public vs private health insurance

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13 Terms

1
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access to public health insurance

limited to providers who ACCEPT to use the program

2
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private health insurance

purchased from insurance companies either individually or through an employer (voluntary health insurance)

3
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how is private health insurance funded

paid for by individuals or employers, often with subsidies for lower-income individuals through the ACA marketplace

4
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how is public health insurance regulated

by federal and state laws

5
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public health insurance

government funded and designed to provide coverage to specific groups

6
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types of public health insurance

Medicare, Medicaid, CHIP, Veterans Health Administration

7
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how is public health insurance funded

funded through taxes

8
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eligibility for public health insurance

based on age, income, disability, or veteran status

9
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public health insurance cost

lower or free, limited premium, deductibles, or copays

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eligibility for private health insurance

available to anyone who can pay or qualify

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private health insurance cost

typically higher than public insurance; premiums, deductibles, co-pays, out of pocket maximums

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access to private health insurance

wider choice of providers and hospitals (depends on network (HMO/PPO) associated with plan)

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how is private health insurance regulated

by state and federal laws, but insurers have significant flexibility in plan design