Nonprofit health organizations and insurance companies can receive earnings and reserves through nonprofit health care organizations. However, all of this money is reinvested into the communities they serve. The idea behind nonprofit health insurance companies and organizations is that they should serve communities and populations.
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The Alliance for Advancing Nonprofit Health Care works towards delivering and helping those in need of health care services in the U.S. Many community hospitals, almost 60 percent, are nonprofit alongside with 30 percent of nursing homes and 17 percent of home health care agencies.
What is the difference between not for profit and other health insurance companies?
The big difference between for profit health insurance and not for profit health insurance is who they provide care for. Those profit health insurance companies only provide health insurance policies for those individuals or groups that pay them money.
Not for profit health insurance are both ethically and legally bound to benefit the populations and communities they serve. While not for profits do receive some earnings and reserves these are used as re-investments back into the community. Some portion of this money is used to improve service and quality while the rest is used for different community programs.
What are some of the challenges faced with not for profit health insurance?
Not for profit health care organizations and health insurance face many issues when it comes to successfully helping those in need. Those who receive help from nonprofit health care organizations lack the funds to pay for health services or even discounted health services.
Because of the communities they serve, nonprofits are always challenged with raising money. They must seek out and receive donations, make use of volunteers, and manage endowment funds to cover any additional costs.
Not for profit health care organizations work to fill in the gaps between the public health insurance and the private health insurance company programs. It’s important for nonprofit organizations to not only help certain age groups, but to help all age groups in need of health care.
What are the not for profit health insurance programs in the U.S.?
The most popular not for profit health insurance used in the U.S. is Medicaid. Medicaid is health insurance for those individuals and families who cannot afford health insurance through other means.
Medicaid is a government run program where each state has its own criteria for eligibility. In all cases with Medicaid, a person must be a U.S. citizen or permanent resident with low income. There is also a criterion set up for those women who are pregnant and/or have children in need of medical insurance.
There is also a program through Medicaid called Children’s Health Insurance Program or CHIP. This program covers those children and teens who are not insured with quality health insurance. Those who qualify are children and teens under the age of 19 who are not eligible for Medical Assistance, but who do not have insurance.
Through CHIP, children and teens can receive health insurance that covers doctor visits, eye care, dental care, prescription medication and even more benefits. For many children CHIP is free, but there are some families who may have to pay low monthly premiums and copayments for certain services.
There are many parents who don’t realize their children qualify for the CHIP program because they believe they make too much money. However, there are no income limits when it comes to being eligible for CHIP.
Is Medicare a not for profit health insurance?
Medicare is another not for profit health insurance used for those 65 years of age and older. It is also set up for some who are younger than 65, but who have certain disabilities.
While Medicare doesn’t offer free health insurance, it does offer health insurance at a discounted rate. There are four parts to Medicare: Part A, Part B, Part C and Part D.
- Part A will cover the cost of hospital insurance
- Part B will cover medical insurance
- Part C is a Medicare Advantage plan, which offers more plans through private companies
- Part D covers prescription drugs
It’s important to research all avenues when considering a not for profit organization to help with medical care. There are several programs out there available for people who are eligible and many just need to find them.
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