[Objective 1] Explain why the costs of health insurance and health care have been increasing. Health care costs, except during 19941996, have gone up faster than the rate of inflation. Among the reasons for high and rising health care costs are the use of expensive technologies, duplication of tests and sometimes technologies, increases in the variety and frequency of treatments, unnecessary tests, the increasing number and longevity of elderly people, regulations that shift rather than reduce costs, the increasing number of accidents and crimes requiring emergency services, limited competition and restrictive work rules in the health care delivery system, rapid earnings growth among health care professionals, built-in inflation in the health care delivery system, and other factors. [Objective 2] Define health insurance and disability income insurance and explain their importance in financial planning. Health insurance is protection that provides payment of benefits for a covered sickness or injury. Disability income insurance protects a person's most valuable asset: the ability to earn income. Health insurance and disability income insurance are two protections against economic losses due to illness, accident, or disability. Both protections should be a part of your overall insurance program to safeguard your family's economic security. Disability can cause even greater financial problems than death. In fact, disability is often called "the living death." Disabled persons lose their earning power while continuing to incur normal family expenses. In addition, they often face huge expenses for the medical treatment and special care their disabilities require. [Objective 3] Analyze the benefits and limitations of the various types of health care coverage. Five basic types of health insurance are available under group and individual policies: hospital expense insurance, surgical expense insurance, physician's expense insurance, major medical expense insurance, and comprehensive major medical insurance. The benefits and limitations of each policy differ. Ideally, you should get a basic plan and a major medical supplementary plan, or a comprehensive major medical policy that combines the values of both of these plans in a single policy. Major provisions of a health insurance policy include eligibility requirements, assigned benefits, inside limits, copayment, service benefits, benefit limits, exclusions and limitation, coordination of benefits, guaranteed renewability, and cancellation and termination. [Objective 4] Evaluate private sources of health insurance and health care. Health insurance and health care are available from private insurance companies, hospital and medical service plans such as Blue Cross/Blue Shield, health maintenance organizations (HMOs), preferred provider organizations (PPOs), exclusive provider organizations (EPOs), point-of-service plans (POSs), home health care agencies, and employer self-funded health plans. [Objective 5] Appraise the sources of government health care programs. The federal and state governments offer health coverage in accordance with laws that define the premiums and benefits. Two well-known government health programs are Medicare and Medicaid. [Objective 6] Recognize the need for disability income insurance. Disability income insurance provides regular cash income lost by employees as the result of an accident or illness. Sources of disability income insurance include the employer, Social Security, worker's compensation, the Veterans Administration, the federal and state governments, unions, and private insurance. |