Paul Ryan, who is likely to become chairman next year of the equivalent House committee, the Ways and Means Committee.



AVIK'S NEW BOOK, How Medicaid Fails the Poor, is now available in paperback, Kindle, and iBooks versions. Follow @Avik on Twitter, Google+, and YouTube, and The Apothecary on Facebook. Or, sign up to receive a weekly e-mail digest of articles from The Apothecary.


INVESTORS' NOTE: The biggest publicly-traded players in Obamacare's health insurance exchanges are Aetna (NYSE: AET), Humana (NYSE: HUM), Cigna (NYSE: CI), Molina (NYSE: MOH), WellPoint (NYSE: WLP), and Centene (NYSE: CNC), in order of the number of uninsured exchange-eligible Americans for whom their plans are available.







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