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Politics : Politics for Pros- moderated -- Ignore unavailable to you. Want to Upgrade?

To: bearshark who wrote (3184)	7/6/2003 10:33:51 AM
From: LindyBill	Respond to of 793717

Where does a group health plan obtain funds to pay for those needing a higher rate of health care than the overall group? It is classic, "pooling the risk," situation, BS. You charge a premium that will cover outlay, plus overhead and profit. People over 65 are covered. The risk is very high, as most medical care is consumed by old farts like me. When I hit 65, I applied for SS and was automatically enrolled in basic medicare. I have them deduct $55 a month from my SS to give me extended coverage, and then pay Kaiser medical, a private health insurer, $82 a month for coverage. They get the medicare coverage payments plus my bucks. They charge me $10 a visit to see my Doctor, give me reduced payments on drugs, and pay my lab charges. If I go to the Hospital, I am totally covered. It is much cheaper to cover people in a group plan like mine than to pay for me to use "fee for services" plan. I trade off total freedom of choice for cheaper and more complete coverage.