permanent health insurance such as Medicaid if they have not found a suitable

Permanent health insurance such as medicaid if they

This preview shows page 3 - 6 out of 9 pages.

permanent health insurance such as Medicaid if they have not found a suitable insurance replacement. Individuals on COBRA can ensure that they are entitled to comprehensive coveragejust like an active employee, however, they are also responsible for any copays or fees that may also occur (U.S Department of Labor). COBRA can be expensive and isn’t recommended for long time use. Another form of low-cost health insurance is Medicaid. The unemployed may qualify for Medicaid if they meet certain criteria of income to household size ratio. Medicaid is required under federal law to provide benefits that cover services such as: inpatient/outpatient, nursing facility, home health, family planning, medical transport and laboratory and x-ray’s (Centers for Medicare & Medicaid Services [CMMS], Medicaid benefits).Retired citizens in Japan receive treatment under the Retiree Medical System, which is a branch of the NHI all Japanese receive. To qualify for the Retiree Medical System, an individual first must be an NHI member. Second, they must have paid their designated premiums to the
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TASK 3 C489 4National Pension plan for no less than 25 years. Third, once the individual has reached 65 years of age, benefits can then be reimbursed (International Public Policy). In order for the benefits to be disbursed, the individual must obtain their NHI retiree insurance card. They will then need to show this card before receiving medical treatment (Yoshida Institute). When an individual is ready for retirement in the United States, they may be able to keep their coverage. Employers may opt to let the retired employee keep their insurance in the form of retiree coverage. Employers are not obligated to provide this insurance and the insurance may not cover a spouse. It is up to the individual to confirm how much retiree coverage will cost and what it will cover. Ifsomeone is not able to keep their insurance or obtain private retiree insurance, they may become eligible for Medicare. Most retirees are older than 65 years of age and therefore may qualify for Medicare coverage. Medicare is broken down into four parts. These parts are: Part A, Part B, PartC, and Part D. Medicare coverage Part A and B are what retirees over the age of 65 can sign up for automatically if they qualify. Part A consists of the hospital aspect of care and Part B consists of clinical services and home health care. Part C combines parts A and B into Medicare Advantage which presents in 4 different plans. These are: Health Maintenance Organizations plans, Preferred Provider Organizations plans, Private Fee-for-Service plans and the Special Needs plans. Part D can also be added to any of these plans which includes medication coverage.If the retiree just needs medication coverage because they have insurance under their employer, they may add Part D independently (Universal American Medicare).2a. Medication CoverageJapanese citizens rarely need to pay for their medications. When they do, it is the standard copay of 30%. Medication prices are regulated and listed through The Central Social Insurance Medical Council. This government body ensures that medical professionals cannot
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TASK 3 C489 5overcharge patients for medications (IHC). In the United States, private insurance programs may
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