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Understanding Health Insurance
Understanding Health Insurance
by Michelle A. Green
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Life and Health Insurance License Exam Cram
Life and Health Insurance License Exam Cram
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The New Health Insurance Solution: How to Get Cheaper, Better Coverage Without a Traditional Employer Plan
The New Health Insurance Solution: How to Get Cheaper, Better Coverage Without a Traditional Employer Plan
by Paul Zane Pilzer
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A Guide to Health Insurance Billing
A Guide to Health Insurance Billing
by Marie A Moisio
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PASSTRAK Life and Health Insurance License Exam Manual, Fifth Edition
PASSTRAK Life and Health Insurance License Exam Manual, Fifth Edition
by Dearborn
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Medicare

Medicare

Medicare is a governmental program which provides
medical insurance coverage for retired persons over
age 65 or for others who meet certain medical
conditions, such as having a disability.

 

Medicare was signed into legislation in 1965 as an
amendment to the Social Security program and is
administered by the Center for Medicare and Medicaid
Services (CMS) under the Department of Human Services.

Medicare provides medical insurance coverage for over
43 million Americans, many of whom would have no
medical insurance. While not perfect, the Medicare
program offers these millions of people relatively low
cost basic insurance, but not much in the way of
preventative care. For instance, Medicare does not pay
for an annual physical, vision care or dental care.

Medicare is paid for through payroll tax deductions
(FICA) equal to 2.9% of wages; the employee pays half
and the employer pays half.

There are four "parts" to Medicare: Part A is hospital
coverage, Part B is medical insurance, Part C is
supplemental coverage and Part D is prescription
insurance. Parts C and D are at an added cost and are
not required. Neither Part A nor B pays 100% of
medical costs; there is usually a premium, co-pay and
a deductible. Some low-income people quality for
Medicaid, which assists in paying part of or all of
the out-of-pocket costs.

Because more people are retiring and become eligible
for Medicare at a faster rate than people are paying
into the system, it has been predicted that the system
will run out of money by 2018. Health care costs have
risen dramatically, which adds to the financial woes
of Medicare and the system has bee plagued by fraud
over the years.

No one seems to have a viable solution to save this
system that saves many people throughout the country.

Disability Coverage

Disability insurance policies are designed to pay part
of your wages should you be injured in an accident or
are unable to work because of illness. Here are two
types of policies available: long-term disability and
short-term disability.

Short term disability pays a portion of your wages
should you be out of work due to injury for up to one
year. Some employers pay for this benefit for their
employees, some offer it for employees to purchase.

If you have a pre-existing medical condition, the time
to enroll is during the initial enrollment period when
a medical exam is not required.

Replacement of wages is only partial; insurance
underwriters, as well as your employer, want you back
at work as soon as possible. Usually there is a
waiting period of 14 days in which you will not
receive payment.

Long term disability policies are purchased to replace
what your potential earnings would be from the time
you become disabled until age 65 when Medicare would
be available.

For instance, if you are 55 and make $40,000 per year,
you should purchase a policy for $400,000.

You cannot get a long term disability policy if

(1) you are or are soon to be pregnant,

(2) make less than $18,000 per year,

(3) are unemployed, or

(4) you are required to carry a weapon for your job.

Typically, the waiting period for long-term insurance
to kick is at least 60 days and as much as a year.

Disability insurance is an important aspect of your
overall insurance coverage plan, and if your employer
offers it as a benefit you should definitely consider
it as a wise investment.

 

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