In comparison, the unemployed in Germany, can access health insurance through public Health Insurance regardless if you are employed or not, they must accept you. You must prove that you are a resident and from Germany to be eligible for public Health insurance. If living in Germany, unemployed but not a resident you must pay for private health insurance (The German Healthcare System, 2020).For the retired in the US and over the age of 65 you can qualify for Medicare. Medicare is a federal government program that provides healthcare coverage for those over the age of 65. If you retire before the age of 65 in the US and you lose your job-based health coverage you can apply for health insurance plans through the Marketplace, as stated above (Health coverage for Retirees, 2019).In comparison, the people who are retired in Germany, are mandated to be part of the Public Retirement Insurance system also known as the Statutory Pension Insurance. Employers are mandated for participation of this program and each employee is assessed based on their annual income. In this program the employer pays half and the employee pays half of the premiums. Same as the US retirement typically starts at the age of 65 but is gradually increasing over time. All employees in Germany are obligated to be insured by the law (“The German Retirement”, 2019).
ORGANIZATIONAL SYSTEMS TASK 3 4A2A. Coverage of MedicationsIn the US, “The Affordable Care Act mandates that new qualified health plans provide prescription drug coverage as an Essential Health Benefit” (Affordable Care Act, 2019). Although this does seem like a great thing, which drugs are coverage and the amount of out of pocket is very vague. Out of pocket costs and copayments vary on the type of drug and just because insurance covers a drug doesn’t mean it the desired drug prescribed, it could be generic. “The Affordable Care Act requires only one drug per category and class be covered within a health plan formulary, though the benchmark plan chosen the consumer’s state can increase that number on a per category/class basis. Depending on the state, the minimum number of drugs to be covered by the prescription drug benefit varies from 485 medications to 1,070 medications” (Affordable Care Act, 2019). To the consumer it is extremely important to check the coverage forprescriptions because you could be paying 100% out of pocket for your medications (Affordable Care Act, 2019).
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- Spring '19