Health Insurance Errors

Health Insurance Errors
Modern medicine has come a long ways in the past few decades. With those advances in medicine
have come higher medical costs. Today, most people rely on health insurance to cover most of those
costs. Unfortunately, it is all too common for health insurance companies to deny valid claims.
Health insurance coverage can be denied for a whole host of reasons. Administrative errors are very
common. Hidden gaps in coverage are also more common than you might think. A perceived lack of
medical necessity is also a commonly cited reason for denial. No matter why an insurance company
delays or denies an insurance claim, it can be extremely stressful. In those instances where the
insurance company is not paying a claim, you may need the help of a qualified
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Disadvantages Of Group Health Insurance
GROUP HEALTH INSURANCE
Are you running an organization with an employee–centric nature and planning to have a Group
Health Insurance?
Then you are making a right decision since Group Health Insurance will be a better choice. The best
gift you can give to your employees to make their lives more secure and happier can be made
possible through Group Health Insurance.
Have you still got any more doubts regarding Group Health Insurance? No worry! On the further
continuation of this blog, you will be able to find the present criteria of health issues with the
explanatory solution to overcome the unwanted situations.
Firstly let us know, What is Group Health Insurance?
Group health insurance is the Medical policy which is beneficial personally ... Show more content
on Helpwriting.net ...
Drawbacks of Group Health Insurance:
The employer is eligible to claim the policy as far as he is a part of the organization or in relation
to it.Once he is out of the organization, he does not have any access to the Group policy of the
organization(but still employee can opt for the option of portability depending on the Insurance
providers)
The Group Health Insurance is not customized according to the individual in the group
Renewal premium depends on claims availed in the expiring policy, increase in number of claims
also results in the increase of rate of premium
For every context, there will be pros and cons. On evaluating the pros and cons of Group Health
Insurance it is advisable to have a Group Health Insurance for a better development of the business
in all streams.
To know more about group health insurance stay tuned. Also, please don't forget to give your
feedback in the comment section below. Regarding Group Health Insurance Do please let us know
what you are looking for. Our experts will be more happy to understand your requirements and
suggest you the best

Affordable Health Insurance
Finding affordable health insurance can be difficult. Paying private health insurance rates can be
high and unrealistic for those without a stable source of income. However, there is hope for those
looking for affordable health insurance without breaking the bank. Health insurance company will
offer different products and policyholders can opt for guarantees or offers that fully meet their
expectations. To better guide subscribers in their choice, health insurance facilitate the search for the
best formula corresponding to their expectations and this also help in the comparison of offers and
prices existing in the market. According to your chosen company, health insurance can cover almost
all medical expenses, ranging from generalist or specialist consultations, from simple tablet pads to
lenses, or even hospitalization. This area is currently a very important investment. Health insurance
is mainly designed to supplement medical expenses that are not covered by the Social Security. Each
individual corresponds to his own mutual health. According to the needs of each, health insurance is
very wide and includes, among others, the dental insurance, the optical insurance, the family
insurance, insurance maternity, etc. ... Show more content on Helpwriting.net ...
In order to obtain better offers, it would be best to provide useful and important information such as
surname, first name, date of birth, age, contact details, occupation and information about relatives,
Insurance to provide a solution adapted to each search for health insurance.
Knowing where to look for good coverage is both a matter of patience and ingenuity. There are a
few basic steps you can follow to make sure that you will find the coverage you need to promote
your health continues at a price that fits your

An Introduction To Private Health Insurance
INTRO
Private health Insurance is a $1.42 billion (before tax) industry in Australia (Seah, 2012) and has
played a prominent role in the country's health system for over 60 years. As of 2009, 51per cent of
the Australian population was covered by some form of private health insurance. Private health
insurance is a regulated industry; this means it is controlled by government legislation under the
Private Health Insurance Act (2007). Private health insurers are required to register under this Act,
and the policies they sell must adhere to these regulations (Shamsullah, 2011). Due to the size and
regulation of the industry managers in the sector may face many complex challenges.
Complex management has been around for thousands of years. Basic management tools that were
used in the past have formed the foundations of the theories that have shaped today's management
practices. One of the major challenges in today's organisational environments is the
interconnectedness of all management aspects. It can be difficult for leaders to identify the exact
problem, the cause of the problem and what relevant information (within the available abundance) is
relevant and could be used to address problems (Maznevski, 2007). This study aims to analyse the
issues and problems faced by HealthCo and provide potential solutions and recommendations to
enhance management and business success.
BACKGROUND:
HealthCO is a longstanding, leading company in the Australian health insurance industry.

A Brief Note On Health Insurance And Insurance Essay
While on the topic of insurance, I will also need to start putting diverting some of my income to
cover health insurance, possibly disability insurance and even life insurance. I currently have an
HMO plan through Blue Cross Blue Shield of TX and the rates are astronomical. Health insurance is
one of the key factors I am using as I am looking for long–term employment. Since I am a student,
there are not many individual insurance policies available so I am forced to pay extremely steep
monthly rates, but am hopeful that the health insurance offered through my future employer will
allow me to receive access to better doctors at a lower overall price. Just as auto insurance and
renter's/home insurance is needed to help offset the costs of accidents that may occur, the cost of not
having health insurance is much higher than the rates I am currently paying so not having insurance
is not an option (not to mention without health insurance, you now receive a fine.) I also would like
to receive disability insurance through my employer to cover lost income as a result of an accident,
or illness. Other sources of disability insurance are available through social security, worker's
compensation, and private insurance companies, but as I stated, I would accept these benefits
through my employer, social security or worker's compensation but I am unlikely to purchase my
own individual disability policy. I currently do not have a life insurance policy as I have limited
assets and zero

The Health Of Health Care Insurance
The eating habits of people in the modern days have led to the increased health complications. Most
people are therefore turning to medical care through specialists such as nutritionists in order to learn
how to keep their bodies healthy. In addition due to the uncertainty of disease attack and its severity,
people have turned to health care insurance. Health care insurance is a medical plan that is aimed at
benefiting an insured person by covering the medical and surgical expenses (Enthoven, 2003).
The insured is the person who is covered by the policy and can be said to be the owner of the health
insurance policy. The provider on the other hand is the specific insurance service provider and can
fall in various categories such as: doctor, clinic, laboratory or pharmacy. Therefore, health insurance
policy in this modern days translates to any payment plans that is meant to cover emergency
procedures and which are mostly of a high cost. Health care insurance in some countries is included
in the employment benefit package as an employment incentive. This is mostly the case in countries
without universal healthcare covers, an example of such is the USA.
Consumers in a way deceive themselves by believing that this medical covers protect their own
health (Enthoven, 2003). The payment plan develops a mindset of total reliance on the medical
industry and medical services instead of focusing on their quality of life. In this view, a need arises
to change the existing philosophies

