Health Insurance

RECENT NEWS
WA Business News  19 min ago  Comment 
SPECIAL REPORT: A small but growing Perth-based health insurance fund believes the market dominance of HBF is an unnatural position that can’t last in an increasingly competitive market.
New York Times  8 hrs ago  Comment 
Consumer advocates, policy experts and former regulators say that while Anthem, Cigna, Aetna and Humana may reap monetary benefits by combining, gains might not trickle down to individuals and employers.
The Australian  Aug 2  Comment 
Health insurers are joining forces in the increasingly heated debate with private hospitals on affordability and quality.
New York Times  Jul 30  Comment 
The Obama administration said on Thursday that many consumers were benefiting from increased competition among insurers under the Affordable Care Act.
Forbes  Jul 30  Comment 
Patricia Hemingway Hall will retire after seven years as the top executive at Health Care Service Corporation, one of the nation’s largest health insurance companies and the parent of Blue Cross and Blue Shield plans in Illinois, Texas,...
Yahoo  Jul 30  Comment 
Health insurers have benefited from low medical services use during the past five years as the weak economy has kept down doctor visits and hospitalizations and membership growth has helped increase revenues. The national healthcare reform law,...
The Hindu Business Line  Jul 29  Comment 
Catering to the growing healthcare market in India, Aster DM Healthcare intends to tap the equity market to fund its future expansion plans. “We are planning for an IPO in the next six mo...
The Hindu Business Line  Jul 28  Comment 
Apollo Munich Health Insurance, a standalone health insurer, has launched Dengue Care, the country’s first exclusive over-the-counter health insurance policy to cover dengue related expenses. ...
NPR  Jul 27  Comment 
Monthly premiums for health insurance plans in the Covered California marketplace will increase by an average of 4 percent for 2016. The price for some plans will drop.
Insurance Journal  Jul 27  Comment 
A nonprofit cooperative formed to provide health insurance in Louisiana is on the way to shutting down. Louisiana Health Cooperative said it will honor all in-force policies for the approximately 17,000 individuals that currently receive health...




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Types of Coverage

Private Coverage

Job-Based Coverage

Individual Policies

Association Health Plans

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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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