PUBH 1001 Chapter Notes - Chapter 11: Co-Insurance, Unemployment Benefits, Prescription Drug

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16 Jan 2018
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Out of pocket expenses: direct payments by patients used to fill in the holes of insurance coverage. Medicare: for person 65 and older, disabled people eligible for social security disability benefits and end stage renal disease. Designed primarily to cover hospital and doctor services. Funded by payroll of 1. 45% from employees----no income limit on the tax. A- covers hospital care, skilled nursing care, etc. B-voluntary supplemental insurance that covers a wide range of diagnostic and therapeutic services. Medigap policies: policies offered by private insurance companies, obtained by individuals to cover all or most of 20% copayment. C- special program designed to encourage medicare beneficiaries to enroll in prepaid health plans. D- new prescription drug coverage plan--open to those in parts of plan a & b. Medicaid: federal plus state program designed to pay for health services for specific categories of poor people and other designated ones for individuals.

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