Health
Insurance
Below:
Health insurance advice | Companies
| Blue Cross and Blue Shield
Health Insurance - advice and
information
Health
Insurance Consumer Guides - Summaries of health
protection in each state.
Health
Insurance Guide - Information on the kinds of health
insurance, benefits, and how to choose the right plan.
Health
Insurance In-Depth - A guide to medical insurance,
with advice on policy types, additional coverage, and
state-by-state regulations of personal and group health
insurance.
The
Health Insurance Portability Accountability Act
- The original HIPAA Act of 1996.
Health Insurance
Resource Center - Resources for the self-employed
to understand their health insurance. Includes glossary
of industry terms, tips, FAQs on individual health insurance,
and risk pool information.
Health
insurance.com.au - Health insurance guide offering
tips and advice on finding the right policy.
HIPAA Online
- Clear explanations of HIPAA's consumer protections,
along with examples of how HIPAA applies to particular
situations.
HIV
and Insurance: Some Questions and Answers - Some
Questions and Answers, by Mark Scherzer, Esq., at The
Body, an AIDS and HIV information resource.
How
I Fought My HMO and Won Without a Lawyer - A personal
chronicle of a 16 month battle with an HMO to get them
to pay medical claims. Also includes information for
people about to or currently fighting their HMO.
How
to Choose Health Care Coverage - Brief explanations
of different kinds of health insurance, produced by
the Hope Heart Institute.
How
to Pick a Health Plan - ABCs from the Detroit Free
Press.
MyHealthChoices
- Information for consumers to make personal decisions
about their health care and insurance coverage.
New York Health
Insurance Information, Counseling and Assistance Program
(HIICAP) - Consumer help with Medicare, managed
care, Medigap insurance, long term care insurance; written
for New Yorkers, but contains information of general
interest. From the New York State Office for the Aging.
Senior
Health Insurance Counseling - Information on Medicare
and related programs covering Medigap, HMO, Medicaid
and Long Term Care.
U.S.
Census Bureau Health Insurance Data - Data on status
and type of coverage by age, sex, gender, race, state,
as well as other characteristics. Site offers data review
tools to create and extract custom data tables.
Women
and Job Based Health Benefits - Claims, workers
rights, and HIPAA information.
Health insurance - companies
and services
The Acacia Group
- Includes Acacia Life Insurance Company which offers
universal life, whole life, and term insurance; and
Acacia National Life Insurance Company which offers
flexible premium variable life and annuities.
Academy Life Insurance
Company - Provides life insurance for enlisted and
retired military personnel as well as their families.
Policies include coverage for all military hazardous
occupations at standard premium rates. Peacetime and
wartime coverage available.
Advance
Insurance Company - Sells group insurance for dental,
disability, term life, accidental death and dismemberment,
and dependent life in 38 US states.
Advantage Dental Plan
- Oregon based dental insurance for individuals and
groups as small as 2 employees. Customizable benefits
to suit your needs.
Aetna - Provider
of life, health and retirement benefit plans and financial
services.
AFLAC - World wide
insurance carrier based in U.S. Offers accident, cancer,
hospital indemnity, intensive care, long-term care,
and life insurance plans.
Amalgamated
Life Insurance Company - Specializes in life, disability,
term, group and accidental death insurance.
American Income Life
Insurance Company - Specializes in supplemental
benefits to working families. A wholly owned subsidiary
of Torchmark Corp.
American Industries
Life Insurance Company - Texas-only company offering
burial insurance, term insurance, and limited-pay policies.
Request a quote on-line.
American Life
Insurance Company of New York - Offers term life
insurance and variable annuities throughout the United
States.
American
Savings Life Insurance Company - Life insurance
provider specializing in youth, children, and college
policies. The company also provides equity mortagage
lending.
Catholic Family Life
Insurance - The oldest Catholic fraternal insurance
society in the U.S., offering insurance and annuity
plans, along with fraternal benefit and volunteer programs.
CIGNA - Formed
in 1865 as Connecticut General, CIGNA is an employee
benefits company in the U.S. and in selected markets
around the world.
