Task 3 under state Medicaid programs. Retired individuals, those over age 65, qualify for the federally run program of Medicare. There is no standardization of how much insurance companies charge for premiums, amount of deductibles, coinsurance and out of pocket maximums are all- dependent on the individual plan there are no set rules. There are wide disparities in the accessibility and quality of health care in the U.S. A2.Coverage of Medications Switzerland’s SHI system covers an extensive list of medications as well as selected vaccinations[Cam151]. There is a 10% charge for prescription drugs and a 20% charge is levied for individuals choosing a brand name drug when there is a generic alternative[Cam151]. Coverage of new medications is subject to the evaluation of effeteness by the Swiss medic and cost effectiveness by the Federal Office of Public Health[Cam151]. In the U.S. drug coverage is dependent on the individuals insurance plan. Many plans have different levels of drug coverage with different deductibles and copay for each level, as an example an insurance company may classify drugs into categories; generic, name brand and name brand preferred and each category requires a different copay/coinsurance. Some insurance plans do not offer medication coverage at all. For Medicaid participant’s medications are generally covered with a low copay. Medicare requires a separate supplemental policy for drug coverage that is an additional premium and requires copays. Prescription drug coverage and cost remains a hot topic in the U.S., as many Americans simply can’t afford the medication they need to stay healthy.
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- Spring '16
- Prescription drug