Monthly Archives: November 2013

What is health care reform?

There is so much coverage of what is known as health care reform in the United States at the moment, that it is easy to get completely lost and have no real sense of perspective as to the reforms mean/do not mean etc.

It is also probably true to say that health care reform in the United States is one of those pieces of legislation that has a huge and direct impact and individuals in a way that most legislation does not directly. For this reason people are both very excited and very agitated by the implications of health care reform and what it means.

There is a lots written about health care reform, much of it political, and much of it written by people who have an agenda either in favour of the reforms or against them. That said, the issue for the majority of people it out in practice it affects their own health insurance policies or plans if they have one, or if they are uninsured at the moment the availability of health insurance policies or plans may become available to them.

At the core of health care reform is understanding at some level, the basics of a health insurance policy or plan and being able to assess the cost of such a plan and the level of benefits that the health insurance policy will provide. Also important, is to understand the various exclusions that a health insurance policy has, both implicit and explicit.

Health care reform

Health care reform will significantly alter the details of many health insurance plans and policies currently available, and much of the detail of how this will develop over the years is still relatively unclear.

Health insurance policies and plans have a number of different sections that cover issues of benefits, deductibles, co-pay amounts, co – insurance percentages, exclusions and terms and conditions etc. One of the real problems with all health insurance policies is being able to compare one policy with another policy on a like-for-like basis. Health care reform attempts to address this at some level through the nature of health insurance exchanges and a wider transparency as to what health policies and plans contained.

However, it is still a very complex process to understand what a health insurance policy does and does not cover, and often the complete list of exclusions is only available once the policy had actually been purchased. Most health insurance companies are keen to promote the benefits of that plan and policy, but do not give a huge amount of detail as to what is excluded.

This requires a level of digging and research by the individual concerned prior to purchasing a health insurance policy, either on an individual basis or through some type of group scheme.