Health Insurance

RECENT NEWS
Cloud Computing  Jul 21  Comment 
Symbility Health Inc., a division of Symbility Solutions Inc. (TSX VENTURE:SY), a global provider of cloud-based and smartphone/tablet-enabled claims technology for the property and casualty and health insurance industries, is pleased to announce...
Benzinga  Jul 21  Comment 
Below are the top mid-cap health care plans stocks on the NYSE and the NASDAQ in terms of profit margin. The trailing-twelve-month profit margin at Centene (NYSE: CNC) is 2.60%. Centene's EPS for the same period is $3.02. The...
The Hindu Business Line  Jul 20  Comment 
Fortis Healthcare plans to focus on specialty centres, such as mother and child, oncology (cancer) and cardiac care for growth, said Aditya Vij, Chief Executive Officer (CEO). The co...
Forbes  Jul 20  Comment 
While record numbers of Americans sign up for the larger Medicaid health insurance program for the poor, financial issues are emerging for medical care providers in the two dozen states that didn’t go along with the expansion under the...
MedPage Today  Jul 19  Comment 
(MedPage Today) -- The limited specialist options in some health insurance plans sold on the federal insurance marketplace are frustrating for many primary care physicians and their patients.
Forbes  Jul 18  Comment 
Yes, you’d be forgiven for scratching your head when confronted with the concept of health insurance for pets—it’s not as popular in the United States as it is overseas in Europe (only 2% in the U.S). Still, the number of Americans paying...
The Hindu Business Line  Jul 18  Comment 
According to data from the IRDA, health insurance has been one of the fastest-growing categories for general insurers, logging a 13.5 per cent growth in FY 2013-14.
Insurance Journal  Jul 18  Comment 
The New Hampshire Insurance Department issued a consumer clarification for state residents Thursday explaining what the term “multi-state” means on the state’s federally facilitated health insurance marketplace, HealthCare.gov. The insurance...
MedPage Today  Jul 17  Comment 
(MedPage Today) -- NEWPORT BEACH, Calif. -- Sandra Lopez, who bought a restaurant here in 2012, purchased her family's first health insurance through Covered California, and is now considering options for her employees.




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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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