19 Sep 2022

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Federal and State Medical Care Programs and Private Insurance: What You Need to Know

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Academic level: College

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Health in the US is offered by many distinct organizations, with private sector businesses accounting for the largest operators. The not for profit community hospitals account for over 58% while the government owns 21% and 21 % are for profit. As such, healthcare coverage is offered by public health and private health insurers to ease the burden of the prohibitively high cost of healthcare. Medicare and Medicaid offer public health coverage, and unlike developed countries, the US lacks a universal healthcare program. While Medicaid accounts for the most prominent funding for the citizens with limited incomes, it is a jointly funded program by the federal and state governments and its management is by the states. 

The federal government funds six healthcare programs. These include Medicare, Medicaid, Veterans Health Administration program (VHA), State Children’s Health Insurance Program (SCHIP), Indian Health Service (IHS) and the Department of Defense TRICARE and TRICARE for Life programs (DOD TRICARE). Due to the lack of a comprehensive healthcare providence by the US health system to its whole population, most Americans are covered by the six federal and state programs as well as private insurance. The citizens who do not qualify to enroll in the government programs purchase private insurers assist in paying for medical expenses as well as a prescription in some cases. 

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Insurance plans are acquired via group coverage plans at the place of work, parents’ insurance plans or even a direct purchase from a health insurers among others. The health insurers offer three categories of choices that include the traditional fee-for-service plans as the most expensive, Health Maintenance Organizations (HMOs) which is a bit limiting and preferred provider organizations (PPOs) that happen to be the most flexible when selecting providers. 

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StudyBounty. (2023, September 15). Federal and State Medical Care Programs and Private Insurance: What You Need to Know.
https://studybounty.com/federal-and-state-medical-care-programs-and-private-insurance-what-you-need-to-know-essay

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