How us health insurance works
U.S Health Insurance System
• Patients pay monthly health insurance fees to ensure that they will be covered in case of medical care.
• Insurance providers cover thousands of patients.
• The Medicare or Medicaid insurance works the same way but on a bigger scale.
• Insurance providers generally have a network of doctors that they have agreements with since they need to be able to negotiate.
• Patients are covered for visits to doctors within that network.
• Insurance providers will usually cover services considered necessary by doctors, but often will not cover services that are considered “elective.”
• Insurance companies aim to keep their costs down while still covering necessary health care.
Patient Protection and Affordable Care Act:
• The Obama administration attempted to address some of the issues with the Patient Protection and Affordable Care Act.
• Some major provisions of the law:
• Insurers are not allowed to refuse coverage because of pre-existing conditions.
• Minimum standards for health insurance policies were established.
• Medicaid eligibility expanded.
• Medicare underwent reforms aimed at greater efficiency.
• Individuals without employer-provided insurance are required to purchase health insurance.
• Health Exchanges were set up to offer consumers a good way to find suitable health insurance and to provide subsidies for those who need it. #insurance
#helth #insurence
