Questions/ Health insurance options

By:Kyla Constancio


Do you have kids?

What is your marital status?

Would you consider yourself, poor, middle class or rich?
What is your income?

Do you have any serious medical history?

Three options of health insurance

Voluntary health insurance- private health insurance, ex: blue shield, blue cross, cigna etc..

Social insurance- provided by government at all levels, ex: medicare

Public welfare insurance: based on financial need, ex: medicaid

Health insurance options (Managed Care)

Managed Care- a system of health care in which patients agree to visit only certain doctors and hospitals, and in which the cost of treatment is monitored by a managing company.

Health Maintenance Organization- a health insurance organization to which subscribers pay a predetermined fee in return for a range of medical services from physicians and healthcare workers registered with the organization.

Preferred Provider Organization-(PPO) A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.

Health insurance options (Government)

Medicare- This insurance covers people older than 65 years old, as well as permanently disabled under 65 years old. There are 4 parts of Medicare,

Medicare "Part A" and "Part B" are often called "Original Medicare"

Medicare "Part C" is often called "Medicare Advantage" plans or "MA Plans"

Medicare "Part D" is often called "Prescription Drug Coverage"

Medicaid- Covers economically disadvantaged, is a jointly funded, Federal-State health insurance program for low-income and needy people. It covers children, the aged, blind, and/or disabled and other people who are eligible to receive federally assisted income maintenance payments.

Tricare- formerly known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), is a health care program of the United States Department of Defense Military Health System. Covers active, retired military families.

What insurance do people need?

People who are economically disadvantaged should have Medicaid, it covers children along with disabled people.

Military families should have tricare, it's cheap, the copay is very little, and it covers children.

Wealthier families should have concierge medicine which is where they still have healthcare, but it's more expensive and provides a higher level of service.

Middle class people should probably use PPO because the less you use it the less you pay, Basically it's a pay as you go.