Clarica - Provides
life and group extended health insurance in Canada and
life insurance in the USA. Part of the Sun Life Financial
Group. [English, French]
Cobalt Corporation
- Offers health, dental, and specialty products.
Colonial Life
& Accident Insurance Company - Portfolio of
supplemental products includes accident, disability,
life, hospital confinement, cancer and critical illness
coverage. A subsidiary of UnumProvident Corporation.
Colonial Penn
Life Insurance Company - Offers life and accidental
death insurance directly to consumers. Specializes in
guaranteed acceptance life insurance.
Columbian Financial
Group - Includes Columbian Mutual, Columbian Life
, and Columbian Family Life. Life insurance products
include home service, worksite voluntary benefits, universal
life, term, whole life, pre-need, and final expense.
Confederation
Life Insurance Company (in liquidation) - Status
site of Confederation Life Insurance Company, now insolvent.
KPMG Inc., liquidator.
Conseco, Inc.
- Through its subsidiaries, provides supplemental health
insurance, retirement annuities, universal life insurance,
and consumer and commercial finance products and services.
Continental
General Insurance Company - Provides life and health
insurance for families, businesses, and individuals.
Also offers annuities.
CPIC Life Insurance
Company - A subsidiary of Blue Shield of California.
Offers group life, AD&D and vision plans, as well
as individual short-term health coverage, to residents
of California and Arizona.
Equitable -
Offering individual and business life insurance, and
annuities. View contracts online.
First Health
Group Corp. - Managed care company serving the group
health, workers' compensation, and state public program
markets throughout the United States.
The Franklin Life
Insurance Company - American Franklin Life writes
interest-sensitive insurance products.
GE Financial
Assurance - Products include life and long term
care insurance, annuities, and mutual funds. Also offers
401k plans and group life insurance for employers.
Gerber Life Insurance
Company - Provider of budget supplemental term and
whole life and health insurance policies for children,
families and seniors.
Golden Rule Insurance
Company - Specialize in health insurance and Medical
Savings Accounts. Also offer life insurance and annuities.
Great-West Life Assurance
Company - Canadian insurer offering group life and
health benefit plans, individual disability plans, and
investment and retirement savings plans.
Group Health Stop loss
insurance - Provides group life, self-funded stop-loss,
group medical, group dental, and individual life plans
to employer groups. Licensed in 36 US states, Guam and
Washington DC.
The Guardian Life Insurance
Company - An insurance company offering health,
life, disability, annuities, investments, and pensions.
Home office in New York City.
Harvard Pilgrim Health
Care - Includes benefits, coverage, news, financial
information, health news, and employment information.
Hospitals Contribution
Fund of Australia Limited (HCF) - Not-for-profit
organisation offering private health insurance for employers,
individuals, couples, and families.
Illinois Mutual
- Insurance products include disability income, life,
and annuities. Offers calculators, a glossary, links,
and articles.
Industrial Alliance
Pacific Life Insurance Company - Life insurance
carrier based in Vancouver, BC, Canada, and a member
of the Industrial Alliance Group of Companies.
John Hancock Financial
Services - A financial services company, providing
insurance and investment products and services to retail
and institutional customers.
Keyport Life Insurance
Company - Fixed, variable, and indexed annuities
provider. Site includes annuity glossary, FAQ, and job
postings.
Landmark Life
Insurance Company - Offers final expense life insurance
services.
Lincoln Financial
Group - Offers life insurance, annuities, and retirement
plans for individuals and groups through independent
financial services professionals.
Lincoln Heritage Life
Insurance Company - Provides life insurance for
final expense, as well as Medicare Supplements and other
senior insurance products. Part of The Londen Companies
in Phoenix, AZ.
Lincoln Mutual Life &
Casualty Insurance Company - Offers group life and
health insurance products. Licensed in 15 western and
midwestern states.
Max New York
Life - Joint venture between Max India Ltd. and
New York Life Insurance Company; offers life insurance
products throughout India.
