In order to deal with a growing problem of children living in the United States without health insurance some 10 years ago Congress passed a plan entitled Title XXI, or the State Children's Health Insurance Program [SCHIP]. Under this state plan families whose income is insufficient to afford private medical health insurance and too high to apply for Medicaid can receive medical care for their children by paying a maximum of 5% of their gross annual income or, in many cases, by paying nothing at all.
Title XXI lays down minimum standards which must be met by each state, such as the provision of well-baby and well-child physical examinations, immunization programs and emergency services, but states are also given considerably freedom under Title XXI and programs vary from state to state.
It should be noted that this plan is designed to provide cover for children who do not have any form of medical insurance cover and that children who are already covered under a health insurance policy cannot also receive cover under the provisions of this plan.
Where children are not eligible for cover under this state plan and are ineligible for Medicare you will need to consider covering them under a private family plan or on their own individual plan. In this case it will normally, but not always, be cost-effective to provide cover under a family plan although, if you are looking to cover only one child, an individual plan for that child may prove the best option.
In the case of students the majority of colleges and universities operate their own health care clinics for the treatment of routine ailments such as colds, sore throats and minor sports injuries. Nevertheless, you should take out some form of medical health insurance to cover unexpected medical problems including more serious illnesses and surgery.
Wherever possible, you should look to cover children under your own individual or family plan and most plans will cover children even when they are away at school. There may however be some restrictions imposed under these circumstances and you should read through the details of your plan carefully.
Should your children need individual medical health insurance plans to cover them at college, then there are several insurance companies that cater specifically to the needs of students. This is an area which you should research carefully however to ensure your children are getting the cover they need.
Whatever else you do, you should not assume that the government will take responsibility for the care of your children at home and that colleges and universities will do the same once they become students. As parents, the responsibility for providing healthcare for your children falls squarely on your shoulders.
Medical Insurance For Children
The funding crisis in the National Health Service is so dire that at least 4,000 frontline jobs might be axed say the Royal College of Nursing. "There's no doubt that there will be an impact on patients", says their spokesperson. "This is not the sort of thing that is going to be resolved by cutting back on chocolate biscuits in the boardroom. The staff that we are looking at losing are not office based, they're people who are providing frontline services." Little surprise therefore, that people in the know are going private for their medical care! According to a recent survey by BUPA, 41% of NHS Consultants have protected their medical care by going private. Isn't that a vote of confidence!
The British Medical Association (BMA) feebly argues that the Consultants' commitment to private medical cover doesn't demonstrate a lack of confidence in the NHS.
The Deputy Chairman of the BMA's Consultants' Committee whispers, "Consultants may also like the anonymity of private care. One of the problems of being treated in the NHS is that Consultants might find themselves in a bed next to one of their patients".
What a joke! Surely, being treated in a bed next to one of their patients would underline their commitment and confidence in the NHS. Their presence in a private ward only serves to emphasize their lack of confidence!
Remember that private medical insurance doesn't provide care if you have an accident - that's still the role of the Accident and Emergency Unit at your nearest NHS hospital. The overwhelming advantage of going private, is to ensure you get prompt care for planned surgery and medical situations that arise at short notice, in a hospital of your choice. The case of Dr Sarah Burnett makes the point.
Dr Burnett is a Radiology Consultant with 15 years service in the NHS. She chose to take out private medical insurance because she was unhappy with the level of care she saw first hand. "NHS treatment is not a pleasant experience in any way - from the standard of the food, to ward cleanliness and the chance of catching MRSA", she observes.
Last year during a private medical screening, Dr Burnet was diagnosed with multiple small tumours in her breast. The cancer required urgent and specialised surgery. Within hours she saw the consultant surgeon who organised a skin-sparing mastectomy. A few days later she was recovering from the surgery.
"I was lucky enough to have exceptionally prompt treatment because I choose to pay for insurance. Under the NHS I would not have been screened for breast cancer until I was 50 and would not have been able to catch my cancer at such an early stage. The type of surgery I had is only rarely available on the NHS, depending on the experience of your local surgeon", said Dr Burnet.
If you, like Dr Burnet and almost half of the UK 's NHS Consultants, want to sidestep the NHS and go private, it's wise to take out private health insurance. Choosing the right medical insurance cover is, unfortunately, quite complicated. You need to decide the standard of hospitals you would want to use, the level of cover and various other options. For this reason, you need specialised advice from a professional medical insurance broker. These people know exactly what's on the market and can access it.
Where better to find these brokers than the Internet? Just use Google or your favourite search engine, to search for "medical insurance". You'll find all the top medical brokers there. If you see the insurance company's own sites steer clear - they can only sell you their own products and you really need independent advice to be able to identify which, within the whole market, is best for you.
Oh yes, make sure you chose a site that puts you directly in touch with an adviser. Ideally, you should talk over your requirements and chat to the adviser about the best alternatives. You don't need a home visit as all this can easily be done over the phone. And buying through a broker won't cost you a penny more than going direct to the insurance company. In fact a broker can sometimes be cheaper!
Both Health Insurance & Michael Challiner are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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