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New York health insurance
The final federal medical privacy rule involving free
health insurance in New York provides Americans a new federal right
to medical privacy. Fact: The rule creates a massive federal mandate
that requires every doctor and other health care practitioner to share
patients' records with the federal government specifically the U.S.
Department of Health and Human Services (HHS) without patient consent.
The federal government even has the right to access an individual's
psychotherapy notes in order to monitor compliance with the new rule.
Ironically, this federal mandate will be enforced by HHS' Office for
Civil Rights
The State Children's Health Insurance Program (SCHIP),
created under Title XXI of the Social Security Act, expands health coverage
including free health insurance in New York to uninsured children whose
families earn too much to qualify for Medicaid but too little to afford
private coverage. It builds on Medicaid, the federal-state health insurance
program that covers more than 40 million low-income individuals, including
more than 20 million children. Most states provide SCHIP coverage for
children in families at or below 200 percent of the federal poverty
level (FPL). In 2002, the FPL for a family of four is $18,100.
Ensuring Meaningful Health Benefits. Under the program,
states may choose to expand their Medicaid programs, design a separate
child health program, or use a combination of both. States choosing
separate child health programs must offer either the same or "equivalent"
benefits as those offered under one of three benchmark plans: the standard
Blue Cross/Blue Shield Preferred Provider Option offered by the Federal
Employees Health Benefit Program; a health benefit plan offered by the
state to its employees; or the HMO benefit plan with the largest commercial
enrollment in the state.
Limiting Patient Costs. SCHIP limits the out-of-pocket
costs that enrollees must pay. If a state expands its Medicaid program,
existing Medicaid limits apply. Cost sharing is not permitted for any
family for well-baby or well-child visits, including immunizations and
routine preventive and diagnostic dental services. Preventing Cost Shifting.
To prevent states from shifting children from the traditional Medicaid
program to this new program, states cannot reduce coverage including
free health insurance in New York, below the Medicaid eligibility standards
for children that were in place on June 1, 1997. All states must design
their programs to prevent substitution of SCHIP coverage for private
health insurance. Before you look at the different companies and their
premiums, you need to determine which package of benefits is best for
you.
Remember: Medicare supplemental insurance does just
that-it supplements what Medicare pays for; hospital, medical, and related
expenses Medicare doesn't cover and that you might be responsible for.
While you may have hospitalization coverage through your employer, many
plans cover 80% or less of the hospital room cost. With the average
hospital inpatient stay costing approximately $1,102 per day*, you could
be personally responsible for $220 per day if an accident puts you in
the hospital. Even if you have a comprehensive medical plan with a low
co-pay, there are other out-of-pocket expenses to consider:
- Temporary loss of wages
- Child care expenses
- Physician and surgical fees
- Special medications
Health Maintenance Organizations (HMO’s) under free
health insurance in New York are a group that contracts with medical
facilities, physicians, employers to provide medical care to a group
of individuals and sometimes individual patients. Enrolling in an HMO
gives you access to a "primary provider" who knows your personal, family,
social, and financial situations well enough to coordinate your care
in an effective manner. An HMO primary care provider (usually a doctor
or nurse practitioner) will be available to see you for basic care and
for illnesses.
They run tests or prescribe treatments before referring
you to a specialist if necessary. If you did need a specialist, he/she
would be a member of a HMO network who had contracted work with the
HMO. HMO's are the most common individual health insurance plans.
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