Health Insurance Essay
The main function for health care financing is to pay for health insurance premium and reimburse
health providers for services delivered. Still, there is a crucial challenge when creating health
insurance plans, provide coverage for "health care needs without encouraging unnecessary
spending." (Maas) Over time, health care financing has been evolving, and now consumers can
acquire health insurance through government programs like Medicare, which it is for the elderly, for
certain individuals with disabilities and end–stage renal disease. Therefore, any person who meets
the requirements can enroll to this program. Also, there is Medicaid, which it is the program for the
poor, and Children's Health Insurance Program best known as CHIP, which insure kids who come
from low–income families. Nonetheless, there are several types of private insurance like self–
insured plans, individual private health insurance, Medigap, and group insurance program, which it
is "... a substantial number of people in the group will purchase insurance through its sponsor." (Shi,
2019, p. 224) Further, thanks to the diversity and wide range of health insurance ... Show more
content on Helpwriting.net ...
219) Consequently, moral hazard has a negative impact in health care financing since people are less
likely to take care of their health when they have the ease to frequently consult a doctor and use any
medical service at any time, therefore with health insurance there is an increase in health care
spending, "but the value of this care is less than its cost, generating... loss." (Nyman, 2004)
Additionally, since such services are reimbursed to health care providers by health care financing
there is a "potential to increase health care costs." (Thoma,

The Cost Of Health Insurance
Health care expenses are a never ending headache that create numerous liabilities. Liabilities are
created when goods or services are purchased on credit and obtained through short– term and long–
term loans. Health care expenses create liabilities such that payments are made late or no payments
are made at all. In some cases, the cost of health care expenses are unaffordable resulting in those
type of payments. To prevent large health care debt, many individuals seek health insurance. Health
insurance is provided by private insurance companies or by the government. It covers health care
expenses and provides the necessary health care. Although, health insurance is necessary it can also
be very costly. The cost of health insurance has changed drastically over the years as it has become
more expensive. Depending on personal characteristic, the cost of health insurance may vary. For
instance, as individuals grow older the more expensive it becomes. In this case, health insurance is
more costly because "older individuals require more health care" therefore "the cost of providing
health care is rising" (Madura &Atlantic, 2012). Not only does this affect the high cost of health
insurance, but the number of individuals uninsured. As stated by Madura and Atlantic (2012), "about
one in every five workers is uninsured" and has increased since then because health insurance has
become unaffordable. As a result, individuals tend to seek health care elsewhere as they can no
longer

Health Insurance Stakeholders
The insurance system is an important topic for all providers, employees and individuals of this
country to understand. Insurance allows patients to be seen by healthcare providers without having
to pay large medical bills. It is the ability for physicians to treat patients and then able to get
reimbursed. Health insurance is a privilege in our country because not only does it save families
time from stressing about money, but also it allows each individual the ability to receive good
quality care. In fact, there are two forms of health insurance, social and private. Social health
insurance is a government–owned program that benefits the citizens of our country. There are three
types of social insurance, Medicare that covers elderly people, Medicaid that covers poor people and
... Show more content on Helpwriting.net ...
For example, if the patient has active insurance than the physician understands that they will get
compensated if the patient is seen. If the patient does not have insurance, most likely the patient will
not been seen because the doctor will not be getting reimbursed or paid for that visit. Some hospitals
have free–care programs where patients without insurance can receive free healthcare, but the
hospitals and providers are not getting paid, which can hinder the stakeholders (physician).
Therefore, if a patient has insurance, the doctor or healthcare provider is being benefitted. On the
other hand, a factor that burdens stakeholders is the fact that U.S. health insurance plans are highly
variable, and even the best plans do not cover all necessary care or provide first–dollar coverage
(Scheetz, 2015). Therefore, either the patients are not receiving good quality of care or the doctors
can perform the care, but they will not get reimbursed. Also since the Affordable Care Act (ACA)
was enacted, more patients are being seen, which causes the physicians to receive a lot less money
due to a lower fee

Health Insurance Case
3. Particular analysis results
Links between single variables of health insurance and all remaining variables accounted for 8.85%
of all network connections (Blue and red links in Figure 1. A full list of links is available in the
supplemental material). According to general analysis results, by exploring these links with
particular emphases on those constituting the most relevant relationships with demographics, culture
and income, we explain the role of health insurance in the whole landscape of social resources for
wellbeing.
Forty five pairwise links (23 incoming and 22 outgoing) constitute the relationship between health
insurance and demographic characteristics. As demographics variables such as age, sex, and relation
to household head ... Show more content on Helpwriting.net ...
This variable had also high indices of closeness (Pc=99.1 z=1.5), betweenness (Pc=97.3, z=3.3) and
hub weight (Pc=99.5, z=7.1). High indices as itinerant broker (participating in 31 triads, Pc=99.1
z=7.6) and liaison (152 triads, Pc=99.8 z=12.3) signaled its mediating role within and between
social variables in resources different to health insurance. According to its high gatekeeper index (14
triads, Pc=95.0 z=1.8), it also mediated between social variables and the health insurance
subnetwork, uncovering diverse population profiles without health insurance, such of children but
also elders with low retirement incomes or people being covered by social security, some regularly
out of the working force, and some with recent family

Disadvantages Of Health Insurance
Health Insurance Coverages
Health insurance coverage is a necessity used to decrease the cost of health care expense. Many
individuals require some version of health care coverage and depending on the situation, every
coverage has its own requirements. In the state of New Mexico, a discussion of the various health
insurance coverages based on age, employment, and status is being compared along the
contributions made to towards the premiums.
Medicare
Medicare is a federal health insurance program that targets individuals aged 65 years or older. Other
criteria that may qualify for Medicare is if an individual under the age of 65 has Lou Gehrig's
disease (ALS) or end stage renal disease (ESRD) (Olmos, 2017). Residents of New Mexico have
several options for types of coverage. Types of coverages offered in New Mexico is the Original
Medicare (Part A and B), Medicare Advantage, Medicare Part D and Medicare Supplemental
insurance also known as Medigap (Olmos, 2017). Part A and Part B includes hospital and medical
insurance. Medicare Advantage is considered Part C and during enrollment into this program,
premiums in Medicare Part B must be paid along with any charges from Part C. Medicare Part D is
the Prescription Drug Plan that provides coverage for prescription drugs. The Medigap is a coverage
that covers certain expenses that Original Medicare does not cover. Every individual is different and
may require different coverages.
Medicaid/Children's Health Insurance

