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Health
Insurance Definitions
The
Census Bureau broadly classifies health insurance coverage
as either Private (non-government) coverage or Government-sponsored
coverage.
Private
Health Insurance
Private health insurance is coverage by a health plan provided
through an employer or union or purchased by an individual
from a private health insurance company.
Employment-based
plans
Employment-based health insurance is coverage offered through
one’s own employment or a relative’s. It may be
offered by an employer or by a union.
Direct-purchase
plans
Direct-purchase health insurance is coverage though a plan
purchased by an individual from a private company.
Government
Health Insurance
Government health insurance includes plans funded by governments
as the federal, state, or local level. The major categories
of government health insurance are medicare, medicaid, the
State Children’s Health Insurance Program (SCHIP), military
health care, state plans, and the Indian Health Service.
Medicare
Medicare is the Federal program which helps pay health care
costs for people 65 and older and for certain people under
65 with long-term disabilities.
Medicaid
Medicaid
is a program administered at the state level, which provides
medical assistance to the needy. Families with dependent children,
the aged, blind, and disabled who are in financial need are
eligible for Medicaid. It may be known by different names
in different states.
SCHIP
SCHIP,
the State Children’s Health Insurance Program, is a
program administered at the state level, providing health
care to low-income children whose parents do not qualify for
Medicaid. SCHIP may be known by different names in different
states
Military
health care
Military health care includes TRICARE/CHAMPUS (Civilian Health
and Medical Program of the Uniformed Services) and CHAMPVA
(Civilian Health and Medical Program of the Department of
Veterans Affairs), as well as care provided by the Department
of Veterans Affairs (VA).
TRICARE/CHAMPUS
TRICARE
or CHAMPUS is a military health care program for active duty
and retired members of the uniformed services, their families,
and survivors.
CHAMPVA
CHAMPVA
is a medical program through which the Department of Veterans
Affairs helps pay the cost of medical services for eligible
veterans, veteran‘s dependents, and survivors of veterans.
VA
The
Department of Veterans Affairs provides medical assistance
to eligible veterans of the Armed Forces.
State-specific
plan
Some states have their own health insurance programs for low-income
uninsured individuals. These health plans may be known by
different names in different states.
Indian
Health Service*
Indian Health Service (IHS) is a health care program through
which the Department of Health and Human Services provides
medical assistance to eligible American Indians at IHS facilities.
In addition, the IHS helps pay the cost of selected health
care services provided at non-IHS facilities.
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