NHC PREMIUMS ALL PREMIUMS ARE BASED ON INCOME THE PERCENT IN
THESE CALCULATIONS IS 14%
Slide 4
OVER 65 PREMIUMS The Premium for customers over 65 years in age
will be 14% of their ADJUSTED GROSS INCOME up to $500,000 and 4%
for anything over Social Security will make the first premium
payment from the monthly payments. If the adjusted gross income
does not exceed the annual Social Security payment, then the
customer will not owe any more. If the adjusted gross income is
greater, then the difference between the Social Security payment
and $500,000, will be paid with income taxes at 14% of the
difference If the adjusted income is greater than $500,000, the
amount in excess of $500,000 will be paid with income taxes at 4%
of the additional income
Slide 5
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UNDER 65 YEARS OF AGE The premium for customers under 65 years
of age will be 3.5% (1/4 of 14%) of their income from employers up
to a cap of adjusted gross income of $500,000 Any adjusted income
that is not from an employer will be at 14% of the adjusted gross
income up to $500,000 and paid with the income taxes All adjusted
gross income in excess of $500,000 will be paid with income taxes
at 4% of the additional income.
Slide 7
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Slide 9
CO-PAYS Customers will pay a co-pay of the listed price at the
time of purchasing a service. Co-pays will not apply to: Outpatient
hospital Home health Inpatient hospital Skilled nursing Provider
administered drugs There will be NO DEDUCTIBLES, only co-pays
Slide 10
CO-PAYS BASED ON ANNUAL INCOME INCOMERANGE% OF PRICE
UNDER$5,0001% $5,000TO$9,9992% $10,000TO$14,9993%
$15,000TO$19,9994% $20,000TO$24,9995% $25,000TO$29,9996%
$30,000TO$34,9997% $35,000TO$39,9998% $40,000TO$44,9999% ALL
OVER$45,00010%
Slide 11
CO-PAYS-EMERGENCY ROOM BECAUSE THE COST OF GOING TO THE ER
(EMERGENCY ROOM) IS THE MOST COSTLY CARE.THERE WILL BE A CO-PAY OF
$250 FOR VISITING THE ER. IF IT IS TRULY AN EMERGENCY, SUCH AS A
BROKEN ARM, HEART ATTACK, AND OTHERS SIMILARLY SEVERE THERE WILL BE
NO CO-PAY REQUIRED
Slide 12
NO ABORTIONS Abortions shall not be covered under this Plan
Unless the mothers life is in jeopardy Rape or Incest Carrying a
child for Adoption will be FULLY covered
Slide 13
PRICES FOR SERVICES ALL Providers shall POST their PRICES for
the SERVICES they can provide, and in addition provide a printed
price list to the customer at the time of receiving service(s)
These will be the prices approved by NHC These are, also, the
prices that the co-pay(s) will apply to. The provider may treat
more than one problem, if there are more than one, at an
appointment Medicare currently does NOT permit this.. MORE
APPOINTMENMTS
Slide 14
PRICES FOR SERVICES WE ARE CUSTOMERS When we buy a loaf of
bread or a gallon of gasoline, we know the price before we make the
purchase Like wise the provider will, also, know and will make an
invoice for only one price. NOT THE FUNNY PRICES THEY NOW HAVE TO
USE. WHICH THEN ARE MASSAGED TO FINALLY GET TO WHAT THEY WILL
RECEIVE. THIS WILL REDUCE THE COST OF BILLIN G
Slide 15
NHC RATES Beginning January 1, 2013 Physician rates shall be
the EXISTING RATES in effect as of December, 2012 AND. PRIMARY CARE
will be increased by 10% BEGINING JANUARY 1, 2013 ALL OTHER
PHYSICIANS will be increased by 5% BEGINNING JANUARY 1, 2013
Slide 16
EDUCATION FUND The NHC will have an EDUCATION FUND to provide
for reimbursement of 50% of the cost to obtain the necessary
education to practice as a Primary Care Physician, a Physicians
Assistant, a Registered Nurse, or a Nurse Practitioner.
Slide 17
LETS DANCE
Slide 18
TORT REFORM TORT REFORM IS WHAT CONGRESS, And the LOBBYISTS
HAVE BEEN DANCING AROUND FOR YEARS AND STILL HAVE NOT ADDRESSED
WHY?
Slide 19
TORT REFORM A tort is a Legal Wrong Malpractice law suits costs
Health Care in US between $100 and $178 Billion per year Less than
2% of patients who are negligently injured file a lawsuit Of
lawsuits filed, ONE OF EVERY THREE DOES NOT INVOLVE ANY MEDICAL
ERROR If a lawsuit is filed, almost 1 in 6 victims receive NO
compensation 1 in 10 meritless lawsuits result in a compensation
award
Slide 20
TORT REFORM - THIS PLAN Provides for attorneys to file two
types of lawsuits One with a cap on an award of $250,000 The other
has NO cap on an award If a court finds that there was no
malpractice, the attorney filing the lawsuit shall pay the
defendants: 5 times the costs of the defendants and their attorneys
under the first option 15 times the costs under the second option
25 times the costs, if a jury determines that the lawsuit was
harassment
Slide 21
TORT REFORM THIS PLAN This Plan protects the right of any one
injured to seek compensation At the same time it discourages filing
just to be filing for dollars Attorneys need to make sure they have
all of THEIR DUCKS IN ORDER, and then look again to make sure THEY
ARE ALL DUCKS, before they file a lawsuit.
Slide 22
UNNECESSARY TESTS IT HAS BEEN ESTIMATED THAT UNNECESSARY TESTS
COSTS THE ECONOMY $210 BILLION PER YEAR TORT REFORM WILL ASSIST IN
REDUCING THIS THE PLAN ALSO HAS A PROVISION FOR COORDINATORS TO
TRACK THE REFERRAL OF PATIENTS IF A GROUP OF PROVIDERS SHOWS A
HISTORY OF REFERING TO EACH OTHER THEY WILL BE REFERRED TO THE
STATE BOARD OF REGISTRATION OF DOCTORS
Slide 23
DRUG COMPANIES Drug companies shall sell their products IN the
UNITED STATES for the SAME PRICES they sell the products OUTSIDE
the U.S. Consumers may purchase drugs from OUTSIDE the U.S. Drug
Manufacturers shall not attempt to, or actually pay a generic
manufacturer not to enter the market, so the Drug Manufacturers can
preserve their monopolies
Slide 24
GENERIC DRUGS SEVEN OUT OF TEN PRESCRIPTIONS WRITTEN ARE
GENERIC
Slide 25
GENERIC DRUGS All generic drugs shall be purchased and paid for
by the customer Except for customers with incomes Of $5,000, per
year or less They will pay nothing PLAN WILL At four dollar
generics, the cost to bill the Plan would probably be equal to the
$4 cost of the generic
Slide 26
BRAND NAME DRUGS The customer will pay a percent of the price
(CO-PAY) and the Plan will pay the balance A customer may purchase
a Brand Name instead of the generic, but will pay the FULL Brand
Name Price. The plan will NOT pay for it
Slide 27
PAID OUT OF POCKET The following shall be paid out of pocket,
as GENERIC DRUGS ARE: 1.Contraceptives/Birth Control EXCEPT any
BIRTH CONTROL methodology available shall be paid for by the PLAN,
if the Mothers Life may be threatened by a PREGNANCY 2.Viagra,
Cialis or other drugs or methodology of this type