Medical Mutual
of Ohio - A mutual health insurer, owned by its
policyholders. Services for members, employers, brokers,
and providers. (aka "Medical Mutual")
Mennonite Mutual
Aid - MMA is a church-related organization that
helps Anabaptists practice Christian stewardship. Products
include fraternal benefits, annuities, health, life,
group life, and long term care insurance.
Metropolitan Life
Insurance Company - Products include homeowners,
auto, boat, life, annuities, and IRA's. The Life Advice
Center has advice for family, health, money, purchases,
business, and insurance.
MII Life, Inc.
- Provides group and voluntary term life, short and
long term disability income, individual and group long
term care coverage, and employee flexible spending accounts.
Subsidiary of Blue Cross and Blue Shield of Minnesota.
Mission Life Insurance
Company of America - Senior life insurance specialists.
Primary focus is using insurance to fund preneed funeral
contracts.
Monumental Life Insurance
Company - Founded in Baltimore, Maryland in 1858,
the company offers term and permanent life insurance
as well as supplemental health products. Member of Aegon
Insurance Group.
The MONY Group -
Offers information about the company, products sold,
and offers users the ability to find a local agent.
National
Guardian Life - Mutual life insurance company offering
traditional life, annuities, universal life, and term
life insurance. Participate in an interactive financial
review or use the calculators. Request a quote. Locate
an agent.
National
Travelers Life Co. - Provides personal and employer
sponsored insurance products.
New England Financial
- Licensed underwriter in all 50 states and WDC. Offers
a variety of life insurance products as well as disability
income and long term care. A subsidiary of MetLife.
OCASO - Spanish insurer
with branch office in the United Kingdom. Offers household,
funeral expense, commercial, condominium, life, pension,
and industrial products.
ODS Health
Plans - An Oregon company offering a complete line
of medical and dental insurance for individuals and
groups.
Oxford Life Insurance
Company - Specialize in life, annuity, and health
insurance products.
Pacific Life
- Offers life insurance, annuities, investments, and
a variety of other products and services to help individuals
and businesses plan a secure financial future.
RBC Liberty insurance
- Specializes in life insurance and annuities for middle
income families.
Regence Life
and Health Insurance Company - Oregon-based non-profit
life, health and disability insurance company, licensed
also in Washington, Idaho and Utah.
Reliance Standard Life
Insurance Company - Offers group life, disability,
dental, and accidental death and dismemberment.
Savings Bank Life Insurance
(SBLI) - Offers instant online quotes, an insurance
needs planning tool, customer service forms, and the
ability to request more information. Originally for
Massachusetts residents, SBLI is now licensed in several
Northeast states.
SBLI Mutual Life Insurance
Company of New York, Inc. - Offers whole life, term
life, and group mortgage insurance products in New York.
Includes needs analysis and online quotes. Apply online.
Security Financial
Life Insurance Company - Markets individual whole
life, universal life and term life insurance and annuities,
along with employee benefit plans and services, including
group life insurance, qualified pensions and 401(k)
plans.
Standard Life
Insurance Company of Indiana - Offers equity-indexed
annuities, life insurance, and critical illness protection.
Download forms, ask questions, or request service in
customer service area.
Sun Life Assurance
Company of Canada - Offers a variety of services
and products, including life insurance, annuities, critical
illness insurance, and group life, health and disability
insurance.
Sun Life Financial
- Offers individual and group life products to residents
of the Philippines.
TD Insurance Centre
- Toronto Dominion Life Insurance Company offers term
life, universal life, travel, creditor, accident, disability,
and critical illness insurance, as well group benefits.
Includes online quotes, online application, and a needs
calculator.
Trustmark Insurance
Company - Offers individual and group insurance
packages nationwide.
United
Heartland Workers Compensation - Offers Workers'
Compensation insurance in Wisconsin, Iowa and Illinois,
featuring innovative cost management programs such as
the Drug-Free Workplace. A subsidiary of the Cobalt
Corporation.
UnumProvident
Corporation - Multi-national conglomerate of insurance
companies. Request quotes online for critical illness,
and accident insurance.
West Coast Life
Insurance Company - Offers life insurance products
including whole life, universal life, interest sensitive
whole life, survivor life, and term-like life insurance.
