There are two major types of insurance programs available in Japan – Employees Health Insurance (健康保険 Kenkō-Hoken), and National Health Insurance (国民健康保険 Kokumin-Kenkō-Hoken). National Health insurance is designed for people who are not eligible to be members of any employment-based health insurance program. Although private health insurance is also available, all Japanese citizens, permanent residents, and non-Japanese with a visa lasting one year or longer are required to be enrolled in either National Health Insurance or Employees Health Insurance.
(US specific) Provided by an employer-sponsored self-funded ERISA plan. The company generally advertises that they have one of the big insurance companies. However, in an ERISA case, that insurance company "doesn't engage in the act of insurance", they just administer it. Therefore, ERISA plans are not subject to state laws. ERISA plans are governed by federal law under the jurisdiction of the US Department of Labor (USDOL). The specific benefits or coverage details are found in the Summary Plan Description (SPD). An appeal must go through the insurance company, then to the Employer's Plan Fiduciary. If still required, the Fiduciary's decision can be brought to the USDOL to review for ERISA compliance, and then file a lawsuit in federal court.
Jump up ^ "Requirement to take out insurance, "Frequently Asked Questions" (FAQ)". http://www.bag.admin.ch/themen/krankenversicherung/06377/index.html?lang=en. Swiss Federal Office of Public Health (FOPH), Federal Department of Home Affairs FDHA. 8 January 2012. Archived from the original (PDF) on 3 December 2013. Retrieved 21 November 2013. External link in |website= (help)
Nobody pretends that we’re going to live in a meatless world anytime soon, but moderation can make a big difference. If you do eat meat, keep your portions small, go easy on sugar, processed carbs and butter, and help yourself to plenty of vegetables and fruits. Also keep in mind that the quality of the animal fat matters, Sass says. “Grass-fed and organic dairy and meats provide some beneficial fats that are not in conventionally produced animal foods.”
Coverage limits: Some health insurance policies only pay for health care up to a certain dollar amount. The insured person may be expected to pay any charges in excess of the health plan's maximum payment for a specific service. In addition, some insurance company schemes have annual or lifetime coverage maxima. In these cases, the health plan will stop payment when they reach the benefit maximum, and the policy-holder must pay all remaining costs.
Insurance companies are not allowed to have co-payments, caps, or deductibles, or to deny coverage to any person applying for a policy, or to charge anything other than their nationally set and published standard premiums. Therefore, every person buying insurance will pay the same price as everyone else buying the same policy, and every person will get at least the minimum level of coverage.