Understanding Health Insurance
Table of Contents
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[Music]
meet Rob a patient at northwell health
Rob struggles to understand his health
insurance and it really frustrates him
he's never confident that he's picked
the right plan and never knows how much
his treatment will cost in fact no one
ever told him what his options were
oh no thanks Rob but that was before now
someone finally took the time to explain
it all to Rob and he wants to share the
information with you so let's start with
the basics
what is health insurance health
insurance is an arrangement with an
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insurance company that can help you
afford the costs of health care health
insurance works by spreading the cost of
care among large groups of people so
insurance paid by one person helps pay
for the care of the next in addition to
spreading financial risk health
insurance has another important function
it improves access to care meaning more
people can seek buy and pay for health
care services there are a few ways to
get health insurance
first there is group health insurance
otherwise known as employer based
coverage this type of insurance offers
discounted coverage for a large pool of
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mostly healthy people and the cost of
premiums are split by the employer and
employee
another type of insurance is individual
health insurance which covers a single
person or family it's paid for entirely
by the purchaser in this case premiums
can vary based on the age of the
purchaser and they typically offer fewer
benefits than group insurance both group
health insurance and individual health
insurance are commonly referred to as
commercial insurance plans but there are
government sponsored health insurance
plans as well like Medicare or Medicaid
these plans are obtained through a
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government agency or program and usually
cater to those who have special
circumstances like children the elderly
veterans or active service members and
those with low incomes in these plans
costs are split between the government
and the insured now that you know how to
obtain insurance let's talk about what
plans exist