insurance to fill in the healthcare coverage gaps. Medicare does cover hospital and medical plans, specialty care and prescription coverage. As with other government-funded programs, individuals must meet requirements for Medicare, and if they do not then, they must purchase private insurance individually or under a spouse who is still employed and able to receive benefits through their employers (Getting started with Medicare, 2018). 2
Organizational Systems and Quality Leadership-Task 3 United States residents who are unemployed can gain access to health care insurance through ACA unless they are receiving unemployment benefits or have other income capabilities that place them income bracket above ACA benefits. Residents who are recently unemployed can purchase COBRA, Consolidated Omnibus Budget Reconciliation Act, insurance; often this is a short-term option due to high elevated out of pocket costs (2015 International Profiles, 2016). The National Health Service (NHS), which is a universal health care system, provides health insurance to all Great Britain citizens. All GB residents, regardless of age, employment or income status, have access to NHS insurance. The NHS is tax fund supported (2015 International Profiles, 2016). A2a. Comparison of Medication Coverage Insurance in the US generally covers most medication costs. Factors such as insurance plan, medication type, formulary vs. non-formulary and medication tier influence the medication cost to the patient. Medications that are generic cost less out of pocket for patients are often replace brand-name medications when possible.
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- Universal health care, Organizational Systems, International Profiles