Health Insurance Needs
By: Zoe Bensley
Employment Based Health Insurance
- Your job pays for your health insurance.
- Typically you can choose between certain plans but better ones will still cost you money.
Astrid works at a Software Company that has different plans of health insurance. She has a reduced premium of $53. Astrid gets in a car accident and breaks her collar bone. The insurance she gets through her work paid for all her medical costs for the accident.
Private Health Insurance
- You pay for the insurance yourself.
- You are able to choose any plan that is out there.
Stella's work place does not pay for her health insurance so she has to pay for it herself. She has a $250 premium. Her insurance covers 85% of the surgery along with a $400 deductible she's been needing for a long time. Her surgery is $15,000, her insurance pays $12,810 and she only needs to pay $2,190 of the surgery.
Government Paid Health Insurance
- Primarily used for people over the age of 65 for their medicare.
- Or it is used for low-income families in the form of medicaid.
Skyrah's daughter Kadira needs her seasonal flu shot, which is typically $25 but her medicaid covers it for her so she does not need to pay.
Commonly Used Insurance Terms
HMO Health Plan: Organization that provides managed care for health insurance, self-funded states, and acts as a liaison with health care providers.
POS Health Plan: Combines characteristics from PPO and HMO.
FFS Health Plan: Services are paid for as itemized in the hospitals invoice.
8 - The brochure includes an example illustrating the need for insurance.
5 - The brochure contains a "Commonly Used Insurance Terms" section defining terms specific to health insurance.