Health Insurance

RECENT NEWS
MarketWatch  6 hrs ago  Comment 
Why cities refuse to use health funds for cycling programs
Cloud Computing  Jun 13  Comment 
PORTLAND, Ore. , June 12, 2013 /PRNewswire/ -- HealthSparq, a leading provider of healthcare transparency solutions for health insurers, announced it has signed an agreement with MDLIVE to offer telehealth services through its transparency...
New York Times  Jun 12  Comment 
It seems likely that the Affordable Care Act will induce more people to retire and more employers to lay workers off.     
The Australian  Jun 9  Comment 
PRIVATE health insurers are bracing for a rush of policy downgrades as customers face income means testing from July 1.
NPR  Jun 4  Comment 
Many young women don't get maternity coverage if they're on a parent's health plan. A sex discrimination claim aims to get them coverage for childbirth care under provisions of the Affordable Care Act.
NPR  Jun 4  Comment 
A worker's smoke breaks cost an employer even more than the increased costs of health care. Some employers charge higher health insurance premiums to employees who smoke or refuse to hire them altogether.
Clusterstock  Jun 4  Comment 
Late last week, a post by Avik Roy on possible increases to health insurance premiums in California went viral. So viral, in fact, that it was apparently Forbes' fastest ever to reach a million page views: This is @forbes' fastest post to hit...
Sydney Morning Herald  Jun 4  Comment 
Private health insurance premiums are set to rise under legislation passed by the House of Representatives.     
Cloud Computing  Jun 4  Comment 
CGI Group Inc. (NYSE:GIB)(TSX:GIB.A) today announced that Kentucky Health Cooperative (KYHC) and Louisiana Health Cooperative (LAHC), two of the 24 Consumer Operated and Oriented Plans (CO-OPs) established through the Affordable Care Act (ACA),...
Cloud Computing  Jun 4  Comment 
CodeBaby, a leading intelligent virtual assistant (IVA) technology provider for the benefits health insurance and provider industries, today announced that it has contracted with CareFirst BlueCross BlueShield (CareFirst), the largest health...




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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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