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Three main types of health insurance
Three main types of health insurance
Benefits available through Welfare programs
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Recommended: Three main types of health insurance
The three main types of health insurance in the United States are voluntary, social and welfare. These types on insurance a person possess sometimes determine the ability to seek care and how that care is given. Insurance types such as voluntary and social insurance can be very expensive and will make participants consider how important it is for them to see the doctor, while welfare medicine participants have trouble finding a doctor due to the limit number of physicians who are provider or are refusing to take on new patients. Some of the types of voluntary insurance are Blue Cross and Blue Shield (BCBS), private and commercial insurance, and health maintenance organizations. Voluntary insurance is not only limited to health care from physicians, but can also include dental, long-term, and life insurance. One of the most popular voluntary insurance companies is BCBS. Sometime people have trouble paying for insurance especially if is as it related to an on the job injury or because they have reached retirement age and can no longer work. …show more content…
Some examples of social health insurance are Medicare, worker compensation and social security. According to Williams & Torrens, 2008, “social insurance is an entitlement program, not charity” (pg. 86).Worker Compensation is supplied for workers who are hurt in a job related accident. Worker Compensation provides two types of benefits, it replaces a portion of wages to worker who can’t work due to disability and the payment of all or part of their medical expenses associated with the accident. The government also provides insurance who have the need for services, but cannot necessary afford the, this is known as Welfare
Universal health insurance is available to everybody with an option to purchase private insurance coverage (The U.S. Health Care System: An International Perspective, 2014). Approximately 90% of the population uses the national system in which premiums are income based. The system uses 240 private insurers for a non-profit, competitive system. Insurance costs are significantly less than the U.S. due to cost negotiations for medical facilities, appointments, and prescription medications (Sick Around the World, 2008). B. United States Healthcare System Healthcare in the U.S. has recently been affected by implementation of the Affordable Care Act (ACA) of 2010.
When one examines managed health care and the hospitals that provide the care, a degree of variation is found in the treatment and care of their patients. This variation can be between hospitals or even between physicians within a health care network. For managed care companies the variation may be beneficial. This may provide them with opportunities to save money when it comes to paying for their policy holder’s care, however this large variation may also be detrimental to the insurance company. This would fall into the category of management of utilization, if hospitals and managed care organizations can control treatment utilization, they can control premium costs for both themselves and their customers (Rodwin 1996). If health care organizations can implement prevention as a way to warrant good health with their consumers, insurance companies can also illuminate unnecessary health care. These are just a few examples of how the health care industry can help benefit their patients, but that does not mean every issue involving physician over utilization or quality of care is erased because there is a management mechanism set in place.
As I said earlier there are a number of ways to get Health care. The problem is are they affordable? Well this depends on you annual income and living status. There are a number of private insurance programs such as Blue Cross Blue Shield, but many of these private insurance programs are usually policies that are through employers (Macionis, p 245). This is a problem however because only eighty-five percent of employed people receive health insura...
The Lack of health insurance coverage is most often the result of a combination of things. These factors include employment status, financial conditions and even health problems.(Feldman 2012) These three things can been seen as reasons why coverage can be difficult to obtain. In most states, insurers may deny applicants for coverage completely. They often try to impose either a permanent or temporary existing condition that puts limitation on your coverage. some may even charge a higher premium based on your health status your occupation, and other personal characteristics . (Institute 2009) .For those people who consider themselves as self-employed who want to buy their own private health insurance, can be twice as expensive as that that is being offered through employers. (Feldman 2012)
Out of all the industrialized countries in the world, the United States is the only one that doesn’t have a universal health care plan (Yamin 1157). The current health care system in the United States relies on employer-sponsored insurance programs or purchase of individual insurance plans. Employer-sponsored coverage has dropped from roughly 80 percent in 1982 to a little over 60 percent in 2006 (Kinney 809). The government does provide...
