Health Insurance

RECENT NEWS
Insurance Journal  30 min ago  Comment 
Minnesota’s legislative auditor said he plans to conduct a thorough, independent review of the troubled launch of Minnesota’s health insurance exchange. “The evaluation will be a comprehensive, in-depth evaluation of many issues related to...
TechCrunch  Apr 10  Comment 
 Health and Human Services Secretary Kathleen Sebelius is resigning. President Obama, according to the New York Times, has selected Sylvia Mathews Burwell of the Office of Management and Budget as her replacement. Secretary Sebelius became a...
Insurance Journal  Apr 10  Comment 
Gov. Mark Dayton lashed out at critics of Minnesota’s health insurance exchange, accusing them of waging a propaganda campaign to destroy it. The Democratic governor spoke to reporters a day after GOP members of the Legislature’s MNsure...
Benzinga  Apr 10  Comment 
Below are the top health care plans stocks on the NYSE in terms of profit margin. The trailing-twelve-month profit margin at WellPoint (NYSE: WLP) is 5.90%. WellPoint's EPS for the same period is $8.69. The trailing-twelve-month profit...
TheStreet.com  Apr 9  Comment 
NEW YORK (TheStreet) -- Health Insurance Innovations shares are up 14.2% to $11.34 in trading Wednesday.The jump comes following the web-based health insurance company posting record quarterly sales results during the first quarter.Must...
New York Times  Apr 9  Comment 
Kathleen Sebelius’s decision on how to calculate premium adjustments for health insurance could add billions to the federal deficit, an economist writes.
NPR  Apr 8  Comment 
Cheryl Stumph and her family haven't had health insurance for years. Now that they do, they plan to take make up for lost time. Pent-up demand for care is overwhelming an Oregon health plan.
NPR  Apr 8  Comment 
It is the only state to require insurers that sell individual plans outside the online marketplace to make coverage available to customers anytime.
DailyFinance  Apr 7  Comment 
ALBUQUERQUE, NM--(Marketwired - April 07, 2014) - The New Mexico Health Insurance Exchange (NMHIX) reported a total of 26,412 New Mexicans had enrolled in qualified health plans as of March 31, 2014, according to the Office of the Superintendent...
TheStreet.com  Apr 7  Comment 
NEW YORK (TheStreet) -- The White House says there were 7 million individual health care sign-ups as of a March 31 deadline, while the Los Angeles Times, citing an upcoming Rand study, notes that only one-third of ACA health care signups were of...




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Types of Coverage

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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)

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

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