Chapter 9

Health Insurance Coverage in the United States

Posted on May 9, 2020 by Melissa Hart

In September 2019, the U.S. Census Bureau published a report on health insurance coverage in the United States.  The report is based on information collected in The Current Population Survey Annual Social and Economic Supplement and the American Community Survey.

Here are some of the highlights from the report:

  • In 2018, 8.5 percent of Americans, or 27.5 million people, did not have health insurance at any point during the year.
  • The percentage of people with health insurance coverage for all or part of 2018 was 91.5 percent, lower than the rate in 2017 (92.1 percent).
  • In 2018, private health insurance coverage continued to be more prevalent than public coverage, covering 67.3 percent of the population and 34.4 percent of the population, respectively.
  • Between 2017 and 2018, the percentage of people covered by Medicaid decreased by 0.7 percentage points to 17.9 percent.
  • The percentage of uninsured children under the age of 19 increased by 0.6 percentage points between 2017 and 2018, to 5.5 percent.

For more information, click here.

Teaching Suggestions

  • Ask students if they have health insurance of their own or through their parents. What are the premiums for their coverage?
  • Ask students to make a list of available sources for private and public health insurance coverage in their states.

Discussion Questions

  1. What might be some reasons why 8.5% of people, or 27.5 million, did not have health insurance in 2018?
  2. While most people have a single type of health insurance, some people may have more than one type of coverage during a calendar year. Why?
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SPREAD THE WORD, NOT THE VIRUS

Posted on April 18, 2020 by Melissa Hart

The infectious disease experts are urging all Americans to do their part to slow the spread of the Coronavirus.  Even if you are young, or otherwise healthy, you are at risk and your activities can increase the risk for others.  It is critical that you do your part to slow the spread of the Coronavirus.

Work or engage in schooling from home whenever possible.  Avoid social gatherings in groups of more than 10 people.  Avoid eating or drinking at bars, restaurants, and food courts—use drive-through, pick-up, or delivery options.  Avoid discretionary travel, shopping trips, and social visits.  Do not visit nursing homes or retirement or long-term care facilities unless to provide critical assistance.  Practice good hygiene.  Wash your hands, especially after touching any frequently used item or surface.  Avoid touching your face.  Sneeze or cough into a tissue, or the inside of your elbow.  Finally, disinfect frequently used items and surfaces as much as possible.  Furthermore:

  1. Listen to and follow the directions of your federal, state and local authorities.
  2. If you feel sick, stay home. Do not go to work. Contact your medical provider.
  3. If your children are sick, keep them at home. Contact your medical provider.
  4. If someone in your household has tested positive for the Coronavirus, keep the entire household at home.
  5. If you are an older American, stay home and away from other people.
  6. If you are a person with a serious underlying health condition—such as a significant heart or lung problem—stay home and away from other people.

For more information, click here.

Teaching Suggestions

  • Ask students if they are practicing social distancing. If not, what are the reasons?
  • Ask students how difficult has it been since the world has almost come to a standstill. What has changed in their life?

Discussion Questions

  1. Are the President’s Coronavirus Guidelines for America fair to the citizens? Explain why or why not?
  2. Since older people are particularly at risk from the Coronavirus, why are younger people being quarantined?
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Medicare Supplement Insurance (Medigap) policies

Posted on March 7, 2020 by Melissa Hart

Original Medicare pays for much, but not all, of the cost for covered health care services and supplies. Medicare Supplement Insurance policies, sold by private companies, can help pay some of the remaining health care costs for covered services and supplies, such as copayments, coinsurance, and deductibles. Medicare Supplement Insurance policies are also called Medigap policies.

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, such as medical care when you travel outside the U.S. Generally, Medigap policies don’t cover long-term care (such as care in a nursing home), vision or dental care, hearing aids, eyeglasses, or private-duty nursing.

Every Medigap policy must follow federal and state laws designed to protect you, and they must be clearly identified as “Medicare Supplement Insurance.” Insurance companies can sell you only a “standardized” policy identified in most states by letters A through D, F, G, and K through N. All policies offer the same basic benefits, but some offer additional benefits so you can choose which one meets your needs. In Massachusetts, Minnesota, and Wisconsin, Medigap policies are standardized differently.

For more information, click here.

Teaching Suggestions

  • Ask students to read about different types of Medigap policies, what they cover, and which insurance companies sell Medigap policies in their area.
  • Ask students to find and compare drug plans, health plans, and Medigap policies offered in their state.

Discussion Questions

  1. What are the differences between a Medigap policy and a Medicare Advantage Plan?
  2. What types of services are not generally covered by Medigap policies?
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Paying for Long-Term Care

Posted on February 8, 2020 by Melissa Hart

Paying for long-term care (sometimes called “long-term services and supports”) includes non-medical care for people who have a chronic illness or disability. This includes non-skilled personal care assistance, such as like help with everyday activities, including dressing, bathing, using the bathroom, home-delivered meals, adult day health care, and other services. Medicare and most health insurance plans, including Medicare Supplement Insurance (Medigap) policies, don’t pay for this type of care, sometimes called “custodial care.” You may be eligible for this type of care through Medicaid, or you can choose to buy private long-term care insurance.

