Individual Health Coverage – Health Insurance For the Self Employed

Getting private health care insurance can be more expensive than group health coverage. If you are self employed, it is quite unlikely you will have access to individual health coverage by means of a group policy. This is where you need to seriously explore health insurance for the self employed as an option.

It is quite normal as a self employed individual, to think of individual health coverage as a luxury. Private health care insurance can be very expensive and costly on the part of people who don’t usually fall ill or visit their doctors regularly.

Getting affordable health plan is beneficial because it covers accidents which can happen to anyone. As a self employed individual don’t cut corners on affordable health plan by totally avoiding it. This is especially true with health insurance for the self employed since the entire decision is left with you as an individual. Rather, look around for flexible ways to beat out cost like joining a union or taking cover under your spouse’s plan.

A good way to beat the high premium rate in health insurance is by taking advantages of the various state programs in the form of affordable health plan. Some states provide free health policies or subsidies for low income citizens. There are also programs like the “risk pool.” This program spreads the individual health needs of people over a large number of people just like the group plan does.

You have to know that unexpected medical occurrences can cause irreversible damages to your business. If you fail to look into health insurance for the self employed to get proper individual health coverage early as a business owner, consequences that follow can be severe. It’s not worth taking that kind of risks. So there is every reason you should start shopping around for private health care insurance options that can offer you maximum coverage without costing you an arm and a leg!

Health Insurance Comparison by Individual Health Coverage – Take Your Pick

Individual Insurance Plans To Meet Your Needs

How and where to find individual insurance plans that offer you adequate individual health coverage takes much consideration. But first the significance of doing health insurance comparison before deciding can’t be over-emphasized.

Coverage and Pricing Options

Affordable health plans that come with various options and prices are dependent on the individual health coverage required as well as what a given healthcare insurance policy should cover. Depending on specific situation, sometimes the individual’s job, professional organization or union will provide group health insurance plans, while others do not and require the individual to take up private health care insurance.

Group Health Coverage

Group health care will normally cost less than private health care insurance, or indemnity policies. They are less expensive and hence, more affordable because health insurers offer deals to large organizations to insure many people at one go under that particular organization’s policy. Moreover, the individual may be given the choice to opt for group healthcare with the organization offering to pay a part of the premium for the individual, should they decide to accept any of the plans. Both are contributing factors to make group health care more affordable.

Health Insurance Comparison

By comparison, private health care insurance provides the individual with many more options, but usually cost a lot more than a group health policy. The former also may require the individual to file his own claims for reimbursement. This means more time, paperwork and hence, more hassle for that person. However, the individual usually has more choices of healthcare service providers under individual health plans. As a result, the person can start shopping around for the best prices on the market according to what he needs to sniff out truly good deals with affordable health insurance plans.

Take Your Pick

After all, finding individual health plans that is best for you with proper individual health coverage making health insurance comparison is not so tough if you know how to pick and choose from among many affordable health plans out there.

Total Health Care For the Elderly With Effective Individual Health Coverage

Elderly Health Care A Financial Challenge for Families

Total health care for the elderly poses an enormous challenge for many families in the face of ever-rising individual healthcare costs. Typically such costs can set you back five and a half thousand dollars or more yearly.

Elderly Care Services Are Expensive

Today, drugs to treat older people are becoming extremely costly and not getting the right individual health coverage early with affordable health insurance plans can mean bearing an exceptionally and financially heavy burden that will more often than not turn out to be crippling for the ‘man on the street’.

Older People Are Medically More Vulnerable

When it concerns some of the more pressing elderly health care issues, vascular dementia will most likely top any list that may also include conditions like Alzheimer’s and Parkinson’s diseases. Among so many different conditions, vascular dementia is one big concern. Though it doesn’t get much media attention, it can severely affect any older person suffering from it and so, should be regarded seriously and addressed appropriately.

Costs of Healthcare Only Go Up

What’s more, every day senior health insurance costs are rising and are going through the roof. Not all of the costs are covered by individual health plans and even the cover from Medicare is low at best – particularly when treating serious, chronic health or medical conditions for older people.

