Health Insurance

RECENT NEWS
New York Times  Aug 29  Comment 
Pennsylvania will become the 27th state to expand Medicaid under the Affordable Care Act, using federal funds to buy private health insurance for some 500,000 low-income residents starting next year.
Insurance Journal  Aug 27  Comment 
The Vermont state auditor’s office will be doing an audit of the actions taken to fix the state’s troubled online health insurance marketplace. Auditor Doug Hoffer sent a letter to state officials last week. The state announced earlier this...
NPR  Aug 26  Comment 
The question will be if Kevin Counihan can replicate his success in Connecticut with the federal health exchange, which was plagued with problems. The goal: A smoother Year Two for Obamacare.
Forbes  Aug 26  Comment 
Kevin Counihan, who had served as the head of Connecticut's health insurance exchange, on Tuesday was named the first CEO of Healthcare.gov.
Cloud Computing  Aug 25  Comment 
NEW YORK , Aug. 25, 2014 /PRNewswire/ -- Truveris, a premier pharmacy benefit pricing and analytics company, today announced the launch of RxDashSM, an enterprise platform for pharmacy plan repricing, modeling and reporting. A cutting-edge...
Cloud Computing  Aug 21  Comment 
Redwood City, CA, August 21, 2014 --(PR.com)-- QuotePad™ - The First All-in-One Quote Engine for Health Insurance Agents Limelight Health, a healthcare technology company (www.limelighthealth.com) that creates mobile technology solutions for...
Cloud Computing  Aug 20  Comment 
Hospitals and healthcare systems in need of a cost-effective, HIPAA-compliant solution for long-term archiving of healthcare data now have an alternative to on-site redundant archiving. ClearDATA Networks, Inc. today announced its new cloud-based...
New York Times  Aug 20  Comment 
A look at what has happened in Massachusetts and more recently at Walmart is instructive.
NPR  Aug 19  Comment 
Health plans come in a dizzying variety. There's been a blurring of definitions lately that makes the jargony choices more confusing than ever. Here's help.
Insurance Journal  Aug 19  Comment 
Massachusetts is launching a major effort to reach out to almost 400,000 residents who must reapply for health insurance because they were enrolled in temporary plans after the state’s health care marketplace website crashed last year. State...




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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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