Family Health Insurance
Third, I am going to discuss the family's health insurance plans. Alex's employer provides health
insurance through a comprehensive major medical plan with a $1,200 deductible and an 80–20 cost
sharing provision and a $5,000 out of pocket maximum. Alex uses a preferred provider organization
(PPO) managed care plan. The plan is noncontributory so the employer pays the entire premium to
cover Alex. Since Marty's father died at age 46 of cancer, the chance of Marty having cancer is
higher. They bought an AFLAC cancer policy for $50 per month on Marty and an accident–only
health insurance policy for $45 per month on the children. I think that Alex has a very good health
insurance plan because the deductible amount is $1,200 and also Alex's employer pays the entire
premium to cover Alex. A PPO contracts ... Show more content on Helpwriting.net ...
Family savings will be based on that estimate. When Marty's income changes, Marty can update his
application to adjust his coverage and savings. I would also suggest Marty have a Point of Service
(POS) health insurance plan. POS coverage will allow my client to maximize his freedom of choice.
Like a PPO, Marty can mix the types of care he receives. Also, Marty would pay only a nominal
amount for network care. When Marty choose to use network providers, there is generally no
deductible. If Marty chooses to go outside the POS network for treatment, he is free to see any
doctor or specialist he chooses without first consulting his primary care physician (PCP). Of course,
Marty will have to pay substantially more out–of–pocket charges for non–network care. Healthcare
costs paid out of his own pocket (deductibles and co–payments) are typically limited. The average
yearly limit for individuals is around $2,400. I think having to pay $2,400 a year for a health
insurance plan is cheaper than paying $5,000 for uninsured medical

Health Insurance
President Obama 's plan to insure healthcare for all marks a positive step for the well – being of our
country 's citizens. Still, the Patient Protection and Affordable Care Act (PPACA) also known as
ObamaCare has been one of the most controversial topics of our time. In order to understand why
this is such a controversial topic we must understand exactly what this act means to the people. The
Patient Protection and Affordable Care Act (PPACA) states that with limited exceptions, every
resident of the United States must have health insurance that must meets certain basic requirements.
Beginning in 2014, individuals who do not acquire health insurance will be subject to a fine. This
fine will rise over time, reaching $895 per person or 2.5 ... Show more content on Helpwriting.net ...
They all have to abide by the federal government 's requirement of covering 100 percent of the cost
for all medically necessary visits and procedures. Residents still pay for this indirectly through the
taxes they pay to the provincial and federal government. But unlike the United States, doctors and
hospitals are required to accept the fees that are set by the government. Japan has a universal health
insurance system. They require all of the residents of the country to either (a) enroll in one of the
many non – profit health insurance societies that are organized by industry or profession, or (b)
enroll in the health insurance program provided by the national government. The funds for the
system come from the premiums paid by the employees and firms as well as a payroll tax similar to
the tax that funds the Medicare program in the United States. Unlike the others system this one is
highly costly for the residents; they are charged a co –payment which can be as much as 30 percent
of the bill. The Japanese system does not cover preventative health care or any pregnancy related
visits. Similar to the United States system doctors are not government employees and most hospitals
are privately owned. In the United Kingdom the government, through National Health Services
(NHS), owns nearly all hospitals and directly employs almost all doctors. Because there

Health Insurance Benefits
Choosing a health insurance plan is not as difficult as what it used to be. It is much easier to
understand and research. When choosing a plan, consider which plans would be beneficial more.
Make sure that the provider that is used is in the network. Also, figure on how often go to a provider
or prescriptions. Are these plans flexible enough to fit in with the medical issues and needs of the
family or individual? Find out which essential benefits are included in the network. This way there
is no out–of–network costs that should not be. The following plans are simply share costs. The
Bronze covers approximately 60 percent and have lower monthly payments, silver covers 70 covers
percent, gold covers 80 percent, platinum covers 90 percent, and higher monthly costs and lower
out–of–pocket, then the Catastrophic for 30 ... Show more content on Helpwriting.net ...
This is how it works: Deductible is paid before the insurance pays. The copay is a fixed amount after
the deductible is paid; this may be different depending on the type of service too. Coinsurance is the
cost a person has to pay. The premium is the cost of what either the employer or someone has to pay
monthly. The following market plans to research are Exclusive Provider Organization (EPO): This is
also flexible, and do not need a referral for special services. The exception is hospital emergencies.
Health Maintenance Organization (HMO): Providers that work through a HMO, the exception is
emergencies. Point of Service (POS): One would pay less if using providers within the network.
Preferred Provider Organization (PPO): More flexibility and use the physicians outside of the plan.
There are also dental and vision in various plans. In addition, there are separate and stand–alone
plans too. When choosing a plan considers the following information: Several doctors and special
visits, the regular medical services, or use prescriptions, qualifying for out–of–pocket expenses, or
any hard

Medical Insurance And Health Insurance
Medical Insurance is a highly debated topic throughout the United States. The cost of health care in
the United States is on the raise and individuals are having harder times paying for their medical
insurance. Companies who provide medical or health insurance as a benefit for their employees are
becoming more and more popular. Employees need to know what is the benefit of having
employment based medical insurance, when and if they are eligible, and they need to understand
their plans in order to know what medical insurance provides them.
What is the Benefit? Medical or health insurance can help cover the high costs of several different
services that are associated with a person health and wellness. There are also several different types
As of 2011, the average amount paid by an employee for a single coverage plan is 921 dollars and
the average amount paid by the employer is 4,508 dollars. The average amount paid by and
employee for a family plan would be 4,129 dollars and the average amount paid by the employer
would be 10,944 dollars (Milkovich).
Medical insurance premiums could increase, based on different trends in the prices and costs of
different health services. Health care costs have risen by about 430 percent since 1984 for a number
of reasons. Some of the reasons that lead to higher costs of health care includes: longer life
expectancies, aging of the baby boom era individuals, and the prolong lives of the terminally ill
(Martocchio). There are also a number of other reasons that have caused higher costs for health care
and one of the biggest in my opinion would be the abuse of health care. Sometimes some people
will go to the hospital when they only have a cold, this causes longer waits and higher costs due to a
high demand.
There are a few things that employees should know about their medical insurance plan. Employees
should know how much the employer is paying on their premiums and if there is a copay for certain
visits. They also should know whether or not their plan covers prescriptions drugs, if so how much.
A lot of employees would like to have their families added to their plans, but the employee should
know who is eligible and the