Long-term care can be provided at home, in the community, in an assisted living facility, or in a nursing home. It’s important to start planning for long-term care now to maintain your independence and to make sure you get the care you may need, in the setting you want, now and in the future.

For more information, click here.

Teaching Suggestions

  • Ask the students if they have Long Term Care insurance since 40 percent of the 13 million people receiving long term care services are between the ages of 18 and 24.
  • Ask students to prepare a list of services that long term care insurance policy may provide.

Discussion Questions

  1. If majority of Americans will be cared for at home by family members and friends, why should anyone purchase a long-term care insurance policy?
  2. Do younger people need long-term care insurance? If so, why?  If not, why?
  3. Why long- term care insurance is very expensive? Should everyone purchase long term care insurance?
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Do You Really Need Dietary Supplements?

Posted on July 20, 2019 by Melissa Hart

Ads abound for products that claim to treat or prevent serious health conditions. Unfortunately, these products often are unproven and useless. Sometimes the ads even make false promises for Alzheimer’s disease and dementia – diseases for which science has no cure.

In March 2019, the Federal Trade Commission (FTC) and the Food and Drug Administration (FDA) issued warning letters to certain companies making unproven claims that their products can treat or cure Alzheimer’s or other diseases .Many of these products are sold on websites and social media platforms – and called “dietary supplements” or natural remedies. But that doesn’t mean they are necessarily safe.  Products that claim to do it all often do nothing.

The reality is that phony miracle products can be dangerous, and not just because of interactions with medicines you’re already taking. They also might cause you to delay or stop proven medical treatment ordered by – or available from – your physician. They might also delay you from making important dietary and lifestyle changes to help your condition. And some may contain unlabeled and unapproved drugs, which can cause serious injury or death.

For more information, click here.

Teaching Suggestions

  1. Ask students to make a list of credible sources of health information.
  2. Ask students if they, their relatives or friends ever bought a dietary supplement or health-related product that did not work as promised. What action(s) did they take?

Discussion Questions

  1. Why is it important to talk to your healthcare professional before you take any dietary supplements?
  2. What are some of the most effective ways to stay healthy, instead of wasting your money on unproven dietary supplements?
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The “Bank of Mom and Dad” for Mortgages

Posted on June 22, 2019 by Melissa Hart

Which source of home-buying finances has “millions of satisfied customers, has never asked for a bailout, and really cares about its borrowers”?  It’s the the “Bank of Mom and Dad.”

Parents and relatives are a common source of funds when buying a home.  With a difficult housing market, this financial assistance for young homebuyers is often necessary.  According to a study by Legal & General, the “Bank of Mom and Dad” is the seventh largest source of home-buying funds. The top six were Wells Fargo, JP Morgan Chase, Quicken Loans, Bank of America, U.S. Bancorp, and Freedom Mortgage.

The downside of this trend is that many parents are postponing, and even endangering, their retirement years to provide financial assistance to their children. Before accepting funds from family members, consider these factors:

  • Assess the current and future financial impact for family members involved.
  • Evaluate the tax situation and costs that might be involved.
  • Determine potential implications for other family members.
  • Consider other sources and possibilities, such as making it a loan rather than a gift’ also investigate government or private programs available to lower-income or first-time home buyers.

 For additional information on family assistance for home buying, go to:

Link #1

Link #2

Teaching Suggestions

  • Have students create a video presentation to demonstrate the positive and negative aspects of parents providing funds to their children for buying a home.
  • Have students conduct research online and with financial institutions to determine programs that are available to lower-income or first-time home buyers.

Discussion Questions 

  1. How might providing funds to children for buying a home affect the financial and personal situation of parents and other family members?
  2. Describe actions to take before parents provide funds to their children for buying a home.
Categories: Chapter 9, Home Buying | Tags: , | Leave a comment

Deceptive Stem Cell Therapy

Posted on March 16, 2019 by Melissa Hart

People spend billions of dollars each year on health-related products and treatments that don’t deliver. People who buy them are cheated out of their money, their time, and even their health.

The Federal Trade Commission (FTC) reports  that California-based Regenerative Medical Group, Telehealth Medical Group, and Dr. Bryn Jarald Henderson, the founder of both companies, sold false hope at high prices.

These companies and Dr. Henderson used social media and websites to promote stem cell therapy for all kinds of health issues affecting older adults and children. Supposedly, it could treat and cure diseases and health conditions such as Parkinson’s disease, autism, dementia, depression, multiple sclerosis, cerebral palsy, traumatic brain injury, heart disease, macular degeneration, chronic kidney disease, osteoarthritis, and stroke. Dr. Gunderson  charged up to $15,000 for their initial stem cell therapy and up to $8,000 for follow-up treatments.

But, according to the FTC, these claims were not backed up by any scientific studies and, in fact, no studies have established that stem cells cure, treat, or reduce the severity of diseases or health conditions in humans. With the exception of a few FDA-approved treatments, stem cell therapy is still largely experimental.