Includes an agent locator and online quotes.
Health insurance
- blue cross and blue shield
BlueCross BlueShield
Association - Trade association for the independent,
locally operated Blue Cross and Blue Shield Plans in
the USA. Offers online resource for health insurance
information, including a nationwide plan finder that
locates information about local BCBS health plans.
Canadian Association
of Blue Cross Plans - Not-for-profit organization
maintains and monitors standards of performance for
its independent Member Plans, ensuring the highest quality
of service which benefit all clients across the country.
Includes a nationwide plan finder that locates information
about provincial Blue Cross plans.
Alabama - Blue Cross
and Blue Shield of Alabama - Administers health
and dental programs for employers throughout the state.
Also offers coverage to individuals, families, and supplemental
Medicare.
Alaska
- Premera Blue Cross Blue Shield of Alaska - Serves
businesses and individuals. Includes health information,
provider directory, and searchable formulary.
Alberta Blue
Cross - Provides supplementary health and dental
benefit programs. Administers health programs for provincial,
territorial, and federal governments.
Arizona - Blue Cross
Blue Shield of Arizona - Statewide nonprofit health
services company offers employer, individual/family,
and senior plans. Site offers sections for providers,
brokers, employers, members, and guests.
Arkansas Blue
Cross and Blue Shield - Site offers sections for
guests, members, employers, providers, and agents. Includes
section on health care legislation.
British Columbia
- PBC Health Benefits Society - Offers supplemental
health and dental insurance, as well as life and disability.
(dba "Pacific Blue Cross" and "BC Life")
California - Blue
Cross of California - Offers plans for groups, employers,
individuals, families, and mature individuals. Site
offers sections for members, physicians, hospitals,
brokers, and employers.
California -
mylifepath Blue Shield of California - Offers plans
for groups, employers, individuals, families, and medicare
supplemental. Site offers information for employers,
providers, and consumers.
Delaware - Blue Cross
Blue Shield of Delaware - A CareFirst Company. Offers
services to employers and individuals. Site includes
information for customers, providers, and brokers, as
well as consumer health care links.
Federal - Blue Cross
and Blue Shield Federal Employee Program (FEP) -
Also known as the Federal Employee Health Benefits (FEHB)
Program. Offers information to members, including description
of benefits, provider directory, newsletters, and health
and safety tips. [includes Web Accessibility site]
Florida - Blue Cross
and Blue Shield of Florida - Provides coverage plan
information for individuals and groups, a provider directory,
rates, legislative news and links to health related
sites.
Idaho - Blue Cross
of Idaho - Offers healthcare plans to employers,
groups, and individuals. Site includes sections for
members, brokers, providers, and benefits managers.
Idaho - Regence
BlueShield of Idaho - A mutual health insurance
company which holds a certificate of authority to operate
a managed care organization throughout the state of
Idaho.
Illinois - Blue Cross
and Blue Shield of Illinois - A division of Health
Care Service Corporation. Site provides resources for
current and prospective members, employers, medical
providers, and prospective employees.
Manitoba Blue
Cross - Offers supplemental health and dental insurance
to individuals and employers as well as life insurance
to individuals.
Maryland & WDC
- CareFirst BlueCross BlueShield - Offers healthcare
insurance to residents of Maryland and Washington, DC.
Site includes information for Brokers, employers, and
providers, as well as links to consumer health and wellness
sites.
Michigan - Blue Cross
Blue Shield of Michigan - Health and dental insurance
carrier providing information and online forms for card
holders, physicians, dentists, hospitals and group customers.
Minnesota - Blue
Cross and Blue Shield of Minnesota - Offers health
plans for individuals and businesses. Includes information
about health programs, community wellness endeavors,
the Foundation, and finding a BCBS doctor.
multiprovince
- Atlantic Blue Cross Care - (New Brunswick, Newfoundland
& Labrador, Nova Scotia, and Prince Edward Island)
Offers supplemental health, dental, vision care and
prescription drug programs to individuals, families,
and groups. Also offers travel plans, critical illness
coverage and life insurance. [English, French]
multistate - Anthem
Blue Cross and Blue Shield - (Colorado, Connecticut,
Indiana, Kentucky, Nevada, New Hampshire, Maine, Ohio,
and Virginia) Anthem Insurance Companies, Inc., offers
health insurance and other benefits options to employers
and individuals.
multistate - Wellmark
Blue Cross and Blue Shield - (Iowa and South Dakota)
Provides group, individual, and family health insurance.