America's Health Insurance Plan
America's Health Insurance Plan
Today's options for medical healthcare is a wide stream business that has took off when healthcare
became a hot topic on Capitol Hill. Thru the joining of American Association of Health Plans and
Health Insurance Association of America a new trade association was created. That medical health
insurance is called The America's Health Insurance Plans (AHIP) it's currently representing the
health insurance industry. Like such a large number of other focused medicinal medical coverage
AHIP is one numerous spots that a person will realize that they have an organization that pays
special mind to their wellbeing. AHIP has exceptionally solid perspectives on why individual ought
to end up becoming a member. They ... Show more content on Helpwriting.net ...
A huge number of industry experts depend on AHIP to give top notch promotion, instruction, and
data. The AHIP Center for Policy and Research is the exchange affiliation 's examination arm. The
middle distributes research on an assortment of types of private medical coverage, regularly in light
of review information accumulated from AHIP part organizations. The types of protection
contemplated incorporate inability to pay and long haul care protection and also distinctive sorts of
therapeutic cost protection. Wellbeing arranges assume an exceptional part in uniting those included
in human services. This coordination of consideration is key to wellbeing arrangements ' worth in
the framework. Patients get better care when it is composed consistently over numerous specialists,
offices, and remedies or medications. Medical facility arranges likewise have entry to clinical
information from a huge number of associations with social insurance experts
In December 2008, AHIP distributed its recommendations for human services change like taking off
social insurance costs because of extortion and waste. It conceded that lower spending ordinarily did
mean lower quality. It encouraged that an open private Advisory Group ought to be tasked with the
occupation of controlling and lessening inefficient and pointless spending, changing the prizes
structure to support quality and results as opposed to volume of work, and streamline authoritative

Advantages And Disadvantages Of Group Health Insurance
GROUP HEALTH INSURANCE
Are you running an organization with an employee–centric nature and planning to have a Group
Health Insurance?
Then you are making a right decision since Group Health Insurance will be a better choice. The best
gift you can give to your employees to make their lives more secure and happier and this can be
made possible through Group Health Insurance.
Still in dilemma to have Group Health Insurance? No worry! By the end of this blog, you will get a
clarity regarding the advantages and disadvantages of Group Health Insurance.
Firstly let us know, What is Group Health Insurance?
Group health insurance is the Medical policy which is beneficial to every individual in the
organization provided by the insurance companies. In order to stop the drain of ... Show more
Drawbacks of Group Health Insurance:
Employee is eligible to claim the policy as far as he is a part of the organization or in relation to
it.Once he is out of the organization, he does not have any access to the Group policy of the
organization(but still employee can opt for the option of portability depending on the Insurance
providers)
The Group Health Insurance is not customized according to the individual in the group
Renewal premium depends on claims availed in the expiring policy. Increase in value of claims
also results in the increase of premium
For every context, there will be pros and cons. On evaluating the pros and cons of Group Health
Insurance it is advisable to have a Group Health Insurance for a better and happy life.
To know more about group health insurance stay tuned. Also, please don't forget to give your
feedback in the comment section below.Do please let us know what you are looking for. Our experts
will be more happy to understand your requirements and suggest you the best

The Legacy Of Health Insurance
As an individual becomes a part of something it is almost always necessary to comprehend the
history and reasoning behind the way things are being completed in today's world. With this being
said, the history of health insurance has flourished throughout the centuries. With health insurance
being one of the most needed household items, in the 1920s, the situation was somewhat a different
story. In 1919, there was a study directed in Illinois to show that the wages that were lost from the
individuals being out sick were actually four times larger than the incidentals linked with curing the
illness. As the world was moving forward so was the need for health insurance. In the 1929, a group
of Dallas school teachers made an agreement with the Baylor hospital to arrange for 21 days of
hospitalization for $6 per year. Then in 1930, blue shield came into the insurance world with plans
for people using physician services. With blue shield becoming an available insurance company, the
businessmen soon realized that those who worked a job were healthier and better for business.
Further marketable carriers began to raise the value of the business sense and they soon began to
outperform blue cross/blue shield. As the insurance companies were becoming a booming business,
in 1954, section 105 was added to the internal revenue code. This allows an employer to offer a plan
to reimburse employees, medical expenses which include insurance premiums. Developments in
medical equipment alongside

Health Insurance And Social Insurance
Neupane 1
Sujata Neupane
Professor Hinds
April 05, 2016 Health Insurance
One of the important insurance that a person should do is health insurance. Medical expenses are so
much higher that every person cannot afford when they were suffering from major illness or an
accident. Health insurance is a method or a way to pay medical expense in exchange for premiums.
Simply health insurance is a contract between the insurance company and an individual or their
sponsor. These insurances can be monthly, annually, or lifelong depends on the people demand. If a
Similarly the hospitals and medical coverage policies were developed during the first half of the
20th Neupane 2 century. Even private health insurance is unaffordable or imply unavailable to
many, including the poor, the unemployed, and elderly. Before 1965, only half of seniors had the
health care coverage and they paid three times as much as younger adults pay in spite of having a
low income source. Having health insurance is important for several reasons. Uninsured people get
less medical care and timely care, have worse health outcomes, and lack of medical insurance is
burden for people and for their families. The benefits of health coverage outweigh the cost of
additional services. In case of the United States, insurance has become the method for people to pay
for their health care costs. Insured people pay the insurance bill every month which helps them to
deduce the cost of major unexpected medical incidents. Well, it's not like that all the people in US
are insured. There are lots of people who are uninsured. People not having health insurance have a
profound negative effect on personal finances. Lack of insurance direct effect on person life by
bankruptcy, reduction of income, and penalties. If a person has suffered from major illness or an
accident occurs when they were uninsured, then it might

Health Insurance History
History of Health Insurance in the United States Health insurance has a long and extensive history in
the United States. The history or beginning of health insurance can be traced back to the Great
Depression in the 1930s. The Depression affected several indigenous hospitals in the United States.
In order to ensure adequate payment for medical services during the Great Depression, hospitals and
physicians had to establish and implement different types of insurance. The health insurance was
also meant to cover different types of injuries and sicknesses at work environments. In the same
period (Great Depression), managed care and conventional insurance were also brought into
existence. Managed care was later developed in the 1980s. ... Show more content on Helpwriting.net
...
Also in the 1980s, the private health insurance sector witnessed drastic changes while the Prepaid
group practice plans (now generally known as HMOs) started enrolling more members on the plan.
In addition, the period also witnessed the development of point–of–service (POS) and the preferred
provider organizations (PPOs). One of the major events in the 1980s as regards to the history of
health insurance in the United States was the enlargement of Medicaid and Medicare for the benefit
of pregnant women and children. The major highlight of this event was when Congress made the
decision to expand (also known as SOBRA expansions) the Medicaid coverage to pregnant women
and children with total income classified below 133% of the federal poverty level. The expansion
also meant that Medicare now includes prescription drug

