Health Insurance Plans
Premium
Insurance is important to everyone in the country. Health insurance covers the certain amount of money to the insured person upon a certain event such as hospitalization and surgery. Commonly health insurance premium buying choices cover a simple resolution in purchasing the private health insurance. The premium is the amount that needs to be satisfied by either the households or the authority to become underwrite. While of career the payment should be affordable, there are many other trials that exigency be respected while makeup one's mind the premium. For employees with higher incomes, there was no relationship between risks and the probability of being insured in any way, but for minor income employees, the higher chance applies in small firms were less alike to have group coverage, but minor income employees who were same engross were not less pleasing to be insured if they were higher risks than if they were moderate risks stated by (Bradley, 2001). Research (Morrison, 2002) has found a very strong bond between health and income as employees give important to health in determining to purchase the health insurances. Higher income employees may emend be able to manage such financial risks and lower income employees may feel more inclined to dismiss the insurance coverage receive charity or bad debt concern if a chronic circumstance strike and heighten their insurance premiums, (Culter, 1994). Usually, premiums can vary for individual and family coverage and sometimes as a function of family size and composition and across some geographic areas. But they cannot modify with age, gender, or health conditions. Somewhat more ordinary is modified community rating in which premiums are tolerated...
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...rice, but also the benefits that available for them and also the quality of physicians (Robbinson,1997). According to (Lynn, 2006), the scope-of-interest dimension addresses various benefits and suggests that excessive or full protection ,no limit to what health care services are covered and not only the protection of the health insurance benefit package of all required health care services, it also provides protection to all health care desired services. Employees can be satisfied with benefits package offered by a health insurance plan which is the plan may be unsatisfactory and probably because of the cost-of minority members, and they must say that the assessment of whether the benefits of health insurance package as adequate or inadequate is not possible or that the assessment fails to acknowledge that minority of employees are not satisfied underinsured.
The study carried out by Wilper et al is, therefore, a clear indication that the increasing number of deaths among adults in the US is down to lack of health insurance coverage. Wilper et al have utilized data from the Center for Disease Control and Prevention (CDCP), which was formulated after a survey was undertaken all over the country, which makes their study valid. Furthermore, Wilper et al consider various factors, including income, which make health insurance acquisition difficult for some people.
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.
Still, there is the access, quality, and affordability of health services provided to each individual. “How do we as a society approach these enormous determinant of health?” Finally, Quality is a major concern of receiving good health, and if there is always bad service then why is insurance such a factor. Insurance is a major focal point of how an individual it treated for any health related issue. Though, insurance is the reason for receiving good adequate treatment, other concerns await; such as the cost of these high premiums for
Patel, Kavita. “Helping Consumers Understand and Use Health Insurance in 2014” Institute of Medicine. Institute of Medicine. 29 May. 2013. Web. 31 Jan. 2014. .
Although it is understood there are some benefits to having healthcare, like having access to health care they may not have had before, there were no regulations put in place on insurance companies. When people began being forced to have insurance, the insurance company’s raised their premiums, making it harder to afford. Individuals started seeing higher out of pocket expenses because of higher deductibles and copays, before the insurance plan pays anything. So the average citizen may over the course of a year pay thousands of dollars to their insurance between premiums and deductibles and never see the full benefit’s the police has to offer.
Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations (PPOs), Exclusive Provider Organizations (EPO), and Point of Service Plans (POS). `The information management system in a managed care organization is determined by the structure of the organization' (Peden,1998, p.90). The goal of a managed care system is to provide subscribers and dependants with needed health care services at the lowest possible cost. Certain managed care plans also focus on prevention by trying to keep members healthy.
Within the health care arena there is a growing concern about the needs of the elderly.
Also, individual information about age, health history, or tobacco use are associate with the premium settings. People age over sixty five or have poor health are likely to be uninsured. Group coverage of medical expense insurance is usually provided by employer to employee that offer the same benefits to all employees or members of the group. Group policy is the employee benefit plan because they will have a several advantage to the policy. First, the policy is much more affordable compared to having individual policy because a number of employees are covered under one policy and risk of the group insurance spread over the entire group rather than one person. Second, the benefit received by group members is tax free. Third, employee or members who might be unable to get individual insurance will covered under the group policy because insurer have to cover all employees. Also, there are no need for physical exam or strict assessment. All the eligible people will be covered regardless of current age, physical condition, or certain health history. The premiums will be calculated based on group characteristics as a whole such as average
One of the social determinant that can negatively impact the family’s health is low income factor. I can relate to this social determinant from a personal perspective. I grow up in China, where health care is private cash pay service. I often see many families suffer different illnesses due to low income factor.
If you've been in a major automobile accident and have suffered injuries, you know that getting your life back in order is no easy task. It's going to take time and patience to begin to heal and recover some of what you have lost. As you begin to reassemble your life, remember to go slowly. You want to make sure you are taking steps to protect yourself and your future.
The United States passed bill that health insurance should be mandatory in the year 2014. Under the Patient Protection Affordable Care Act, each person is required to have at least a minimum level of health insurance failure to, the individual will face a penalty. The mandatory health insurance issue has faced reactions from both sides with some people supporting while others opposing. It is mandatory for every individual to purchase a health insurance depending on their earnings. The health care insurance is mandatory for all US citizens, and all legal residents in America. It is considered as an individual responsibility requirement, and those without this insurance are subject to a tax penalty of $750 per year up to a maximum of three times that amount ($2,250) per family. However, there are exemptions for financial hardships, incarcerated persons, religious objections, and undocumented immigrants. Mandatory health insurance is important, and should be applied in all states because, everyone gets ill and at one time, they have to visit a health care facility for medical services. In addition, it protects the health future of families, and protects people from unexpected high medical costs because they are covered.
In the world of health care there are multiple factors that affect the quality of treatment. One of the most debated subjects is religion. As all religious traditions tend to be complex and go for some length of time special care must be considered for the patient, family and care team. Through the years, the United States health care evolves with the changing demographics to develop an ethical treatment for Muslims in healthcare. Facing prejudices, Islam is highly debated within healthcare; however Islamic beliefs and traditions have been cooperative and manageable by healthcare providers.
With the cost of healthcare increasing over the years as a result of costly diagnostic procedures, investigations, treatment etc. The question of financing of one’s healthcare can arguably be one of the most disputed topics today.Persons need finances to purchase insurance or pay for healthcare services. In the American healthcaresystem,most insurance is employer based and oftenthe dependent spouse and children are covered by the working spouse. Government financing
Health care is the maintenance and improvement of physical and mental health, especially through the provision of medical services. The United States does not have a single nationwide health care system. Health insurance can be purchased through private marketplace or it’s provided by the government to certain groups. Private health insurance is usually purchased from various for-profit commercial insurance companies or from non-profit insurers. The two major types of public health insurance, both of which began in 1966 are Medicare and Medicaid. Medicare is a uniform national public health insurance program for aged and disabled individuals. The second type of public health insurance program, Medicaid, provides coverage for certain economically
Long time ago, there was no need for health insurance in America, as doctors had many clients because their services were not so expensive and in some cases in rural areas, people could pay by giving other items. Doctors were not as knowledgeable as they are nowadays to care for the sick, therefore this didn't have much effect then on the patients, as they were treated for the basic illnesses.