Health Insurance

Forbes  5 hrs ago  Comment 
In 2017 approximately 600,000 more Americans are exempt from paying a penalty for not buying health insurance because rising health insurance premiums are growing much, much faster than wages and household income.
Wall Street Journal  Oct 12  Comment 
Two health insurance mergers under regulatory scrutiny seem to be taking different paths.
Insurance Journal  Oct 12  Comment 
Canadian health benefit startup League Inc said on Wednesday it has teamed up with the insurance arm of backer Royal Bank of Canada as it expands into insurance, targeting the many small businesses offering no such benefits to employees. The...
Forbes  Oct 10  Comment 
Donald Trump's proposed replacement of Obamacare wouldn't solve health costs simply by allowing insurance companies to sell across state lines, analysts say.
Clusterstock  Oct 10  Comment 
Donald Trump and Hillary Clinton sparred over Obamacare during the second presidential debate on Sunday, outlining how they would reform the health insurance system. "Obamacare is a disaster," Trump said. "You know it, we all know it." The...
NPR  Oct 7  Comment 
Customers for individual insurance policies who don't qualify for federal subsidies are facing double-digit premium increases in many places this year. The cost is forcing hard choices about coverage.
Forbes  Oct 7  Comment 
Anthem, one of the nation's largest health insurers, said it won?t cover the expensive biotech drug Duchene for muscular dystrophy, saying its ?investigational and not medically necessary."
Clusterstock  Oct 5  Comment 
Republicans are slamming President Barack Obama and his flagship Affordable Care Act, better known as Obamacare, by highlighting the words of another former Democratic president who happens to be the spouse of the current Democratic nominee. On...
Clusterstock  Oct 4  Comment 
Millions of American are leaving money on the table when buying health insurance, according to the Department of Health and Human Services. People who do not receive insurance from their employer or a government-sponsored plan such as Medicaid...
Insurance Journal  Oct 3  Comment 
Harvard University dining hall workers are preparing to go on strike. The workers, represented by the Unite Here Local 26, say they’ll strike starting Wednesday if a new contract isn’t reached by 11:59 p.m. Tuesday. Union negotiator Michael...


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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 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.


State High Risk Pools


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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