Indemnity Health Insurance Essay
Indemnity Health Insurance Coverage is one that gives the policy holders a unique chance to use the
services of a medical service provider (it may be a hospital or just the doctor) and share the bill with
the insurance firm. The very characteristic of the Indemnity Health Care Insurance is that the policy
holder and the insurance company both pay a part of the medical bill as an part of the contract.
This article discusses the various features of the Indemnity Health Insurance. For the last few
decades the indemnity health insurance had been one of the most common health care policies that
almost every American had owned. But with the latest developments in the field of health care
policy, advanced strides have been taken to formulate more affordable health care policies.
Nowadays, any average American prefers to buy a policy that in a systematic and handy way
provides the various medical services and at the same time pays for them as well. That is why the
new age custom ... Show more content on Helpwriting.net ...
Anyone who has an Indemnity Health cover can use the services of any medical practitioner or any
other kinds of medical service, only the bill needs to be forwarded to the insurer and the medical
costs are instantly reimbursed. Either the policy holder or the medical service provider can forward
the bill and the rest of it is taken care of by the insurer. However, for this smooth processing the
policy holder is required to have paid the deductible amount before hand.
The Indemnity Health Care policies also pay a part of the customary charge that is usually kept
reserved for all the covered medical services. The insurance firm pays for as much as 80% of these
costs. The policy holder is such circumstances is supposed to coinsure just the 20% of the rest of the
cost. In case the medical services used cost more than the allotted customary charges, the policy
holder will have to pay both the coinsurance expenses as well as the excess amount, if

The Health Insurance Industry
Health insurance is a critical component that strives to offer quality healthcare. Uninsured
individuals often receive a less intensive medical attention, drag heavy financial burden to their
caretakers and are often victims of undesirable health outcomes (Bovbjerg, & Hadley, 2017). Also,
an increased healthcare cost highly affects the US economy and individual family budgets along
with the State and Federal budgets. On the contrary, possessing health insurance leads to healthier
children and adults who can focus on school, be more productive and excel in their fields. Therefore,
it is the responsibility of the health insurance market to provide high quality health insurance with a
possibly lowest payment while making sure that they have a ... Show more content on
Helpwriting.net ...
The modern–day healthcare is evolving to the extent that can hold an enormous amount of patient's
records while ensuring that a patient's health is monitored more individually. However, the health
insurance companies adhere to the traditional insurance practices which revolve around pricing the
health risks based on the generalized information regarding ailments. Hence, new healthcare
structure indicates that each potential health insurance consumer will present the insurance firms
with varying insurance requirements. As a result, the insurance firms will require to go beyond their
current responsibilities to not only offer insurance coverage but come to agreeable terms with their
consumers and establish preventative measures to reduce their risks. It is evident that with an
increased competition and more individualized health records, the insurance firms will need to offer
more individualized insurance services to survive in the thriving market. Thereby, it can be affirmed
that the future market will be characterized by savvy technologies, consumer centered insurance
services and flexible and cost–effective insurance

Health Insurance Subnetwork
RESULTS
1. General analysis results
The basis of general analysis (Figure 1) was a shrunken version of the network additionally adjusted
by the proportion of variables in each subnetwork of social resources. Into the general shrunken
network, health insurance subnetwork connected with 15 (83.3%) subnetworks of other social
resources by 29 shrunken links accounting for 15.67% of all connections, which was the higher
value and equal for demographics subnetwork. Relationships with 13 subnetworks (72.2%) of social
resources were cyclic (including incoming and outgoing links).
According to centrality indexes calculated for each shrunken subnetwork, health insurance ranked
6th by degree (general, in and out–degree) and betweenness, and 7th by closeness ... Show more
The middle left community shows single adults as a profile significantly linked to 'no any health
insurance'. The bottom left community signals the coexistence of direct purchase of insurance with
public insurance through Medicare, Medicaid, Tricare and no insurance through employer, as well
as it shows the overlap between Tricare and

Health Insurance Exchanges ( Hix )
HEALTH INSURANCE EXCHANGES
Health insurance exchanges (HIX) are the marketplaces which are established based on the
Affordable Care Act provides customers at an individual level or to small businesses, health
insurance which they can compare and purchase from private insurance companies. Individuals can
make use of the state level exchange depending on one's state residence or can purchase insurance
from a federally facilitated exchange which is accessible at Healthcare.gov website. (1)
Affordable Care Act requires every state to either operate their state exchange or use federally
facilitated exchange to provide affordable healthcare coverage to individuals and small businesses as
a means to increase the access to health ... Show more content on Helpwriting.net ...
ACA also proposed federal subsidies to individuals with household income lying between 100% and
400% of federal poverty level without the employer sponsored coverage or individual health
insurance is made eligible for federal subsidy grants by helping those individuals to pay for
coverage through the health insurance exchanges(2). For state based exchanges, it should efficiently
operate in assessing the eligibility for programs like Medicaid and Children 's Health Insurance
Program (CHIP) by providing and determining the premium tax credits and cost sharing subsidies
for the individuals who are going to purchase insurance from the exchanges. (3) For individuals to
qualify for subsidies these Health insurance exchanges are the only place to enroll and obtain the
subsidies.
Based on the Patient Protection and Affordable Care Act (PPACA), by 2014 it is mandated that
every individual is obliged to have health coverage which may be provided by the employer or can
purchase the coverage plan through private insurance companies off the exchanges or can buy
through public health insurance exchanges and apply for subsidies if unaffordable and if the
individual opts for not purchasing health insurance except qualified for individual financial
exemption is obliged to pay tax penalties.(6) Similarly, for small businesses with 50 or lesser
employees, employer should provide fully insured plan or offer a self– funded plan if accepted by
the

Health Insurance
INSURANCE LAW PROJECT | HEALTH INSURANCE AND REGULATORY ISSUES UNDER
IRDAACT 1999 | Rudresh Pratap Singh Roll No. 49 Semester V RMLNLU |
Contents INTRODUCTION 4 The Insurance Regulatory and Development Authority 5 Regulatory
issues in the health insurance business 5 It should be the duty of the regulator (IRDA) to ensure that
the new entrant in the health insurance sector: 5 II. Regulations Pertaining To Consumer Protection
8 Relationship Between Insurers And Providers 9 Is A Health Insurance Policyholder A Consumer?
10 III. Regulations Pertaining To The Functioning Of Third Party Administrators 10 Operational
Requirements 11 Other Requirements ... Show more content on Helpwriting.net ...
2. Section 27–D of the IRDAAct, 1999 specifies that the regulator (IRDA), may in the interests of
the policy–holders specify the time, manner and other conditions of investments of assets to be held
by an insurer by regulations.
3. Section 32–B of the IRDAAct, 1999 lays down that every player in the insurance market must
undertake such percentage of life insurance and general insurance in rural or social sector as may be
specified by the Authority in Official Gazette in this behalf after coming into force of the 1999 Act.
4. Section 32–C of the IRDAAct, 1999 deals with the obligations of insurers in respect of rural or
unorganised sector and backward classes. The section specifies that it shall be compulsory for every
insurer in the health insurance to provide life or general insurance policies to persons residing in the
rural sector, workers in the unorganised or informal sector or for economically vulnerable or
backward classes of the people and other categories of persons as may be specified by regulations
made by the Authority after the commencement of the 1999 Act. In the event of insurers failing to
fulfill the social sector obligations, a fine of Rs. 25 lakhs would be imposed the first time.
Subsequent failures would result in cancellation of licenses.
It shall also be the duty of the regulator concerned to ensure that all health insurers participate and
contribute into the

