The remaining 45% of health care funding comes from insurance premiums paid by the public, for which companies compete on price, though the variation between the various competing insurers is only about 5%. However, insurance companies are free to sell additional policies to provide coverage beyond the national minimum. These policies do not receive funding from the equalization pool, but cover additional treatments, such as dental procedures and physiotherapy, which are not paid for by the mandatory policy.
Comprehensive health insurance pays a percentage of the cost of hospital and physician charges after a deductible (usually applies to hospital charges) or a co-pay (usually applies to physician charges, but may apply to some hospital services) is met by the insured. These plans are generally expensive because of the high potential benefit payout — $1,000,000 to $5,000,000 is common — and because of the vast array of covered benefits.
Out-of-pocket maxima: Similar to coverage limits, except that in this case, the insured person's payment obligation ends when they reach the out-of-pocket maximum, and health insurance pays all further covered costs. Out-of-pocket maxima can be limited to a specific benefit category (such as prescription drugs) or can apply to all coverage provided during a specific benefit year.
Focusing more on lifestyle issues and their relationships with functional health, data from the Alameda County Study suggested that people can improve their health via exercise, enough sleep, maintaining a healthy body weight, limiting alcohol use, and avoiding smoking. Health and illness can co-exist, as even people with multiple chronic diseases or terminal illnesses can consider themselves healthy.
Fruits and vegetables work their magic in several ways. First, they provide heart-healthy nutrients, including fiber, antioxidants, potassium, B vitamins, and vitamins A and C, explains Cynthia Sass, a registered dietitian in private practice in Los Angeles and New York. And nonstarchy vegetables—from spinach to broccoli to peppers—are low in calories and carbohydrates too, helping keep weight under control. Not to mention, veggies supply prebiotics, nondigestible carbs that serve as food for beneficial probiotic bacteria.
The universal compulsory coverage provides for treatment in case of illness or accident and pregnancy. Health insurance covers the costs of medical treatment, medication and hospitalization of the insured. However, the insured person pays part of the costs up to a maximum, which can vary based on the individually chosen plan, premiums are then adjusted accordingly. The whole healthcare system is geared towards to the general goals of enhancing general public health and reducing costs while encouraging individual responsibility.
Accident insurance was first offered in the United States by the Franklin Health Assurance Company of Massachusetts. This firm, founded in 1850, offered insurance against injuries arising from railroad and steamboat accidents. Sixty organizations were offering accident insurance in the U.S. by 1866, but the industry consolidated rapidly soon thereafter. While there were earlier experiments, the origins of sickness coverage in the U.S. effectively date from 1890. The first employer-sponsored group disability policy was issued in 1911.
Heavy drinking does the body no favors. It can lead to weakened heart muscle and irregular heart rhythms, as well as dementia, cancer and stroke. But could drinking just a little be heart healthy? The science is unsettled. While some research suggests that moderate drinking (up to a drink a day for women and up to two for men) is linked with lower rates of cardiovascular disease, the research does not prove cause and effect, Gianos cautions. For example, it could be that people who drink regularly take time to relax with loved ones, and that may be what is providing the heart benefit.
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