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Health Insurance In The US

  • The most expensive health care system in the world.
  • The largest number of employees involved in this industry.
  • Turnover of 3 trillion dollars a year, which make up 16% of GDP. Approximately $ 15,000 per person per year.

The United States is the world record holder in the health sector, and although the government’s approach to this issue remains controversial for many Americans, the status of the United States as a world leader in the field of medicine remains unshakable. Let's see how this system works and what you need to know.

1964 Johnson Lyndon, the 36th US Democratic Party president, who replaced the murdered John F. Kennedy, takes over the presidency. One of his first decisions as president of the United States is the Civil Rights Act, which put an end to racial segregation in the south of the United States, as well as the establishment of a state health insurance (Medicare) and Medicaid assistance program. This was the beginning of compulsory health insurance.

The second time the USA returned to this issue in 2010 when President Barack Obama approved the Affordable Care Act, more commonly known as Obamacare, one of the most expensive laws in US history, worth $ 940 billion, which radically changed the American healthcare system.

Its main goal is to make health insurance affordable for the majority of US residents and to insure all citizens who were still without insurance. There were at that time more than 32 million. Mostly it was the middle class for which commercial insurance was too expensive, but at the same time, its income did not allow to use the Medicaid government subsidy program for low-income citizens.

Do Americans have to buy insurance?

Yes, according to the Affordable Care Act, every American must have health insurance. If the US resident does not have health insurance, then he will have to pay his medical expenses on his own and pay a fine to the state for evading compulsory insurance.

Does medical insurance in the United States allow to be treated for free?

No, medical insurance in the United States covers only part of the costs, but given the high cost of medical services, this is your safety net against excessively large expenses. For example, if you have insurance, an ambulance call will cost you $ 240, but if there is no insurance, you will have to pay an average of $ 5000.

How does it work?

You visit the doctor and show your insurance. The receptionist writes off all necessary information from it and returns it, after which you go to a doctor. Based on the conditions of insurance, after receiving you are told whether you need something to pay extra.

At the end of treatment, all documentation is sent to the insurance company, which pays the clinic all expenses, according to your policy. You receive an extract (Explanation of Benefits) about how much medical service has cost you, how much insurance has covered and how much you still need to pay (if necessary).

Where to buy insurance?

If earlier policies could be purchased directly from insurance companies, after the adoption of Obamacare, the state forced them to sell insurance through a special resource healthcare.gov. All insurance plans are put together on the website, you can compare them and choose the right one. For example, members of AARP can use NYLAARP.com/Service from New York Life Insurance Company. Visit their official page to find out more information.

You also need to consider that you can buy insurance only from November 15 to February 15.

How much does medical insurance cost?

The cost is based on what type of insurance and tariff plan you have chosen. On average, the cost of insurance for an adult per month is $ 250-350. Thus, families with children spend more than $ 1,000 on insurance every month.