Site includes many wellness and safety articles, information
concerning the Wellmark Foundation, and community health
links for both states.
Nebraska - Blue Cross
and Blue Shield of Nebraska - Offers plans for employers,
individuals, and Farm Bureau members. Site includes
sections for members, administrators, and providers,
as well as providing information on legislative issues
and a variety of health links for consumers.
New Jersey
- Horizon Blue Cross Blue Shield of New Jersey -
Offers services to employers, individuals, and families.
Site includes plan news, history, and specific health
care coverage.
New Mexico - Blue
Cross and Blue Shield of New Mexico - Division of
Health Care Service Corporation offers individual and
group health insurance plans. Site includes sections
for members, brokers, providers, and employers, as well
as health information for consumers.
New York - BlueCross
BlueShield of Western New York - Offers health plans
to employers and individuals. Site has sections for
members, employers, providers, and agents.
New York - BlueShield
of Northeastern New York - Offer traditional indemnity
insurance plans, managed care plans, and preferred provider
organization plans that combine traditional and managed
care features. Covers the New York capital region.
New York - Empire
HealthChoice Assurance, Inc. - Licensee of the Blue
Cross and Blue Shield Association for the 28 eastern
and south-eastern counties of New York State. Site offers
services for members, employers, brokers, and physicians.
New York - Excellus
BlueCross BlueShield of Central New York - Offers
health plans for employers, individuals, and families.
Covers central New York and southern tier region. [English
and Spanish]
New York - Excellus
BlueCross BlueShield of Utica-Watertown - Offers
health plans for employers, individuals, and families.
Covers Utica region of New York.
Oklahoma - Blue Cross
and Blue Shield of Oklahoma - Offers personal and
group health insurance plans. Site includes sections
for members, providers, group leaders, and producers.
Also offers selection of links to numerous consumer
health sites.
Ontario Blue Cross
- Provides supplemental health insurance to employers
and individuals, and life and travel insurance to individuals.
Oregon - Regence BlueCross
BlueShield of Oregon - Provides individual and group
health care coverage to members in Oregon and Clark
County, Washington. The site gives members plan information,
important forms, and health and wellness tips.
Québec Blue
Cross - Offers supplemental health and travel insurance
to individuals and groups. [French, English]
Rhode Island - Blue
Cross & Blue Shield of Rhode Island - Offers
member services, plans and programs, healthcare information,
health links, and career opportunities.
Saskatchewan Blue
Cross - Provides supplementary health benefits for
individuals and groups. Also offers travel insurance.
South
Carolina - Blue Cross and Blue Shield of South Carolina
- Offering healthcare insurance to the individuals,
families and businesses. Includes links to consumer
health and wellness information.
Tennessee - BlueCross
BlueShield of Tennessee - Offers individual and
group health plans, including PPO, copay PPO, HMO, point-of-service
HMO, and Medicare supplement insurance.
Washington
- Premera Blue Cross - Serves Washington State,
except Clark County. Site offers provider directory,
general health information, and online printable forms.
Washington - Regence
BlueShield - Offers medical, dental, vision and
health insurance plans to individuals, small businesses
and large groups in many counties of Washington State.
Wisconsin
- Blue Cross & Blue Shield United of Wisconsin
- Division of the Cobalt Corporation offers individual
and group health insurance. Provides customer service,
find a new doctor service, and health plan comparisons.
Employment information available.
Health insurance information
Health insurance is a type of insurance whereby the
insurer pays the medical costs of the insured if the
insured becomes sick due to covered causes, or due to
accidents. The insurer may be a private organization
or a government agency. Market-based health care systems
such as that in the United States rely primarily on
private health insurance.