Problems With The Health Insurance
In America we have many problems that society may view as harmful or problems that need a
remedy to fix, there problems are called a social problem. Social problems can range from school
problems to drug problems. Each person in America can have their own opinion of what a social
problem is to them. Just like with time, social problems will change, some will come and some will
go. So, for right now in time one of the biggest social problems I can see in America is the
healthcare. There are many problems with the health insurance in America. According to our books
in America some of the biggest problems are: Medicare, Medicaid, Military Healthcare, Workers'
Compensation, Complemtary, and Alternative Medicine. The book states that there are a few
strategies for action people can take to make these problems go away, such as: Selective primary
healthcare, Comprehensive primary healthcare, fighting obesity, work wellness programs, public
education, and the Affordable Care Act. (Linda A. Mooney, 2015) In this paper I am going to discuss
the biggest problems in America that involve healthcare insurance, how to fix these problems, and
the possible outcomes. As was previously stated, there are many social problems in healthcare, but
the biggest problems are: Medicare, Medicaid, Military Healthcare, Workers' Compensation,
Complentary, and Alternative Medicine. Now I will break each one of these down and explain why
they are the biggest problems. Medicare is a type of insurance that

Mandatory Health Insurance
Mandatory Insurance Coverage for Women's Reproductive Health
Critique of Health Policy Position Statements
All people in America should have a right to health–care benefits and services considering health
care is at the center of the national agenda. Mandatory health care insurance is a system that pays
the cost of health care for those who are enrolled and in which enrollment is required for all
members of a population. Insurance works by people pooling together their risks of incurring
expenses, not knowing whether they will file claims but choosing to insure for the emotional and
financial security coverage provides. In health insurance, the norm in America has been that
guaranteed issue leads people to wait to purchase a policy until they ... Show more content on
Helpwriting.net ...
Recommendations on women's preventive health care, including contraception, have been
developed by a panel of the Institute of Medicine (IOM) after the reforms were enacted and became
binding for many plans. There is need to prioritize the aspect of guidance from the government to
the insurers concerning the plans owing to the complexity of reproductive health matters including
on preventive matters. Preventive services requirements include a wide array of services beyond
contraceptive care that are central to the sexual and reproductive health of women but the biggest
challenge is how much the public will learn about other preventive care services that these same
plans must also cover without patient cost–sharing. Reproductive health isn't all about treatment.
Prevention, counseling, and checkups matter as well, and they should be covered comprehensively
by sealing all the loopholes that insurance plans

The Cost Of Health Insurance
"In 2012, the United States of America (USA) spent more than 2.8 trillion United States dollars
(US$) – i.e. more than 17% of its gross domestic product (GDP) and more than the entire GDP of
the United Kingdom and Great Britain and Northern Ireland – on its health–care system" (Rice et
al., 2014, page #). This outrageous number in the quote shows to what extent the United States
government is really going to in order to provide coverage for its citizens. The cost of health is
rising day by day, and the current rate of health insurance is unable to really help those in need of it,
such as the poor or less fortunate. Therefore, in order to take preventive measures for people to treat
their well being, health insurance agencies should provide ... Show more content on Helpwriting.net
...
With a simple yet effective insurance plan that covers basic support for these poor families, they can
work their way up to paying off the plan in a set number of years as becoming a client of a health
insurance agency. The United States government is basically throwing money away on trying to
figure out how to help everyone but not really implementing much. If affordable coverage could be
provided to all, including those with families, through a plan where citizens work and then receive
insurance based on their ethic and employment, this could possible help with not only health care
problems but unemployment as well.
Problems of Health and Cost to Cover the Problems Lots of health issues can be focused on here,
but there are some evident ones that show up in impoverished homes. These mainly include asthma,
obesity, diabetes, high/low blood pressure, an innumerable amount of cardiac conditions, and many
mental illnesses as well. The numbers of diseases are increasing day by day and now more than ever
before showing up with HIV, AIDS, and parasitic problems too. In reality, and in the eyes of the
poor their problems are denied and so is their proper care, because of the lack of money and care
they are provided. The poor must compensate by overlooking agencies because of all the restrictions
that they fit under. As stated in Health Services Research (2014), "The exclusion of a substantial
proportion

Definition of Health Insurance
Definition
Health insurance is insurance against the risk of incurring health care related expenses. It
indemnifies the insured for the related financial loss. It is important to note that health insurance is a
form of short term insurance. Disability, critical illness and long–term care insurance are all
subclasses of health insurance.
When an individual buys health insurance, he/she enters into a contract (policy) with the insurance
company so that for a monthly premium, the insurance company will provide cover for medical
expenses incurred. The level of cover and the health care providers allowed will range between
different products. Coverage will include visits to doctors or hospitals, prescriptions, cost of medical
examinations or ... Show more content on Helpwriting.net ...
(Obringer & Jeffries, 2006)
There are many different types of health insurance, the main forms include:
Health Maintenance Organizations (HMOs) and Exclusive Provider Organizations: Where you
choose a primary care physician. You are then cover for care received from specifies hospitals and
doctors, all other care providers are not covered.
Preferred Provider Organizations (PPOs): You pay higher fees for care received from a preferred
provider list and higher fees for all hospitals and doctors visited that are not on the list.
Point–of–Service plans (POS): Combination of HMO and PPO.
High Deductible Health Plan (HDHP): A cheap form of health insurance with higher deductibles.
Catastrophic Health Insurance Plan: Provides cover in the event of an accident or serious illness.
(HealthCare.gov, 2014)
Other health care related products that aren't indemnifying include:
Hospital Cash cover: Provides a cash lump sum per day that you are in hospital. Can also provide
some cover from loss of income.
Medical Gap Cover: insures you against the event that there is a shortfall between the cover your
medical scheme provides and the actual payment required. The two main risks that all standard
health insurance products provide cover for are:
Pharmaceutical expenses, doctor visits and tests: High frequency and low cost.
Hospitalization: Low frequency and high cost.
(Rosner, Leppert,

