INTRODUCTON - The term "health insurance" is commonly used in the
United States to describe any program that helps pay for medical
expenses, whether through privately purchased insurance, social
insurance or a non-insurance social welfare program funded by the
government. Synonyms for this usage include "health coverage," "health
care coverage" and "health benefits" and "medical insurance." In a more
technical sense, the term is used to describe any form of insurance that
provides protection against injury or illness.
In America, the
health insurance industry has changed rapidly during the last few
decades. In the 1970's most people who had health insurance had
indemnity insurance. Indemnity insurance is often called fee-forservice.
It is the traditional health insurance in which the medical provider
(usually a doctor or hospital) is paid a fee for each service provided
to the patient covered under the policy. An important category
associated with the indemnity plans is that of consumer driven health
care (CDHC). Consumer-directed health plans allow individuals and
families to have greater control over their health care, including when
and how they access care, what types of care they receive and how much
they spend on health care services.
These plans are however
associated with higher deductibles that the insured have to pay from
their pocket before they can claim insurance money. Consumer driven
health care plans include Health Reimbursement Plans (HRAs), Flexible
Spending Accounts (FSAs), high deductible health plans (HDHps), Archer
Medical Savings Accounts (MSAs) and Health Savings Accounts (HSAs). Of
these, the Health Savings Accounts are the most recent and they have
witnessed rapid growth during the last decade.
WHAT IS A HEALTH SAVINGS ACCOUNT?