Health Insurance

RECENT NEWS
Insurance Journal  Jun 2  Comment 
The Kansas Insurance Department is reviewing requested rate filings for individual and small group health plans in Kansas for 2017. The range of requested average rate revisions by insurance companies is from 3.3 percent to 49.4 percent, as...
Insurance Journal  Jun 1  Comment 
A former official at the Massachusetts Group Insurance Commission (GIC) has been indicted in connection with allegedly stealing more than $122,000 from the state agency. Ennio Manto, 52, of Braintree, Massachusetts, was indicted on May 27 by a...
The Australian  Jun 1  Comment 
Policy cover, not price, is driving churn in health insurance, according to the head of iSelect, Scott Wilson.
Insurance Journal  May 31  Comment 
Connecticut’s health insurance marketplace is helping up to 18,000 people who no longer qualify for Medicaid health coverage to enroll in private insurance plans. Access Health CT says it will begin reaching out on June 2 to help enrollees find …
Insurance Journal  May 31  Comment 
Pennsylvania’s insurance regulators are starting a review of health plans for coverage next year through the federal marketplaces, including several that seek premium increases in excess of 40 percent. The Pennsylvania Department of Insurance...
MedPage Today  May 29  Comment 
(MedPage Today) -- What happens when patients need emergency care?
The Hindu Business Line  May 27  Comment 
Proper collection and deployment of data for analysis will help fill existing gaps in key areas such as auto, health insurance and disaster management/insurance, said TS Vijayan
Insurance Journal  May 27  Comment 
It’s health insurers’ cardinal rule: disclose pre-existing conditions. Now comes a case in which that familiar decree involves not a patient, but rather a $1.5 million surgical robot known as the da Vinci system. Two insurance companies say da...
Insurance Journal  May 25  Comment 
Arkansas Insurance Commissioner Allen Kerr says he expects to deny several recent requests by insurers to raise rates on individual on-exchange health insurance policies by more than 10 percent for 2017. Under the Affordable Care Act, requests for...
Insurance Journal  May 24  Comment 
It’s an unusual problem: The more people in rural areas Mark Romaninsky and his team help sign up for health insurance, the more difficult it becomes to find people who still need to enroll. “It gets harder and harder every …




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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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