Plan For Purchase Health Insurance

Medicare has had many legislative changes to modernize the program since it was first signed into law. Medicare has assisted many retirees from a financial disaster by providing benefits during a healthcare crisis. The prescription drug program has ensured seniors have access to the medications they require. Medicare has also provided care to the disabled that are under age 65. This national social healthcare program has also come under fire politically because of the extremely high cost of the program.

Recently, a Consumer Driven Health Plan (CDHP), was created. There are many variables to a CDHP, such as benefits covered and coinsurance amounts, however there is one thing that all CDHP’s have in common – a high deductible. By having a high deductible, such as $1,200, it forces the plan participant to think about the medical services they are seeking. Do they really have to go to the emergency room for that cough or can they go to urgent care, or better yet, their physician the next day. When the plan

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.

Plan A has a 20% coinsurance after deductible for an office visit for primary doctors. I would use this when injured or for an illness. Plan B has

plan, you will typically have no deductible and the co-payments often range from $10 to $20

When you look over your health insurance choices this year, there will be an option to select high-deductible health plan on the menu. These types of healthcare plans are increasingly becoming popular amongst healthcare seekers and consumers. So, why would anyone choose an insurance policy with greater out-of-pocket costs? Plans with higher deductibles typically have lower premiums, so you'll keep more of your paycheck. A High Deductible Health Plan (HDHP) is a plan that has a higher annual deductible than a typical health insurance plan; maximum limit on the sum of the annual deductible and out-of-pocket medical expenses that an enrollee must pay for covered expenses. The out-of-pocket expenses for a High Deductible Health Plan are

What does it cover? “It cost around fifty dollars to see the primary doctors, and specialize doctor seventy-five dollars.” (www.ehealth.com, 2014) “The prescriptions cost from range from fifteen dollars for generics to out of the pocket on some name brand drugs.” (www.ehealth.com, 2014) Some the name brand drugs are mental disorder and they cost up to thousands of dollars for this one of those prescriptions alone. “Surgeries, x-rays, cat-scans, M.R.I’s all them are half of the cost of the procedure. That does not count price of ER is five hundred dollars and every day you stay in the hospital it extra five hundred dollars you pay every day that you are in there.” (www.ehealth.com, 2014) It would be cheaper than paying out the pocket for a hospital stay or most of those things besides the name brand prescriptions it the same price.

Through the years people in the Unites States have struggle with issues dealing with having health coverage. In March 2014 Obama care also known as Affordable Care Act was sign into law making it possible for the lower and middle class to be able to afford health insurance. The affordable care act was in congress from 2009 to 2010.With the act been pass it made it easier for the people to qualify and get help and pay so little with no extra cost. Even thought the insurance is not free it is now affordable for people so now people have a wider range of coverage options. With the affordable care act been pass they are hoping with the affordable screening and preventive services they can be more proactive with people’s healthcare and delay

Before a consumer chooses a plan, a good idea would be to evaluate self-health condition and how much money users want to spend in total care costs. For example, if users projected a lot of physician visits per year, hospital stays or need regular prescriptions in this case user need to think about Platinum or Gold plan because the plan covers a higher monthly premium, but covered higher costs of

|Indemnity Plan |Able to choose hospital and doctor, Fee for service, deductible, |Individuals and Families |

Medicaid-focused managed care has become progressively imperative to state Medicaid organizations. With healthcare reform and the enactment of the Patient Protection & Affordable Care Act (ACA) in 2010, Medicaid will possibly be the main insurer for increasing coverage to millions of low-income, uninsured Americans. Medicaid, a government funded health insurance plan overseen by the state, has supplied coverage for people with disabilities, children, pregnant women, seniors, and the indigent. Managed care plans have aimed to contract with healthcare providers and provide coverage at reduced costs (Smith & Coustasse, 2014). The ACA has helped people become eligible for Medicaid who otherwise would not be able to afford health insurance. There will be more equality between genders, before ACA, the majority of beneficiaries were female. Even though ACA has helped more people become eligible for Medicaid, there are also challenges that have risen due to this as well. The focus of this paper is on the challenges regarding Medicaid managed care and how they can be resolved. The first area discussed will be the history behind Medicaid. Then move on to the challenges of the Medicaid Managed Care Program and how they can be resolved as well as the possible solutions.

Obamacare is not universal healthcare. The United States actually has an extension of health insurance coverage that is the program we all call Obamacare. This extension of health insurance coverage is expected to cover an additional 26 million people by 2024. In understanding this concept, what we need to understand fully is that the United States does not have universal coverage. Obamacare does not eliminate uninsurance in America; instead, it cuts the number of people lacking coverage about in half. Even after Obamacare is fully implemented, budget forecasters still expect that 31 million Americans will lack insurance coverage which is a bigger group than the people buying coverage on the exchanges (Vox.com).

Comprehensive health coverage with no out of pocket expense by the employee; 100% employer paid benefit

In the organization that I am employed with, they offer Blue Cross Blue Shield of Texas; an Exclusive Provider Organization or (EPO) plan. There are three different tiers to choose from all with different plan benefits. Based on my healthcare needs I chose the tier with the benefit plan that has a lower cost-sharing and deductible, as a result the monthly premium is higher.

The Healthcare System is a combination of politics, health care practices, finances and socioeconomic representatives of the United States of America. There are many aspects of healthcare, such as health plans, that is not fully acknowledged by the American consumers. Current studies have also suggested that consumers have a lack of understanding when it comes to healthcare which can lead to a lack of care (Islam, 2015). Private (i.e. BlueCross) and public health (Medicare and/or Medicaid) insurance operatives have similar and different methods in which they are financing medical services to the public. This research paper will discuss many aspects of a High Deductible Health Plan (HDHP). First, what a HDHP is and its prevalence will be discussed. Second, a deliberation about why and how they are so popular will be addressed. Lastly, the pros and contra will be considered and how they can affect your overall health and quality of life.