Health Insurance Matrix
University of Phoenix Material
Health Insurance Matrix
As you learn about health care delivery in the United States, it is important to understand the various
models of health insurance to develop a working knowledge as you progress through the course. The
following matrix is designed to help you develop that knowledge and assist you in understanding
how health care is financed and how health insurance influences patients and providers as important
foundational information for your role as a future health care worker. Fill in the following matrix.
Each box must contain responses between 50 and 100 words using complete sentences.
Include APA citations for the content you provide.
Origin: When was the model first used?
What kind of ... Show more content on Helpwriting.net ...
Indemnity health plans run on a retrospective payment system. A member has a monthly premium.
Co–pays and a deductible. Upon visits the provider submits claims for services rendered to the
insurance company, upon which the insurance company pays their part and the member is billed for
the remaining balance to be paid out–of–pocket.
With indemnity plans employers deduct the monthly premium from payroll of each employee on the
plan. Both the member and the insurance company pay for services rendered. Upon receipt of the
services the insurer pays the provider their portion if the deductible has been met. The member is
then responsible for the remaining balance and the co–pay at the time of service.
The structure of an indemnity plan is completely "open access". The member may choose any
provider or specialist they would like. In an indemnity plan there are no restrictions on providers or
provider type. It is the member's responsibility to seek and sign on with their preferred provider or
specialist.
Positive aspects of indemnity plans include the liberty of the member to choose their preferred
provider or specialist and their preference of type of care they wish to receive. A negative aspect of
indemnity plans from a members stand point is the cost of these plans. Premiums and deductibles
then to be higher with indemnity plans over other insurance plans due to the freedom

Health Insurance Pros
Have you ever thought for a moment if you got an accident and you are not health insured? What
this mean? It means help of medical expenses and hospitalization charges. Health insurance is
simply the risk of incurring any sort of medical expenses. Unfortunately, only 6 out of 10 people
think that health insurance is important (Blakely). There are two contrasting viewpoints regarding
compulsion of health insurance at government level. The debate of health insurance to be required
by law opens up many debates. Several people perceives it a trouble: many think it is beyond access
of low income group and other think that health insurance provides security to them. I believe health
insurance is an essential part of living and is a precautionary ... Show more content on
Helpwriting.net ...
The opposition might be convinced with benefits of health insurance, however, they have objection
over health insurance price being costly. It is not easy to buy health insurance policies due to
mountain high premiums. A person who hardly makes both ends meet cannot afford to purchase
health insurance. Health Insurance is an extra burden to the public. Dashiell Bennett in an article
pointed out towards words of former president Barak Obama who said, "People want to have health
insurance but they aren't able to pay high insurance premiums". (Bennett, 1). The opponents believe
that instead of paying high premiums people can make compulsory savings at regular period that
they can use rainy days. People can save a lot by not having health insurance. If they have health
insurance the low income group suffers they might just keep giving half of the income they are
earning just to wait till they get sick and need the medical payment. It can keep them in continuous
strain of saving money for insurance premiums by squeezing other necessary

The Health Care And Insurance Industries
Climate Change. Insurers are central to how we deal, or don't deal, with climate change. They price
the risk facing property owners, and others, from weather events. These companies could become
financially vulnerable if they fail to properly account for the risks they face from climate change
since it is about a $23 million global investment. Damage claims could rise significantly when the
atmosphere warms up due to the retention of moisture, which can cause more extreme weather, such
as more powerful hurricanes and increased flooding. Damages to this extent could create massive
liabilities.
Employee Protections.
 Laws against unfair discrimination at work and when applying for jobs.
 No unfair discrimination on the basis of race, religion, sex, age, or color.
 Business can not dismiss the workers because they have joined a trade union or for being
pregnant. There needs be proper warning before dismissing a worker otherwise it will be treated as
unfair dismissal.
Obamacare. The health care and insurance industries continue to be significantly affected by the
enactment of the health care reform law under President Barack Obama. Insurance companies were
forced by law to accept high–risk customers, resulting in an increased number of claims and
payments due to "free" insurance. Insurance companies posted significant losses and have petitioned
the DOI to raise rates in an attempt to counter the losses.
Economic Forces
Employment. The economy tends to

Health Insurance Fraud Essay
Faking a death is the most common type of life insurance fraud and has even been the plot of many
movies, books and shows; although it is difficult to pull off. This occurs after a person takes out a
life insurance policy on their self and after a few months of it being in effect they disappear and are
declared dead. Then the beneficiary, a family member or spouse, then attempts to collect the life
insurance policy
"Double–billing" is a scheme that is common in health insurance fraud. Doctors will bill for
treatments that were not rendered or medically necessary as well as billing for a different service
that is covered under the patient's policy instead of billing for a treatment that is not covered.
Patients may not even realize they are ... Show more content on Helpwriting.net ...
Insurers can refuse to pay claims or delete claims, deny or cancel coverage as well as underpay
medical expenses. Fraudulent insurance companies can also collect premiums and pay for
inexpensive care before disappearing if a large claim is filed. It has also been known for companies
to look through insurer claims to intentionally drop them saying the insurer did not disclose
previously.
One of the most targeted insurance lines is auto insurance fraud. There are many known schemes
that take place in this fraud that can vary in seriousness and complexity. There are small schemes to
defraud; filing multiple claims for a single injury, filing claims for vehicle damage or injuries that
were not caused by and auto accident and padding the cost of repairs. The schemes can become
more complex involving staged accidents, faking injury or falsely reporting a stolen vehicle.
Other schemes in auto insurance fraud occur mostly to avoid paying higher premiums. People might
register their car in a different town so they have cheaper rates. It is also common for fake primary
drivers to be listed to avoid a bad driving record or young drivers that are indeed the sole driver.
Another scheme is a policy holder reporting a false auto insurance claim that occurred before the
policy period

Impact Of Insurance On The Health Insurance Market
Impact of employer–provided health insurance on the health insurance market
Introduction
Health insurance has been a topic of discussion lately due to its impact on the nation 's health status.
Recently, President Obama passed the health insurance reform so as to facilitate the accessibility of
health to the majority of the US citizens including the uninsured. In the US most of the
organizations both private and public have provided a medical cover for their employees and this
paper will discuss the impact of this provision on the economy based on the population health, the
impact on both private and public healthcare spending and finally the paper will focus on the impact
of employer–health insurance on the future generation.
Economic impact on population health
Employer–provided health insurance is an important tool for the economic growth of the country as
well as the promotion of the general public well being. First this form of insurance provides
psychological and physical well–being of the employees' health (Kim 19). When an employee is
provided with a health care cover they reduce the worries of what will happen if they fall sick and
this facilitate to being at peace which in turn increases the productivity of the workers. When the
employer provides a medical cover the employee is sure that he will receive quality treatment
whenever he is sick, also in case the employee falls sick he will receive health care services as
provided in his cover which will, in turn, lead

