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Insurance for long-term care costs
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Illnesses or injuries can leave people unable to work for long periods of time. While they’re unable to work, they still have expenses that need to be paid. Long-term disability insurance can help employees who find themselves in this situation. This insurance pays a percentage of their pre-disability salaries until they get better, retire, or otherwise become ineligible for continued payments.
For employees, this type of insurance is very valuable. Otherwise-healthy people could become disabled at any time, which can put a strain on their finances. By providing long-term disability insurance, employers can give their employees peace of mind and security. They can also retain employees by offering insurance. However, long-term disability contracts can have fine print that can catch both employees and employers off guard. Have you read the fine print in your contract?
All Source Maximum Clauses
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This clause accounts for employees’ income from all sources and limits their replacement income to a percentage of their pre-disability income. The all source threshold is commonly 85 percent, according to Benefits Canada.
Employees’ income sources can vary, and they’re all considered when calculating long-term disability benefits. Employees could receive income from CPP disability benefits, workers’ compensation, or auto insurance. They could also receive income from an employer or from self-employment.
The reason for this clause is to avoid disincentivizing employees from returning to work. If employees receive as much or more income from the disability benefit than they did when they were at work, some could decide to not return to work. With this clause, employees need to recover and return to work to keep earning their pre-disability income.
Erosion of Long-Term Disability
Kaiser Permanente’s mission is to provide care assistance to those in need. As a health maintenance organization, Kaiser Permanente provides preventive care such as prenatal care, immunizations, diagnostics, hospital medical and pharmacy services. Also, they take responsibility and provide exceptional training for their future health professionals for better clinical performance and treatment for the patients. The organization is to ensure fair and proper treatment towards their employees for a pleasant working environment in hospital and to provide medical services especially in a growing population in suburban communities, such as Tracy and Stockton in California.
COBRA was passed in 1986 and provides guidelines for continuous health coverage in case of sudden loss of a job or even death among other situations that cannot be avoided. Employees as well as employers have to participate in the program to make it effective. The employees are guided by the “Employee Benefits Security Administration” and the “Employee Retirement Income Security Act” to fill out forms of compliance. The law was designed to find temporary solutions for continued medical insurance so that the unemployed can still enjoy and access healthcare facilities despite the financial misfortunes that may render them unable to support themselves as well as their families as they find a permanent solution (Magill, 2009).
Comprehensive solutions or political satisfication? Disability and the Society of the People. 11, 3. Gilmore, D. & Butterworth, J. 9 (2001). Research in Practice: Vocational Rehabilitation Outcomes and General Economic Trends, 2.
There are several issues concerning the uninsured and underinsured patient population in America. There are many areas of concern the congressional efforts to increase the availability of health insurance, the public image of the insurance industry illustrated by the movie "John Q", the lack of good management tools, and creating health insurance coverage for all low income Americans. Since the number of uninsured Americans has risen to 43 million from 37 million in the flourishing 1990s and could shoot up even more severely if the economy continues to decrease and health care premiums keep increasing (Insurance No Simple Fix, 2001).
"My father was an alcoholic, and I did anything I could to stay away from home. I chose that college because it was the farthest away. But I hated it there, and didn't do very well. Then I began to worry that I'd flunk out and have to go home, and of course my grades just got worse."
The second reason is to get SSI, you must have limited income and resources, and you must be at least 65 years old, blind or disabled. The third reason is that in most states, SSI recipients also can get Medicaid (medical assistance) to pay for hospital stays, doctor bills, prescription drugs, and other health costs. Lastly, SSI recipients may also be eligible for food stamps in every state except California. To be eligible for SSI benefits, an individual must be at least age 65, blind or disabled, a United States citizen or an eligible noncitizen and reside in the United States. To ensure that SSI benefits are directed towards the neediest, an individual must also meet income and resource limits.... ...
Medicare was designed as a universal healthcare program for individuals 65 years old and older. This program is funded by Medicare taxes and general federal funding withholding taxes. Medicare is a partnership between federal and state with the goal to provide medical insurance to the elderly that is poor and disabled. Generally all people who are 65 years or older and qualify for social security will automatically qualify for Medicare.