History of health insurance
The concept of health insurance was proposed in 1694
by Hugh the Elder Chamberlen from the Peter Chamberlen
family. In the late 19th century, early health insurance
was actually disability insurance, in the sense that
it covered only the cost of emergency care for injuries
that could lead to a disability. This payment model
continued until the start of the 20th century in some
jurisdictions (like California), where all laws regulating
health insurance actually referred to disability insurance.
Patients were expected to pay all other health care
costs out of their own pockets, under what is known
as the fee-for-service business model. During the middle
to late 20th century, traditional disability insurance
evolved into modern health insurance programs. Today,
most comprehensive private health insurance programs
cover the cost of routine, preventive, and emergency
health care procedures, and also most prescription drugs,
but this was not always the case.
Private health insurance
A health insurance policy is a legal, binding contract
between the insurance company and the customer. The
largest difference between private sector health insurance
and life insurance is that for life insurance, a person
may purchase guaranteed renewable insurance for the
whole of the insured's life at a constant premium rate,
while health insurance is generally purchased year by
year with generally no assurance of renewability and
if renewable no guarantee that premium rates will not
increase.
Inherent problems with private insurance
Any private insurance system will face two inherent
challenges: adverse selection and Ex-post moral hazard.
Adverse Selection
Insurance companies use the term "adverse selection"
to describe the tendency for only those who will benefit
from insurance to buy it. Specifically when talking
about health insurance, unhealthy people are more likely
to purchase health insurance because they anticipate
large medical bills. On the flip side, people who consider
themselves to be reasonably healthy may decide that
medical insurance is an unnecessary expense; if they
see the doctor once a year and it costs $250, that's
much better than making monthly insurance payments of
$400 (example figures).
The fundamental concept of insurance is that it balances
costs across a large, random sample of individuals.
For instance, an insurance company has a pool of 1000
randomly selected subscribers, each paying $100/month.
One of them gets really sick while the others stay healthy,
which means that the insurance company can use the money
paid by the healthy people to treat the sick person.
Adverse selection upsets this balance between healthy
and sick subscribers. It will leave an insurance company
with primarily sick subscribers and no way to balance
out the cost of their medical expenses with a large
number of healthy subscribers.
Because of adverse selection, insurance companies use
a patient's medical history to screen out persons with
pre-existing medical conditions. Before buying health
insurance, a person typically fills out a comprehensive
medical history form that asks whether the person smokes,
how much the person weighs, whether or not the person
has been treated for any of a long list of diseases
and so on. In general, those who look like they will
be large financial burdens are denied coverage or charged
high premiums to compensate. On the other side, applicants
can actually get discounts if they do not smoke and
are healthy.
Moral Hazard
Moral hazard describes the state of mind and change
in behavior that results from one's knowledge that if
something bad were to happen, the out-of-pocket cost
would be mitigated by an insurance policy--in this case,
one which provides reduced prices for medical care.
In the same way that people treat water with little
care when it is very inexpensive, people will also tend
to overuse medical care when the out-of-pocket costs
are sma
Other factors affecting insurance price
Because of advances in medicine and medical technology,
medical treatment is more expensive, and people in developed
countries are living longer. The population of those
countries is aging, and a larger group of senior citizens
requires more medical care than a young healthier population.
(A similar rise in costs is evident in Social Security
in the United States.) These factors cause an increase
in the price of health insurance.
Some other factors that cause an increase in health
insurance prices are health related: insufficient exercise;
unhealthy food choices; a shortage of doctors in impoverished
or rural areas; excessive alcohol use, smoking, street
drugs, obesity, among some parts of the population;
and the modern sedentary lifestyle of the middle classes.
In theory, people could lower health insurance prices
by doing the opposite of the above; that is, by exercising,
eating healthy food, avoiding addictive substances,
etc. Healthier lifestyles protect the body from some,
although not all, diseases, and with fewer diseases,
the expenses borne by insurance companies would likely
drop. A program for addressing increasing premiums,
dubbed "consumer driven health care," encourages
Americans to buy high-deductible, lower-premium insurance
plans in exchange for tax benefits.