Are you — or someone you know — thinking about stem cell therapy?  If so,

  • Be skeptical about amazing health claims.
  • Don’t trust a website just because it looks professional, uses medical terms, or has success stories from “real people.”
  • Talk to your health care professional before you consider any medical treatment.

For more information, click here.

Teaching Suggestions

  •  Help students understand that health information, whether online or in print, should come from a trusted source.
  • Let students make a list of the richest and most reliable sources of health information and share it with the class.

Discussion Questions

  1. Why is it important to seek a second or even third opinion from a qualified health care provider before trying experimental medical procedures?
  2. What can the FTC and other federal/state governmental agencies do to prevent such businesses to make deceptive treatments.
Categories: Chapter 9, Frauds and Scams, Health Insurance | Tags: , , | Leave a comment

Fake healthcare plans

Posted on February 16, 2019 by Melissa Hart

If you’re looking online for health insurance, there are lots of results that seem to offer good choices. But dishonest companies are literally counting on you being confused by all those choices. So, before you sign up and pay, take steps to know you’re getting exactly what the plan advertised. Otherwise, fake “coverage” can leave you exposed to substandard benefits and costly payments.

For example, according to the Federal Trade Commission, a Florida-based company, Simple Health Plans, LLC, allegedly tricked consumers into believing its plans offer comprehensive coverage and are compliant with Affordable Care Act (ACA) standards. The company allegedly lured people in through lead-generation sites, using logos of well-known health insurance providers to make itself look credible. Simple Health asked for personal information on the site, followed up with phone calls, and pitched what it said were affordable, comprehensive, ACA-qualified plans with low or no co-pays or deductibles.

But once consumers signed up — often at premiums as high as hundreds of dollars per month — the FTC says they did not get anywhere near the full coverage Simple Health promised, and the benefits were not ACA-qualified.

For more information, click here.

Teaching Suggestions

  • Ask students if they or any of their friends and relatives have received sham health insurance plans calls. If so, how did they handle such calls?
  • Help students understand that two best-known and legitimate sources of the government health insurance are Medicare and Medicaid.

Discussion Questions

  1. What are some ways to protect yourself against false health care plans?
  2. Why is it important to learn the difference between health insurance and medical insurance discount plans?
Categories: Chapter 9, Frauds and Scams, Health Insurance | Tags: , | Leave a comment

New Medicare cards are on the way

Posted on August 5, 2017 by Melissa Hart

Changes are coming to your Medicare card.  By April 2019, your card will be replaced with one that no longer shows your Social Security number.  Instead, your card will have a new Medicare Beneficiary Identifier (MBI) that will be used for billing and for checking your eligibility and claim status.

Having your Social Security number removed from your Medicare card helps fight medical identity theft and protects your medical and financial information.

Here are some common Medicare scams relating to the new cards:

  • Someone calling, claiming to be from Medicare, and asking for your Social Security number or bank information.
  • Someone asking you to pay for your new card.
  • Someone threatening to cancel your benefits if you don’t provide information or money?

For more on the new changes to your Medicare card, visit Centers for Medicare & Medicaid Services.  And report scams to the FTC.

For more information, click here.

Teaching Suggestions

  1. How do you think this change will affect patients? You?
  2. Replacing Social Security number with Health Insurance Claim Number will cost millions of taxpayers dollars. Do you think it is worth the expense?

Discussion Questions

  • What is the biggest reason the Social Security is taking the Social Security Number off of Medicare cards?
  • How will the new system affect people with Medicare?
  • Who will be the affected stakeholders?
Categories: Chapter 9, Health Insurance, Retirement Planning, Wise Shopping | Tags: , | Leave a comment

What If Social Security Denies Your Disability Benefits?

Posted on August 6, 2016 by Melissa Hart

If Social Security denied your disability benefits, you can file an appeal online, even if you live outside of the United States.

The online appeals application is simple, convenient and secure, guiding you through every step of the process.  From outlining your rights to an appeal, to publications on the appeals process, a fair review of your Social Security is right at your fingertips.  The online application even allows you to upload supporting documentation, like treatments, doctors, and medical reports, as well as an option to save your submissions.

Submitting all the necessary documents will save time and can help return a faster decision.  Here are some things you’ll need when ready to submit an appeal:

  • Doctors, hospitals, medical treatments, and tests since you last gave medical information to Social Security,
  • Medicines you are currently taking, and
  • Changes in your medical conditions, daily activities, work and education

For more information, click here.

Teaching Suggestions

  • Ask students if they know someone whose disability benefits were denied? If so, how was the problem resolved?
  • What can you do if Social Security benefits are not sufficient to support your family?

Discussion Questions

  1. Does Social Security provide work incentives that allow people to work and still receive their disability benefits?
  2. Does Social Security provide benefits for partial disability or short-term disability?
  3. How does Social Security define disability?
Categories: Chapter 9, Disability Insurance | Tags: , , | Leave a comment

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