Health insurance

RECENT NEWS
Insurance Journal  10 hrs ago  Comment 
The number of Washingtonians with no health insurance will soon reach 1 million, according to a report issued yesterday by the state's Insurance Commissioner Mike Kreidler. Kreidler also predicts ...
Reuters  10 hrs ago  Comment 
U.S. stocks fell on Thursday, with all major indexes down more than 1 percent on weakness in the technology and health insurance sectors.
New York Times  Nov 19  Comment 
Medicare and private health insurers said they were unlikely to change coverage of breast cancer screenings after new guidelines recommended that women wait longer to have mammograms and have fewer of them.
CNNMoney.com  Nov 19  Comment 
Aetna announced it eliminated 625 positions Wednesday in the first of two rounds of job cuts that will reduce the health insurance giant's workforce by up to 3.5% by the end of the first quarter in 2010.
Sydney Morning Herald  Nov 18  Comment 
Health Minister Nicola Roxon has reintroduced Labor's private health insurance reforms, setting up another potential double-dissolution trigger.
CNNMoney.com  Nov 18  Comment 
With the year rolling to a close, make sure you don't leave ANY health-insurance money on the table. Here's how to cash in now.
Marketwire  Nov 18  Comment 
TORONTO, ONTARIO -- (Marketwire) -- 11/18/09 -- With H1N1 remaining a top concern among the almost 950,000 Canadian snowbirds expected to head to foreign sun spots this winter, the Travel Health Insurance Association of Canada (THIA) emphasizes the
Forbes  Nov 17  Comment 
One-size-fits-all insurance reform could stamp out innovation that's already providing coverage and controlling costs.
Clusterstock  Nov 17  Comment 
Maybe we should allow people to sell the lifetime right to health insurance coverage as if it were an asset that health care insurers could trade, according to The Health Care Blog. This would give insurance companies a long-term incentive to...
Sydney Morning Herald  Nov 16  Comment 
The Rudd government is pushing ahead with its plan to means test the private health insurance rebate.
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Types of Coverage

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)

Difference in 2-Year-Average Uninsured Rates by State (2006-2007)

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