Health Insurance

RECENT NEWS
NPR  2 hrs ago  Comment 
The national debate over health care appears to be taking a back seat to jobs creation — but the problem persists for people who have jobs but no health insurance. A recently-developed health alliance in New Orleans aims to be at least part of...
TheStreet.com  6 hrs ago  Comment 
Wellpoint, one of the most profitable health insurers, has increased its rates and the California state insurance commissioner has launched an investigation.
Reuters  Feb 8  Comment 
Health insurers are primed to rev up deal-making over the next year, although the prospect of even modest reforms to the U.S. health system may put a chill on acquisitions for the next few months.
Business Standard  Feb 7  Comment 
Insurers are venturing alone into the general insurance arena, following tie-ups with global players not working out.
NPR  Feb 5  Comment 
With comprehensive health care legislation foundering, House Democrats are turning to a narrower piece of legislation they hope has populist appeal: repealing the antitrust exemption for health and medical liability insurers. Policy makers...
Insurance Journal  Feb 5  Comment 
North Dakota regulators have given approval to Sanford Health Plan to sell health insurance in the state, likely setting up competition with the company that has dominated the North Dakota market ...
Sydney Morning Herald  Feb 5  Comment 
NASHVILLE: Organisers of the grassroots movement that exploded across America last year in revolt against Barack Obama's economic policies and healthcare plans hope it has reached a critical milestone as hundreds of conservative activists...
Insurance Journal  Feb 3  Comment 
The U.S. House of Representatives will vote next week on repealing the antitrust exemption for health insurers, but Democrats remained uncertain Tuesday on how to proceed on a broader healthcare ...



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Types of Coverage

Private Coverage

Job-Based Coverage

Individual Policies

Association Health Plans

Consumer Driven Health Plans

Government-Funded Coverage

Medicare

Medicare is a federal health insurance program for: a) individuals aged 65 years and above; b) individuals under the age of 65 with certain disabilities; or c) or individuals with end-stage renal disease. There are three types of Medicare plans:

  • Original Medicare Plan, which consists of two parts:
    • Hospital Insurance (Part A): This part pays for inpatient care at public hospitals, critical access hospitals (small facilities that give limited inpatient and outpatient services to people in rural areas), skilled nursing facilities (not custodial or long-term care) as well as hospice care and some home health care. All individuals eligible for Medicare are enrolled automatically and free of charge in Part A.
    • Medical Insurance (Part B): This part pays for doctor visits, outpatient hospital care and other necessary medical services not covered by Part A, such as physical and occupational therapy, and some home health care. Part B is optional and, in 2008, most beneficiaries paid monthly insurance premiums of $96.40. Beneficiaries must also pay an annual deductible before Part B coverage kicks in.
2008 Part B Monthly Insurance Premiums Yearly Income (Single Individual) Yearly Income (Married Couple) Yearly Income (Married Individual)
$96.40$82,000 or less$164,000 or less$82,000 or less
$122.20$82,001 - $102,000$164,001 - $204,000NA
$160.90 $102,001 - $153,000$204,001 - $306,000NA
$199.70$153,001 - $205,000$306,001 - $410,000$82,001 - $123,000
$238.40above $205,000above $410,000above $123,000
  • Medicare Advantage Plans (Part C), formerly known as Medicare+Choice, are private health insurance plans under the Medicare program. These plans pay for more medical services than the Original Medicare Plan by packaging Part A, Part B and additional coverage into one convenient bundle. Part C is optional and beneficiaries often pay higher monthly insurances premiums, but lower deductibles, than those required for Part B. Medicare Advantage is only offered in certain parts of the country and includes HMO Plans, PPO Plans, Medicare Private FFS Plans, Medicare MSA Plans or Medicare Special Needs Plans.
  • Medicare Prescription Drug Plans (Part D) add prescription drug coverage to the Original Medicare Plan, Medicare MSA Plans, some Medicare Cost Plans and some Medicare Private FFS Plans. Each plan is run by a private company and, hence, varies slightly from other plans that fall under Part D. However, all such plans conform to standards set by the federal goverment. Part D is optional and beneficiaries pay monthly insurance premiums and an annual deductible in exchange for a large degree of flexibility in choosing what drugs need to be covered by these plans.

Medicaid

State High Risk Pools

Trends

Number Uninsured and Uninsured Rate (1987-2007)

Difference in 2-Year-Average Uninsured Rates by State (2006-2007)

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