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CSUN Health Insurance Discussion

1. Health insurance provides financial protection in case you have a serious accident or illness. Health care insurance can protect you from high unexpected costs (Marketplace, 2018). It also covers essential health care benefits critical to maintaining your health and treating illness and accidents (Marketplace, 2018).

Yes, there are people who choose not to be covered by health insurance. One of the main reasons is affordability. People can not afford to pay monthly premiums, copays, and high deductibles. It is even more expensive if you are carrying your family or a spouse.

Health insurance copayment is a fixed amount established by an insurance plan for sharing the cost of certain health services between the insurance plan and the insurance customer. Copays are determined by the health plan (ehealthinsurance, 2017). The amount changes from plan to plan and most of the time the copay goes toward the deductible.

The different levels are in reference to the value of the plan. The value determines how much percentage the policy will pay and how much the consumer will pay in out of pocket costs.

Marketplace. (2018, November 21). 3 Reasons to Enroll in 2019 Marketplace Coverage. Retrieved from www.healthcare.gov

ehealthinsurance (2017, January 21). Understanding a health insurance copayment.Retrieved from www.ehealthinsurance.com

2. Having a healthy lifestyle and being active are important because it will prevent a person to have illness. It is important that people prevent themselves from being sick because getting help is costly. Having insurance coverage can help people afford getting the help they need for their health without having to pay out of pocket. It will help cover those unexpected, unpredictable and uncontrollable event that may come (Olivero 2016).

According to KHN, about 2 percent of uninsured Americans simply did not want health coverage, due to the cost of being too high (Keaver 2009). Many people do not have insurance because they cannot afford it, and some jobs do not offer the benefits.

Copays are fixed amount paid by the person who has health insurance coverage to receive services. The copays are determined through the health plans and depending on which tier coverage a person choose.

Most health plans offer different levels of coverage, depending on the person’s needs and the premium it will cost. The four levels are: Bronze, Silver, Gold, and Platinum. The higher the level, the monthly premium will also be higher but it will pay the highest portion of the bill (Cigna 2019).

References:

1. Metal Plan Types in the Health Insurance Marketplace. (n.d.). Retrieved July 25, 2019, from

2. Olivero, M. (2016). Why Do You Need Health Insurance? Retrieved July 25, 2019, from

3. Weaver, C. (2009, October 03). People Who Choose Not To Have Health Insurance. Retrieved July 25, 2019, from

Expert Solution Preview

Introduction:
Health insurance plays a crucial role in providing financial protection and access to healthcare services in case of serious accidents or illnesses. However, not everyone chooses to enroll in health insurance due to affordability issues. Additionally, maintaining a healthy lifestyle and being physically active are important for preventing illnesses and reducing healthcare costs. This answer will address the reasons why some individuals choose not to be covered by health insurance and explain the concept of copayments and the different levels of coverage offered by health insurance plans.

Answer 1:
There are various reasons why individuals choose not to be covered by health insurance. One of the main factors is affordability. Many people simply cannot afford to pay monthly premiums, copays, and high deductibles associated with health insurance. This issue becomes even more challenging when individuals have to cover the costs for their entire family or spouse. The financial burden of health insurance can be overwhelming for some individuals, leading them to opt out of coverage (Marketplace, 2018).

Answer 2:
Having a healthy lifestyle and being physically active are essential for maintaining good health and preventing illnesses. By adopting healthy habits, individuals can reduce their risk of developing medical conditions and the associated costs. However, even with a healthy lifestyle, unexpected medical events can occur, making insurance coverage crucial. Health insurance helps individuals afford the necessary help for their health without having to bear significant out-of-pocket expenses (Olivero, 2016).

References:
Marketplace. (2018, November 21). 3 Reasons to Enroll in 2019 Marketplace Coverage. Retrieved from www.healthcare.gov

Olivero, M. (2016). Why Do You Need Health Insurance? Retrieved from

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