Health Insurance

RECENT NEWS
NPR  7 hrs ago  Comment 
The overall increase in the number of Americans with health insurance draws attention to counties where the uninsured rate is still high, many of them in states that chose not to expand Medicaid.
Wall Street Journal  Apr 12  Comment 
Almost three weeks after canceling a vote on his health-care package over infighting among his fellow Republicans and the opposition of the Democrats, President Donald Trump dug back into the fight, threatening to withhold payments to insurers to...
Insurance Journal  Apr 12  Comment 
The Oklahoma House Insurance Committee has passed a bill that will allow individuals to purchase health insurance across state lines. Senate Bill 478, by state Rep. Lewis Moore and Bill Brown of the Senate, will allow the Oklahoma Insurance...
Forbes  Apr 12  Comment 
Basic health insurance coverage for all what the country wants and what the politicians have yet to deliver. Medicare Part C For All is the bipartisan answer. It entails enrolling the entire population in Medicare Part C and charging...
NPR  Apr 12  Comment 
Under the Affordable Care Act, most members of Congress and staff who want to buy health insurance must buy it on the exchange. That requirement is not affected by bills aimed at replacing the ACA.
Clusterstock  Apr 10  Comment 
The percentage of Americans that did not have health insurance increased during the first quarter of 2017, according to data from Gallup-Health Ways. The Well-Being Index found that the percentage of uninsured Americans ticked up to 11.3% in...
The Hindu Business Line  Apr 10  Comment 
Shares of Religare Enterprises surged over 5 per cent today after the company announced that it will sell its entire 80 per cent stake in Religare Health Insurance to a consortium of investors led by...
The Hindu Business Line  Apr 9  Comment 
Single largest investment in the history of health insurance industry in India
New York Times  Apr 8  Comment 
“We are seeing the first signs in 2016 that this market could be manageable for most health insurers,” Standard & Poor’s analysts said.
guardian.co.uk  Apr 6  Comment 
Health insurance system – the most expensive in the world – is worsening situation, researchers find, arguing healthcare should be treated as human right You can’t buy time – except, it seems, in America. Increasing inequality means...




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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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