Benefits Of Insurance Coverage

The patient is informed about their coverage and the amount of copayment they would have to pay.

control of both houses of Congress by the Democrats led to the passage of the Affordable Care Act (ACA), often referred to as “Obamacare” was signed into law in March 2010 since then, the ACA, or Obamacare, has become a centerpiece of political campaigning” (Manchikanti et al., 2017). The Republicans now being in absolute in control of the presidency and both houses of Congress and are attempting to repeal and replace the ACA. Moreover, the future of the healthcare reform is still uncertain, especially due to the Republican party and by President Donald Trump. Affordable Care Act reform has given insurance coverage about 20 million people, reduced the cost of it, and improved quality of care to all patients. There are several laws of

To conclude this report, there are four considerations of a legal and valid insurance contracts that patients may present at the provider’s office or clinic. The guide to understand and remember are as follows: (a) the patient or person insured must be a mentally competent adult and should not be under the influence of drugs or alcohol; (b) the insurance company must have a signed application and offer the policy to the patient, then the patient or person should accept the issuance of the policy without misrepresentation of facts on the application of the person being insured; (c) the services produced and sold or the exchange of value and the first premium payment should be submitted with the application considered must be presented together; and (d) there should be a legal purpose which is an insurable interest in the case of a person’s healthcare insurance policy. These are good guidelines to know and understand for the success of an administrative life cycle of a physician-based claim (CMS

My name is John Brentwood. I am a 56-year-old retired individual who is currently not receiving health insurance as I fall into what, post ACA, is labeled the “coverage gap.” By detailing my life story and discussing the Supreme Court’s decision to make Medicaid expansion voluntary, I hope to convince you to consider finding a way to reinstate Medicaid expansion for all states.

Since October 1, 2013, the day the first annual open enrollment began, millions of Americans have taken advantage of the Affordable Care Act. A new bill created to give many Americans a chance to take care of their health without fear of debt. Not only is the Affordable Care Act affordable, but also it doesn’t discriminate against race, gender or those with pre-existing medical issues (“About the Law”).

For many Americans that could not afford health insurance before due to having to pay high rates out of the pocket for doctor visits or any kind of medical treatment, Obamacare has certainly brought many benefits including the help from government programs such as Medicaid to provide insurance to those that are still unable to pay for the costs and need assistance by increasing the eligibility for government programs as the statement “In addition, the law increases Medicaid eligibility to non- Medicare eligible individuals with incomes up to 133% of the federal poverty line.”, by authors Filson, C. P., Hollingsworth, J. M., Skolarus, T. A., Quentin Clemens, J., and Hollenbeck, B. K. on the article at the World Journal of Urology on February

The Obamacare has a lot of benefits that most people don't know about. That's because Americans has been hit with fifteen times more negative than positive, most people think it only affects insurance companies, but also already changed the way health care is being delivered, The Obama care is the popular and frequently misunderstood name patient protection and affordable care Act in 2010. The federal government spends $933.7 billion on healthcare alone, that's even more than any budget items according to the FY 2015 .

The advantages of the COBRA coverage would be that if you have already met your deductible and your coinsurance or out of pocket for the year you would not have to pay additional money out of your pocket except for the full premium for the group health insurance (United States Department of Labor, n.d.). The disadvantage of COBRA is that you will be responsible for the full amount of the premiums to keep the insurance that you currently had with the employer. You would only have to pay that premium until you found another job that offered group health benefits and then you would not be subject to the pre-existing condition for any illnesses that you are your spouse would be consider not to be covered under the new group health plan. If you could afford the full premiums of the COBRA until you locate another job, I would recommend doing the COBRA coverage until you obtain other employment. If you had a health spending account, you would have to option to continue that as well with your health benefits to assist you in meeting the deductible or out of pocket expense for health bills.

The plans only available for patients who are 65 years of ages or older, or have disabilities, or have end stage renal diseases. Patients are required to visit in-network providers and healthcare organizations for cares. The costs of out-of-network visits are very high. In addition, if patients missed their enrollment periods when they turn 65, Medicare adds 1 percent penalty for every month that is late to their monthly premiums. Traditional Medicare plans do not cover dental and vision cares which patients need to enroll in Part C to have the coverage (Medicare Interactive).

The Affordable Health Care Act and its impact on the health care sector and the overall economy.

RICARE is a health benefit program for all uniformed service members, which include active duty, retired members, and their families. The seven uniform service members include: "the Army, Navy, Marines Corps, Air Force, Coast Guard, Public Health Service, and the National Oceanic and Atmospheric Administration." (military.com). To be eligible for TRICARE Prime, all uniformed service sponsors and family members must be enrolled in the Defense Enrollment Reporting System (DEERS). Once you're eligible for TRICARE individuals can choose from different TRICARE health plans.

“At any time in the last 2 years have you ended up taking less medication that was prescribed for you because of the cost?” Does this sound familiar to you? Independent variables include prescription drug coverage, demographic characteristics, several measures of health status, and monthly out-of-pocket spending on prescription drugs.

Valerie, I agree with your reasoning on the goals behind the creation of managed care plans. I think the reason they are more affordable is because of the emphasis on prevention. By having patients receive preventive care providers can identify problems at an early stage therefore controlling the cost associated with illnesses. I think it's much cheaper to go to the doctor for a well-check up oppose to going when you are sick. "By contracting with various types of MCOs to deliver Medicaid program health care services to their beneficiaries, states can reduce Medicaid program costs and better manage utilization of health services." ("Managed Care | Medicaid.gov,"

According to the textbook, “Health insurance, like other forms of insurance, reduces the financial burden of risk by dividing losses among many individuals” (Kapoor, Dlabay, & Hughes, 2015 p. 373). As medical care advances and treatments increase, health care costs also increase. The purpose of health insurance is to help people pay for their care. It is considered to be a form of protection that can lessen the amount of financial burdens an individual could suffer from due to injury or illness. In some instances, like mine, health insurance can be a real pain. I am on my father’s Tricare plan, and it can be really great at times, but it also makes things difficult. For example, I injured my back this summer while I was gone for training. I

You must contact your insurance provider to confirm that they will cover your treatment and how much of your treatment they will cover.