However, all isn’t lost because by having a look at certain health care resources that are especially catering to the needs of elders that pay for total health care for the elderly costs including hospitalization costs as well as visits to doctors, you can ease the heavy financial burden.

Elderly Health Insurance – It Pays to Start Early

Selecting the right, affordable elderly health insurance plans before reaching the age of sixty-five can prove to be extremely useful in covering costs of total health care for the elderly. By paying a certain elderly health insurance premium on an once a month basis you can cover some of the high costs of dedicated elderly care services.

Lastly, keep this in mind: Unlike individual healthcare for the average joe, money alone may not help when it comes to offering holistic elderly health care with the right individual health coverage.

Health and Medical Insurance Coverage

It Is Less Expensive When Insured Under an Association

Over the years, it has been repeated that it is cheaper to obtain health insurance if you are being insured under a group. An example of this is a group of union or workers or laborers within a given corporation. Although this is less expensive, there are still others who will find it difficult benefiting from it. This is because the corporations under which they work hardly provide health insurance to their employees or that these people cannot locate a scheme such as that which provides coverage to a group or under which that can benefit by belonging to that group.

Sometimes in the past, employers made it habitual to contribute to the health insurance of their employees. This was considered as a portion of their payments. When the economy starting getting into recession, this benefit was gradually reduced and even eliminated. For this reason, most employees are compelled to personally take care of the cost on insuring their own health.

There is an option for those living in California. What is done is that people can take care of their health through health insurance by either through an indemnity or an organized care plan. An indemnity arrangement is that in which the insured has the option to decide on whoever is making provision for the service and the insurance provider will in turn take charge of a considerable amount of this cost. The insured will also have to contribute his or her share of the cost and this is commonly known as coinsurance. This will be applicable in a situation in which the medical expenses do not go beyond a certain limit. Once this limit is exceeded, the insurer will have to pay for the whole cost.

On the other hand, an organized care plan is a scheme which focuses on pre-emptive health care. This scheme is operated by an association of hospitals and certified health care providers and they often provide extensive health insurance to their clients through an agreement. Under this scheme, it will be impossible for the insured to opt for whoever will provide health insurance for him or her. At times, this is even considered unnecessary because the benefits and satisfaction always derived from the quality and measure of health care provided is greater than the option of making a choice that the client forfeits.

Providing Health Care to the Community

There are two health care schemes which the central administration has made available to all. These are the Medicare and Medicaid.

The administration does this by declaring a stage of minimum earnings and it in turn provides finances to every State so that it can better administer its individual health care arrangement. What should be taken note of is that the finances to this scheme are not always available. For this reason, qualifying for the scheme will always be a matter to be decided by the administration of each state and it will also vary. It should be noted that the main objective of the above two schemes are meant to provide health care to the feeble such as the aged, those who are handicapped, those who cannot financially make provision of their health care and especially kids. Those schemes have been referred to as MediCal and Healthy Families schemes in California.

There are different health insurance schemes and all these schemes will have sets of rules and regulations which take care of them. If you intend to become part of any of such schemes, it is necessary to critically look into what they provide. You should also know that you must pay the “deductible”. This is a fixed sum that must be paid annually ahead of benefiting from health insurance covered by the policy. Keep in mind that the larger the deductible, the cheaper the rate of premium. However, most people will believe that what you pay for health insurance is not really clear when every other consideration such as those under the indemnity scheme and organized care scheme is taken into account.

Of late, the administration in California made available a card for prescription drugs and this card is gotten without any charge. Every Californian is qualified to have this card. The benefit of having this card is that you will benefit from a price cut of 75% if you pay for any prescription medication. This is part of a program aimed at providing health care to the whole community.

Public Health Insurance – An Essential Lifesaver For the American Health System

There is much debate about the type of insurance proposals that will be required in the new health system currently being negotiated in Congress. President Obama has just come out in support of a public health plan, which is opposed by private insurers who say that they could not compete with a public health plan that didn’t have to make a profit. Supporters of the public plan proposal correctly say that it would give people more choices and create more competition. Opponents argue that private health plans would go out of business, leaving only an entirely government-run health care system.

