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北卡罗来纳州高风险保险池。

North Carolina high-risk insurance pools.

作者信息

Moore David R

机构信息

David R. Moore, CLU and Associates, Burlington, NC, USA.

出版信息

N C Med J. 2006 May-Jun;67(3):216-8.

Abstract

Imagine this: You are a 58-year-old man. You have worked all your life, paid taxes, and helped support your family. Two years ago you had a mild heart attack. Your wife has diabetes and high blood pressure. Luckily, you had health insurance through your job that helped you pay for the hospitalization, doctor's visits, and necessary medications for you and your wife. With a new diet, exercise, and the medications, you both are doing well managing your health problems. A little over a year ago, you lost your insurance when your company downsized. You found another job, but your current employer doesn't offer insurance. Your wife also works, but she works for a small employer that does not offer coverage. So, you pay approximately dollar 600/month for continuation coverage (COBRA) for your wife and yourself through your former employer. Last month, you found out your COBRA coverage is about to end. You want to continue to buy insurance coverage, but you were told that purchasing a comprehensive policy with a dollar 1,000 deductible (70% coinsurance) that covers your needed medications would cost more than dollar 4,000/month for your wife and yourself.

摘要

想象一下这种情况

你是一名58岁的男性。你一生都在工作,缴纳税款,帮助维持家庭生计。两年前,你曾轻度心脏病发作。你的妻子患有糖尿病和高血压。幸运的是,你通过工作获得了医疗保险,这帮助你支付了住院费用、看医生的费用以及你和妻子所需的药物费用。通过新的饮食、锻炼和药物治疗,你们俩在管理健康问题方面进展良好。一年多前,你的公司裁员,你失去了保险。你找到了另一份工作,但你现在的雇主不提供保险。你的妻子也有工作,但她为一家小雇主工作,该雇主不提供保险。所以,你通过前雇主为你和妻子支付大约每月600美元的延续保险(COBRA)费用。上个月,你得知你的COBRA保险即将到期。你想继续购买保险,但有人告诉你,为你和妻子购买一份包含1000美元免赔额(70%共保)且涵盖所需药物的综合保单,每月费用将超过4000美元。

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