Question

In an annual survey of healthcare consumers with health insurance, less than half—46 percent—stated they understand...

In an annual survey of healthcare consumers with health insurance, less than half—46 percent—stated they understand their coverage. Among age groups, young healthcare consumers have the least understanding of their health insurance coverage. By age group, the percentages of those who stated they have a good understanding are:

  • 30 percent of Generation Y
  • 40 percent of Generation X
  • 54 percent of Baby Boomers
  • 58 percent of Seniors (Deloitte Center for Health Solutions 2010, 15)

This lack of understanding undermines people when they try to (1) compare and select healthcare insurance plans or (2) determine amounts of money to set aside in health savings accounts.

You are to pick one of the above age groups as your target audience and then create a presentation to educate that group about health insurance coverage.

Poor health literacy stems from multiple things, but overly technical terminology is a huge source of this. Because of this, I would like for you to avoid using it, and I will deduct points for it. Your presentation should also be geared towards your target audience, which is going to be the age group that you select. If you select "Seniors", well, your presentation should be appropriate and fitting for that audience, for example you would probably want to include information regarding long term care. Ultimately, you are going to select what you feel are the most important topics, but some good places to start are going to be things like deductibles, coinsurance, copayments, premiums, in network, out of network, health savings accounts, prior authorization, qualifying life events, open enrollment, etc.

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Answer #1

The selected age group is a Senior citizen in which nearly 58 percent of these have the knowledge and understanding of healthcare insurance.

Following are the topics and discussions that can be covered in the presentation:

WHAT IS HEALTH INSURANCE

Health insurance refers to the insurance that covers the medical and surgical expenses and costs of the insured i.e, the person who takes the insurance or in whose name the insurance policy is taken.

WHY ONE NEEDS HEALTH INSURANCE

  • When an individual is in urgent need of taking a treatment.
  • It protects an individual from several expensive and unexpected costs.
  • The individuals who cannot afford good quality treatments, health insurance makes it possible.
  • It gives many tax benefits to the insured person.

TYPES OF INSURANCE AVAILABLE

  • A fee-for-service plan that allows the insured to choose the doctor or the hospital without any restriction. (More choice more cost)
  • Health maintenance organizations that give the entire facilities on a monthly premium basis. ( Less cost less choice)
  • The preferred provider organization provides several benefits and a wide range of services at lower costs. (Medium cost moderate choice)

HOW TO PLAN FOR HEALTH INSURANCE

  • Analyze the expectations form the plan
  • Know about the features of the plan
  • Determine the flexibility of the plan and renewal period and procedure
  • Number of health care and treatments covered
  • Limits on the size of the family.
  • Daily cash limit and hospitalization coverage.

HOW TO CLAIM HEALTH INSURANCE

  • Get admission to any of the hospital.
  • Along with the relevant documents, fax the authorization form for further proceedings.
  • Get the receipts and forms along with the claim form.
  • Get a copy of the same, renew and send it to authorities.

ADVANTAGES OF HEALTH INSURANCE

  • Covers the unexpected risks regarding health
  • Saves money by daily cash allowance at hospitals.
  • Benefits of tax and peace of mind

SURRENDER POLICY HEALTH INSURANCE

  • Give a call to the health insurance company and fill the surrender form.
  • Speak to the representative personally
  • E-mail the policy and necessary forms and wait for the process.

The answer is presented in the form of a presentation that will be easy to present as the important points are highlighted. The answer is complete, accurate and best in my knowledge if you find this helpful, Kindly give a thumbs-up for more encouragement. thank ypou!

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