Let’s get familiar with some basic terms
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Why is it so stressful for many adults to navigate the health care system and manage their health?
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Let’s get familiar with some basic terms
Watch videos:How Does Insurance Work:http://www.youtube.com/watch?v=nXfGeMNnBsM Deductibles & Coinsurance:http://www.youtube.com/user/staysmartstayhea1thy#p/u/20/8IybFtOtXdcUnderstanding Insurance Basics (College Health):http://www.youtube.com/watch?v=XXjqzu4SxNY Review Glossary Handout Review Interview Homework
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Vocab:
• Out-of-pocket costs: Payment for health services not covered by an individual’s health plan
You find the definitions for these ones:Premiums:Deductibles:Co-pays:
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Our Goals Today• Explain how being “underinsured” leads to
negative financial and health consequences • Analyze the connection between income and
healthWhat do you think “underinsured” means?
3m
The authors counted people as underinsured if their out-of-pocket medical expenses equaled at least 10% of their family income, or 5% if they were already low-income, or their deductible equaled at least 5% of their income.
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What does it mean to be “underinsured?”
• Definitions vary, but generally:• Underinsured: people who DO have
insurance plans but whose medical expenses (excluding premiums) amount to 10% or more of their post-tax income OR 5% or more of their income if they are below the poverty line
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John Q Trailerhttp://www.youtube.com/watch?v=96rIjxlHpmESometimes just having
insurance is not enough.
Less extreme examples of the negative effects of being underinsured happen to ordinary people everyday. Can you think of any?
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Let’s find out what being underinsured really means…
• Often people’s individual stories tend to get lost among politically charged reform plans and complex jargon
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Justin’s Story
Watch how a medical student who was faced with cancer during his training struggles to pay for his treatments.
Was he underinsured?
http://www.youtube.com/watch?v=E3C1rfJrSwMWatch only: 0 – 1:45 & 3:58 -5:35
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Mary’s Story
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Mary’s Paycheck (every 2 weeks)