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Health Insurance and Coverage

Health insurance and coverage is the system of public and private plans that help people pay for medical care. It includes government programs, employer plans, plans bought through the marketplaces, and accounts that set aside money for medical costs. Federal and state governments, insurers, employers, and individuals each have a role in who is covered and what is paid.

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October 19last updated

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Latest in Health Insurance and Coverage

Medicaid and CHIP

CHIP: How Kids Get Health Coverage

CHIP covers checkups, dental, vision, and mental health care for kids, with total family costs capped at 5 percent of yearly income under federal law.

Topics in Health Insurance and Coverage

Private coverage

Private Insurance (COBRA) covers employer and individual plans, including continuing coverage after a job ends, and Health Savings Accounts (HSAs) covers tax-favored accounts for medical expenses.

Rules and disputes

Insurance Coverage Requirements covers what plans must include, and Insurance Appeals and Disputes covers how people challenge a denied claim or decision.

All Articles on Health Insurance and Coverage

Can States Challenge Federal Medicaid Verification Requirements in Court?

1.2 million Californians could lose their Medi-Cal coverage by 2027. New federal rules require states to verify Medicaid eligibility every six months instead of…

24 Min Read

Facing Medi-Cal Coverage Loss? Here’s What Californians Should Know Now

Medi-Cal coverage loss in California depends on eligibility, renewal paperwork and plan changes. Notices guide appeals and replacement coverage options.

14 Min Read

What Happens If Insurers Exit Medicare Advantage

More than half of America's seniors now depend on private Medicare plans, and the system is becoming financially unsustainable as insurers are starting to…

12 Min Read

What the One Big Beautiful Bill Act Changed for Taxes and Health Coverage

What the One Big Beautiful Bill Act changed for household taxes and health coverage, which pieces are permanent, which expire, and what the subsidy lapse did.

30 Min Read

Guide to Medicare’s 2025 Annual Enrollment for 2026 Coverage

The Medicare Annual Enrollment Period is the single most important time of year for millions of Americans who rely on Medicare for health coverage.…

37 Min Read

ACA Healthcare Subsidies Guide: Who Qualifies and How to Apply

The Patient Protection and Affordable Care Act, passed in 2010, represents one of the most significant reforms of the U.S. health system. Its primary…

24 Min Read

Government Shutdown 2025: The Funding and Health Care Standoff Explained

The government shutdown grew from a clash over temporary funding and health insurance. The reopening deal and later subsidy vote answered separate questions.

14 Min Read

FEHB Premium Payment Verification: A Guide for Federal Retirees

Federal retirees face a common problem when applying for financial assistance: organizations ask for "proof of payment" for health insurance premiums, but the standard…

11 Min Read

How Medicare Covers Hearing Aids Through Private Plans

A reader writes to us: Why does the government force the elderly who are already on a fixed budget to pay for a Medicare…

33 Min Read

How Social Security and Medicare Face a Crisis as America Ages

The United States is undergoing a demographic shift that threatens the future of Social Security and Medicare. Longer lifespans, fewer births, and 73 million…

29 Min Read