Social welfare is the use of material and physical aid by the government for its citizens in need. It comes in the form of unemployment compensation, food stamps, retirement benefits, and various social services ranging from drug rehabilitation to child care assistance. Also, before there was public welfare provided by the government, there was private welfare issued by private organizations, like churches and groups of individuals wanting to help the less fortunate. Some of those institutions still live on today, and provide people with food, shelter and clothing. Those places are where the ideas of public welfare started, and soon worked their way up to the people that could make those decisions. Unemployment compensation is given when an individual is unemployed, and cannot pay for the necessities. That payment is intended to be used to buy clothes, food, pay bills, ect. Other types of welfare that are commonly used are retirement benefits. Retirement benefits are given out to individuals who have reached the age of 65, and have accumulated money in taxes over their lifetime. Different benefits for the retirees in include
They also include employer-sponsored group health plans, government and church-sponsored health plans, and multiemployer health plans (hhs). There are exceptions—a group health plan with less than fifty50 participants that is administered solely by the employer that established and maintains the plan is not a covered entity (hhs). Two types of government-funded programs are not health plans: (1) those whose principal purpose is not providing or paying the cost of health care, such as the food stamps program; and (2) those programs whose principal activity is directly providing health care, such as a community health center,5 or the making of grants to fund the direct provision of healthcare (hhs). Certain types of insurance entities are also not health plans, including entities providing only workers’ compensation, automobile insurance, and property and casualty insurance (hhs). If an insurance entity has separable lines of business, one of which is a health plan, the HIPAA regulations apply to the entity with respect to the health plan line of business
members’ ability to share the burden of being “on call” to cover patients during non business
Health insurance is currently an important issue in the United States. Everyday more and more Americans become uninsured due to job loss and an increase in premiums. These Americans add to the ever growing population of 45.7 million people who are currently uninsured (Bialik). Moreover only 27% of those uninsured are under the age of 65 (NCHC). This is staggering considering most of those who are uninsured have, or soon will, suffer from some sort of illness or injury. As a result they will not be able to afford proper treatment. Insurance premiums can range in cost from fifty dollars per month, to fifteen hundred dollars per month (Kreidler). An individual’s premium is determined by factors they choose as well as other factors looked at by their provider. The cost of health insurance in America varies depending on the controllable factors, like particular insurance policies, and uncontrollable factors, like age.
Health insurance comes as second nature to many of us. We grab that blue and white card and put it in our wallet and forget about it until we are sick or injured. When this happens, there it is, cushioning our fall like the extra padding it provided to cushion our wallets. This is not the case with everyone, however. Many Americans have no cushion to fall back on, no blue and white card to show the emergency room when they have an unexpected health concern. No HMO with a convenient co-pay amount when their son or daughter develops an ear infection.
The concept of Health Insurance and managed health care the inventions of the twentieth century that were started as prepaid health care. The early insurance concept was merely a way for people to pay medical bills not a way of protecting individual financial assets as the case is today. Overall the health care industry has endured significant changes since its inception.
Social Security along with Medicare, are benefit taxes that are equally paid by the employer and the employee in the form of a payroll tax. This tax constitutes the largest portion of the federally mandated benefits with its purpose being to “help provide financial support to workers and their families when workers retire, die, or become disabled. Medicare provides healthcare assistance to older workers and to people with long-term disabilities … often referred to as FICA (Federal Insurance Contributions Act) or OASDI (old age, survivors, and disability insurance) for Social Security deductions and as MHI (Medicare hospital insurance)” (BLS.org, 2005). In other words, Social Security and Medicare provides for the needs of both individuals and their families. This program protects aging individuals and the disabled from expenses that they cannot afford and that may drain their savings. Social Security is an insurance system administered by the federal government and as stated before, it is mandatory for both employees and emp...
In many other countries the health care is government controlled and all citizens are provided government assisted health care. Most systems over in Europe are indeed government controlled and are taxed my wages. The United States government does not pay for most of its citizens healthcare in contrast. If you are fournate enough to afford insurance it's usually through your employer. In comparssion almost all government operated insurances provide better care for babies and pregant mothers than the United States system of health care. The United States system are more flexible than government aided systems though.
Health insurance provides benefits for sickness, injury, surgery, and prescription medication. There are a variety of plans with different
Health insurance facilitates entry into the health care system. Uninsured people are less likely to receive medical care and more likely to have poor health. Many Americans are foregoing medical care because they cannot afford it, or are struggling to pay their medical bills. “Adults in the US are more likely to go without health care due to cost” (Schoen, Osborn, Squires, Doty, & Pierson, 2010) Many of the currently uninsured or underinsured are forced accept inferior plans with large out-of-pocket costs, or are not be able to afford coverage offered by private health insurers. This lack of adequate coverage makes it difficult for people to get the health care they need and can have a particularly serious impact on a person's health and stability.