Common complaints about private insurance
Some common complaints about private health insurance
include:
1. Insurance companies do not announce their health
insurance premiums more than a year in advance. This means that, if one becomes ill, he or she
may find that their premiums have greatly increased.
2. If insurance companies try to charge different people
different amounts based on their own personal health,
people will feel they are unfairly treated.
3. When a claim is made, particularly for a sizable
amount, it may be deemed in the best interest of the
insurance company to use paperwork and bureaucracy to
attempt to avoid payment of the claim or, at a minimum,
greatly delay it.
4. Health insurance is often only widely available at
a reasonable cost through an employer-sponsored group
plan.
5. Employers can write some or all of their employee
health insurance premiums off of their taxable income
whereas traditionally individuals have had to pay taxes
on income used to fund health insurance.
6. Experimental treatments are generally not covered. This practice is especially criticized by those
who have already tried, and not benefited from, all
"standard" medical treatments for their condition.
7. The Health Maintenance Organization (HMO) type of
health insurance plan has been criticized for excessive
cost-cutting policies.
8. As the health care recipient is not directly involved
in payment of health care services and products, they
are less likely to scrutinize or negotiate the costs
of the health care received. The health
care company has few popular and many unpopular ways
of controlling this market force.
9. Some health care providers end up with different
sets of rates for the same procedure. One for people
with insurance and another for those without.
Publicly funded health insurance
With publicly funded health insurance the good and
the bad risks all receive coverage without regard to
their health status, which eliminates the problem of
adverse selection.
National Health Service
The National Health Service (NHS) is the "public
face" of the four publicly funded health care systems
of the United Kingdom. The organisations provide the
majority of healthcare in the UK, from general practitioners
to Accident and Emergency Departments, long-term healthcare
and dentistry. They were founded in 1948 and have become
an integral part of British society, culture and everyday
life: the NHS was once described by Nigel Lawson, former
Chancellor of the Exchequer, as 'the national religion'.
Private health care has continued parallel to the NHS,
paid for largely by private insurance, but it is used
only by a small percentage of the population, and generally
as a top-up to NHS services.
Health insurance in the United States
According to the latest United States Census Bureau
figures, approximately 85% of Americans have health
insurance. Approximately 60% obtain health insurance
through their place of employment or as individuals,
and various government agencies provide health insurance
to over 29% of Americans. In 2005, 46.6 million (15.9%)
Americans were without health insurance. People living
in the western and southern United States are more likely
to be uninsured.
Medicare
In the United States, government-funded Medicare programs
help to insure the elderly and end stage renal disease
patients. Some health care economists (Ewe Reinhardt
of Princeton and Stuart Butler among others) assert
that (the third party payment feature) these programs
have had the unintended consequence of distorting the
price of medical procedures. As a result, the Health
Care Financing Administration has set up a list of procedures
and corresponding prices under the Resource-Based Relative
Value Scale.
Starting in 2006, Medicare Part D provides a program
for the elderly to buy insurance for the purchase of
prescription drugs.
Medicare Advantage
Medicare Advantage expands the health care options
for Medicare beneficiaries. Medicare Advantange was
born from the Balanced Budget Act of 1997 in order to
better control the rapid growth in Medicare spending,
as well as to provide Medicare beneficiaries more choices.
Medicaid
While Medicaid was instituted for the very poor, beginning
in 1972, the number of individuals in the United States
who lacked any form of health insurance for any period
during the year increased each year, every year with
the exceptions of the years 1999 and 2000. It has been reported that the number of physicians
accepting Medicaid has decreased in recent years due
to relatively high administrative costs and low reimbursements.
According the Centers for Medicare and Medicaid Services,
nearly 100% of large firms offer health insurance to
their employees. Although much more likely to offer
retiree health benefits than small firms, the percentage
of large firms offering these benefits fell from 66%
in 1988 to 34% in 2002.
Attribition: This informational article is licensed
under the GNU
Free Documentation License. It uses material from the
Wikipedia article Health
insurance, which you should check for the full references.
Some
health insurance listings from the ODP
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