Health Insurance

RECENT NEWS
Forbes  Dec 17  Comment 
When Obamacare was signed into law, its authors promised that “if you like your plan, you can keep it,” and that the law would reduce the cost of health insurance. But Forbes Opinion Editor Avik Roy has discovered that the opposite is true:...
New York Times  Dec 17  Comment 
Other owners often look at Fred Warmbier in disbelief when he says he’s not interested in spending a lot of time trying to figure out health coverage. It’s a look that says, “Man, you HAVE to manage this closely! What is wrong with you?...
New York Times  Dec 16  Comment 
For those who missed Monday’s deadline for health insurance enrollment at the Affordable Care Act marketplace, there’s still time, though possibly with some provisos.
New York Times  Dec 16  Comment 
Gov. Bill Haslam proposed using federal funds to cover 200,000 low-income residents through their employer’s health insurance plan or the state’s Medicaid program.
Forbes  Dec 15  Comment 
It’s the first season you have to report your health insurance status on your tax return. Are you ready?
Forbes  Dec 15  Comment 
This weekly Q&A addresses questions from real patients about healthcare costs. Have a question you’d like to see answered? Submit it to AskChristina@nerdwallet.com.
Insurance Journal  Dec 15  Comment 
Porter County officials in Indiana are scrambling to find $3 million to pay health insurance bills after the county council failed to set aside enough money to cover costs this year. County Commissioner Laura Blaney told The Times in Munster...
The Economic Times  Dec 15  Comment 
RSBY provides for smart card-based cashless health insurance cover of Rs 30K per annum on a family floater scheme for workers in unorganised sector.
New York Times  Dec 15  Comment 
Last year, Paul Downs found that by shopping around instead of renewing an existing policy, he was able to save almost $30,000 on the company’s share of health premiums. Could he repeat that performance this year?
MedPage Today  Dec 15  Comment 
(MedPage Today) -- Individuals who want to start the new year with health insurance Obamacare face a Monday deadline.




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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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