Of course all sides are exaggerating and taking up extreme positions. They will all in time compromise and hopefully reach some form of agreement. The sad part is that at present they don’t seem to be thinking of the person at the center of all this – the patient. It is widely acknowledged that health care costs far too much in this country, while at the same time at least 47 million Americans are uninsured. So, from a patients perspective, if you do have health insurance, you are paying way too much for it, and getting poor value, and if you don’t have it, then you just continue to suffer. What a dreadful choice. What an indictment of America.

The goals of overhauling the health care system are to lower costs and extend care to the uninsured. Obama wants a bill on his desk in October at the latest. Where can Congress begin to compromise, and why is it that Republicans in particular, believe that public health plans are likely to be so dreadful. What is the evidence for this belief beyond their own philosophical ideas. They regularly bring up the supposed ogre of “socialized medicine” whenever public plans are discussed, but there is no evidence whatsoever that countries with more federal control over their health systems, especially in Europe, have worse health outcomes that the USA. In fact the contrary is true, health outcomes are much better overall, and cost a lot less money per capita of population.

As a physician who has lived and worked in the USA, Australia and Britain, and who has an interest in how health services are organized, I think America could move forward in a relatively simple way as long as we always keep the patient at the center of any health system we plan. It is essential that we do not design a health system primarily to protect profit levels for some or all of the various constituents, whether they be providers, health insurers or pharmaceutical companies. We have the opportunity of picking the best parts of other health systems from around the world and including these in the eventual plan to reform American health care, and we should learn from other countries.

What should we do?

Firstly we need a public-private partnership philosophy. Australia is a good example where this works excellently. That means public and private, not just private. American core business and social philosophies are based on capitalist principals so any new approach to health care must combine the need for profits in certain sectors of the health system, with the need to develop a number of core public health services that may be less likely to ever achieve a profit. Funding for care has to involve choice and should be provided in many instances through payment for annual or episodic whole of person care, rather than on individual piece rates as at present. These capitated payment systems work well for Kaiser Permanente, and in Britain. The primary gain from this approach is that it tends to force more resources into the prevention of illness and wellness promotion, rather than into the treatment of illnesses that have already commenced.

The public component of the health care system, seemingly strongly supported by President Obama, would include universal basic health insurance as well as catastrophic care insurance. We know that this type of system works well in America and is widely accepted and popular, because we have the very successful example of Medicare for seniors. Effectively broadening the base of Medicare for other populations would prevent many of the bankruptcies caused by healthcare costs, and would cover many of the current uninsured. Public insurance would then be likely to pay for many emergency and geographically isolated health services, as well as public health services, pre and postnatal and early child care as well as care of some special populations who cannot afford private health insurance such as the unemployed, and certain impoverished or geographically isolated groups. Medicare for seniors would of course continue. These are areas where there will be less competition from private insurers who have typically kept away from them, but of course any private health insurers would be able to enter these markets and compete if they wished.

The private component would be funded with the aid of broader tax incentives or similar financial tools to encourage most people (or companies) to take out private insurance. The aim should be that at least 80-90% of the population should have private insurance, whether it be comprehensive insurance, or top-up insurance to support core government provided insurance. It is important to reach this level of insurance to ensure that we all are financially responsible for at least a reasonable proportion of our health care costs. Here the Republicans are right as it is important that we do not see health care as something that is provided for free. The private sector should offer a full range of services from birth to death, but the industry should be more carefully regulated so that they would, for instance, be prevented from excluding patients on the grounds of pre-existing conditions. They should also have the ability to charge extra for certain “non-essential” services such as cosmetic surgery.

These ideas are taken from what I consider to be the best parts of the American, Australian and British health systems. No country has a perfect health system, and no country ever will. America can afford to choose the best from other countries as it debates how to improve its health care system. Lets hope that Congress can be creative, look outwardly, and not get bogged down in political dogma.