In both types, the heart isnât pumping blood as efficiently as it should. The main difference is that cyanotic congenital heart disease causes low levels of oxygen in the blood, and acyanotic congenital heart disease doesnât.
The following states offer health insurance to legislators but describe it as optional at legislator's expense -- Nebraska, Nevada, New Hampshire, New Mexico, Vermont and West Virginia. In addition, South Dakota and Wyoming do not offer health benefits to legislators, but do cover legislative staff.
The most recent supplemental health insurance policies to be offered in most states are the Value Benefit Plans which is actually a group of five supplemental insurance policies that can be used individually or collectively to add additional coverage. Value Med Insurance and Value Health USA.