Health Insurance

RECENT NEWS
The Economic Times  Apr 25  Comment 
Star Health Insurance had got a bid of Rs 6,500 crore from ICICI Lombard.
NPR  Apr 24  Comment 
Rule changes from the Trump administration offer exemptions for people in areas with only one marketplace plan, as well as for some who oppose abortion and can't find a health plan that excludes it.
Benzinga  Apr 19  Comment 
It turns out that unemployment, along with causing stress and financial heartache, also makes it more difficult to get the best possible job offer from an employer. A recent analysis of the Survey of Consumer Expectations by the New York Fed found...
The Hindu Business Line  Apr 17  Comment 
Diagnostic chain Metropolis Healthcare Ltd is considering an initial public offering.According to a Bloomberg report, the company plans to raise Rs 1,
The Hindu Business Line  Apr 15  Comment 
Aditya Birla Health Insurance Activ Assure – Diamond rewards healthy customers
Insurance Journal  Apr 12  Comment 
Louisiana Insurance Commissioner James Donelon says he is supporting a bill that would create an insurance pool to help stabilize the state’s individual market for health insurance. The Louisiana Department of Insurance announced that Donelon,...
TechCrunch  Apr 10  Comment 
French startup Alan closed a $28.3 million Series A round a few months ago. Index Ventures is leading the round, Xavier Niel is participating as well as existing investors CNP Assurances, Partech and Portag3 Ventures LP. Alan wants to make health...
Financial Times  Apr 10  Comment 
Venture capital firm leads €23m fundraising round for Alan
New York Times  Apr 7  Comment 
Big corporations — giant retailers and health insurance companies — are teaming up to become your doctor.




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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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