...able to work again on a regular basis. There are also a number of special rules, called “work incentives,” that provide continued benefits and health care coverage to help you make the transition back to work. If you are receiving Social Security disability benefits when you reach full retirement age, your disability benefits automatically convert to retirement benefits, but the amount remains the same. In most cases, people will continue to receive benefits as long as you are disabled. However, there are certain circumstances that may change your continuing eligibility for disability benefits. For example, your health may improve to the point where you are no longer disabled; or like many people, would like to go back to work rather than depend on disability benefits. The law requires the review of cases from time to time to verify that people are still disabled.
Medicare is a federal health insurance program for people, who are age sixty five or older, or people that have End Stage Renal Disease and permanent disabilities. There are four different entities of Medicare to include; Medicare Part A which is the Hospital Benefit that covers inpatient hospital services, hospice treatment, skilled nursing facilities and other home health services. Medicare Part B that covers the Professional component of the physicians' services, preventive services and medical supplies then there is Medicare Part C which is considered a Medicare Advantage Plans that is offered by a private company that has a contract with Medicare to provide the patient with both Part A and Part B benefits. A Medicare Advantage Plans consist of Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), and Private Fee for Special Needs Plans, Service Plans, and Medicare Medical Savings Account Plans.
Short term Disability is a program many people use to this day because of the benefits they receive from it when they have medical issues. What is short term Disability? According to book Employee Benefits written by Martocchio Short Term disability is an inability to perform the duties of one's regular job usually for less then 24 weeks. Conditions that include eligibility for benefits are recovering from surgery, recovery from injuries, treatment of illness that may require hospitalization, and pregnancy. An employer cannot deny you benefits for pregnancy because it’s covered under Pregnancy discrimination act of 1973 (MARTOCCHIO 174). Now there are a few things that majority of plans do not cover and it’s any mental illness caused by drug
Healthcare plays an important role in almost every person’s life at one point or another. Many times, one can get caught without, or underinsured and it can be detrimental to their livelihood. With the rising cost of healthcare, it is likely that having a national healthcare policy in place, and as an individual, being able to afford and obtain adequate health insurance has not been required until now. With the new national healthcare plan, it is required for all citizens to obtain and maintain some sort of public or private insurance policy. The rising costs can be attributed to many things. A significant reason for the astronomical cost of health care is because of the staggering amount of uninsured or underinsured individuals receiving medical attention and almost many never paying the bill. Those who do have insurance have seen a gradual increase in their premiums and deductibles to make up for this.
...mployees for longer periods of time. These benefits give certain assurances for both the employee as well as the employer, therefore should remain the obligation of both the individual and the business providing them.
Medicare is a national social insurance program, run by the U.S. federal government since 1966 that promises health insurance for Americans aged 65 and older and younger people with disabilities. Being the nation’s single largest health insurance program, covering a large population for a wide range of health services, Medicare's funding is a fundamental part of it sustainability. Medicare is comprised of several different parts, serving different purposes, some of which require separate funding. In general, people at the age of 65 and older who have been legal residents of the United States for at least 5 years are eligible for Medicare. Same is true with people that have disabilities under 65, if they receive Social Security Disability Insurance benefits. Medicare involves four parts: Part A is hospital insurance. Part B is additional medical insurance, that Part A doesn't cover. Part C health plans, also mostly known as Medicare Advantage, are another way for original Medicare beneficiaries to receive their Part A, B and D benefits. Medicare Part D covers many prescription drugs, some of which are covered by Part B. Medicare is a major operation, not only needing adequate administering but the necessary allocated funds to keep this massive system afloat.
The Affordable Healthcare Act is defined as a health security by giving health insurance to the people that will expand coverage, lower healthcare costs, and enhance the quality of care for all Americans (What is ObamaCare). It improves insurance coverage by expanding Medicaid and by setting up exchanges on which people can purchase policies while receiving income-based subsidies to help cover costs. The Affordable Healthcare Act aids working mothers, retired men and woman, young adults and all working people by providing different healthcare in order to benefit the individual (C.H. 2014).
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.