Plan For Purchase Health Insurance
. If you were going to purchase health insurance today, which of your "Top
Two" plans would you choose and why? Include the rationale for your choice and information about
the deductible, premium, co–pay, and specialist information.
When purchasing insurance it is extremely imperative that one assesses all of the benefits,
specifications, and details offered in order to choose the best plan in regards to deductibles, co–pays,
and coinsurance–just to name a few. Among the "Top Two" plans that I chose, if I were to purchase
health insurance today I would choose the United Healthcare Silver Compass H.S.A. 3600 plan, as it
fulfills my healthcare needs the most. This specific plan has a $500 deductible, full premium, and $0
copay after the $500 ... Show more content on Helpwriting.net ...
However, in the event that I need emergency and urgent care services, outpatient or inpatient
services, prescription drug coverage, preventative care services or to have imaging done, I am
covered at no charge after the $500 deductible. Overall, anything could happen in the course of a
year that costs more than $500 dollars and if it does happen, any other services after will be covered,
as the out of pocket limit is $500.
b. Is your selected plan classified as an HMO or PPO? Explain.
The United Healthcare Silver Compass H.S.A. 3600 plan is classified as a HMO plan, meaning such
plans offer a wide range of health care services through a network of providers that contract
exclusively with the HMO, or who agree to provide services to members at a pre–negotiated rate.
Since this is a HMO plan I will need to choose a primary care physician who will provide most of
my health care. In addition, this plan is best for me because I value preventive care services such as
coverage for checkups, immunizations, and similar services.
c. How simple or difficult was the process of requesting a quote? Why was this process simple or
difficult?
The process of requesting a health insurance quote was quite simple because the primary applicant
information only asked for simple information such as gender, tobacco use, household income, and

Health Insurance Claims
In order to process health insurance claims there are two standard forms. The CMS–1500 Claim
Form, this billing method is used for physician and supplier services (ex: specialists, dentists,
ophthalmologists, durable medical equipment) and the CMS–1450 Claim Form (UB–04), used by
hospitals, rehabilitation centers, clinics, and ambulatory surgery centers to process both inpatient
and outpatient services (ex: medical expenses [bed pans/pads], x–rays). Over many years updates
were made for each form with numerous changes being made, so any old forms should be discarded
to prevent denial of a claim. Both forms are used for Medicare, Medicaid, and many commercial
third–party payer claims. Paper claim forms are still in use today on the brink of

Health Insurance
INSURANCE LAW PROJECT | HEALTH INSURANCE AND REGULATORY ISSUES UNDER
IRDAACT 1999 | Rudresh Pratap Singh Roll No. 49 Semester V RMLNLU |
Contents INTRODUCTION 4 The Insurance Regulatory and Development Authority 5 Regulatory
issues in the health insurance business 5 It should be the duty of the regulator (IRDA) to ensure that
the new entrant in the health insurance sector: 5 II. Regulations Pertaining To Consumer Protection
8 Relationship Between Insurers And Providers 9 Is A Health Insurance Policyholder A Consumer?
10 III. Regulations Pertaining To The Functioning Of Third Party Administrators 10 Operational
Requirements 11 Other Requirements ... Show more content on Helpwriting.net ...
I. Regulations pertaining to financial requirements
In an era of "cut–throat" competition where strict financial requirements may lead to financial
instability and bankruptcies, the key should be an achievement of a harmonized approach between
the extremes.
The regulator's obligations as regards maintenance of financial requirements can be analysed from
three perspectives:
1. Entry Requirements
2. Operation requirements and
3. Exit Requirements
1. Entry Requirements
It should be the duty of the regulator (IRDA) to ensure that the new entrant in the health insurance
sector:
Fulfils the Capital Requirement, i.e., has a minimum capital of Rs. 100 crores;
According to the Statement of Objects and Reasons of the Insurance Development and Regulatory
Authority Act, 1999, the duties, powers and functions of Authority, inter alia, include regulation and
maintenance of margin of solvency.
Section 6 of the IRDAAct, 1999 deals with the requirements as to capital.
This section sways that no insurer carrying on the business of life insurance, general insurance or
re–insurance in India on or after the commencement of the 1999 Act shall be registered unless he

has:
(1) A paid–up equity capital of Rs. 100 crores,

Rationale Of Health Insurance Expansion
Health Insurance Expansion
Rationale of Health Insurance Expansion.
In 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) (HHS,
2014). This law placed health insurance reforms put consumers in charge of their health care choices
(HHS, 2014). The Affordable Care Act has been working to make health care more affordable,
accessible with high quality for families, seniors, businesses and more (HHS, 2014). This law also
was intended to change the Medicaid programs by providing federal funding for states to adopt a
national Medicaid income–based eligibility standard, improve Medicaid reimbursement for primary
care services, maintain the existing Medicaid and CHIP eligibility requirements, and improve the
Medicaid enrollment process (ACP, 2013).
There are many benefits of the ACA such as, free preventive care, prescription discounts for seniors,
small business tax credit, health insurance marketplace, coverage available for children up to the age
26, yearly wellness visits, and more (HHS, 2013). The Medicaid expansion is one of the biggest
milestones in health care reform (Obamacare facts, 2015). The Obamacare Medicaid expansion
expands Medicaid eligibility to all individuals and families earning below 138% of the Federal
Poverty Level (Obamacare facts, 2015). This included individuals who were not previously eligible.
However, in 2013, the Supreme Court ruling made the Medicaid expansion to states voluntary; this
overturned the ACA's authority to

The Issue Of Health Insurance
Currently, the issue of health insurance has been a bone of contention for the public regarding
whether the United States government should provide this health plan or not. People often possess
different perspectives and refer to pros and cons on both sides of the spectrum. While some believes
a universal healthcare system will set a foundation for a lower quality of service, increasing
governmental finance deficit, and higher taxes, others do not hold the same thought. A universal
healthcare system brings enormous advantages rather than disadvantages, such as all–inclusive
population coverage, convenient accessibility, low time cost, and affordable medical cost, all of
which not only provide minimum insurance to the disadvantaged but also improve the efficiency of
medical resources distribution. When it comes to the healthcare system, the root of it can be tracked
back to the nineteenth century. At that time, compared to a private company, most of the service
providers were hospitals, which provide a people free–charge service and inexpensive medicine
because they were not profit–oriented institutions. To some degree, the expenditure of a household
on healthcare at that time is lower than the one of a modern household. Hospitals played an
important role in offering the disadvantaged healthcare resources and fundamental treatment. As the
number of patients increased, they still needed working capital to support their expenditure. Most
sources of money were from

Health Insurance Errors

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