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Health · Health admin and know-how

Cover Basics: how health insurance works in the US, UK and Australia

Six lessons built on official pages from Medicare.gov, HealthCare.gov, SHIP, the NHS, DHSC, the FCA, Services Australia, the Department of Health, privatehealth.gov.au, the ATO and Moneysmart. General education only: no policy or insurer recommendations.

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About this course

How health insurance works: Medicare, private cover and the NHS.

Starter · About 1.25 hours of learning · 6 lessons · 18 quick checks · 1 download

  • Who it's for

    Adults who want to understand how health insurance and public health cover work in the US, the UK or Australia.

  • How it works

    6 guided lessons in your browser, with worked examples, exercises and a quick check after each lesson. Progress is saved in this browser only, and you can restart at any time. You start with just your first name and email, and you can take one whole course that way. After that, a free account lets you continue past lesson 1.

  • Sources we rely on

    48 published sources, mostly regulators and official bodies, listed below so you can check the original guidance yourself.

By the end you can

  • Explain premium, deductible, copayment, coinsurance, out-of-pocket maximum and network
  • Describe the parts of US Medicare and where to get free official help
  • Describe US plan types, enrollment periods, and Medicaid and CHIP
  • Explain NHS cover, NHS charges in England and how private care fits alongside
  • Explain Australia’s Medicare, private cover, LHC and the Medicare levy surcharge

Downloads

  • Cover comparison worksheet .xlsxKey terms in official words, a US plan comparison tab, a My cover summary, cost questions to ask, and official help services by country. No recommendations.

Rules by country

United States
Medicare.gov and Medicare Plan Finder (CMS) (Parts A, B, C, D; Initial Enrollment Period; costs linked, not quoted; 1-800-MEDICARE), SHIP (free one-on-one counseling), HealthCare.gov (glossary, plan types, plans and prices, Open and Special Enrollment Periods, Medicaid and CHIP). Emergency 911.
United Kingdom
NHS Constitution (access based on clinical need), NHS prescription and dental charges in England (linked, not quoted), help with health costs, NHS choice, DHSC guidance on additional private care, FCA and Financial Ombudsman Service for private policies. Emergency 999; NHS 111.
Australia
Services Australia (Medicare, Safety Nets, enrolling), Department of Health (what private health insurance covers), privatehealth.gov.au (Lifetime Health Cover, compare policies), ATO (Medicare levy surcharge, rebate), Commonwealth Ombudsman (complaints), Moneysmart. No figures quoted: links only. Emergency 000.

Learning time

About 1.25 hours of learning. May count towards your CPD or professional development; check your professional body's rules. Estimated from reading time, exercises, quick checks and downloads.

Sources

Check the originals.

How these courses are made. Spotted an error or out-of-date rule? Send a correction.

General information only, not medical advice. Talk to your doctor or another qualified health professional about your situation. In an emergency call 000 (AU), 999 (UK), 911 (US/Canada) or 111 (NZ).

Publisher

Who publishes this course.

Published by trainyourself.org, a trading name of Combine TRS Pty Ltd (ABN 42 112 983 678), Brisbane, Australia.

How it's made: researched from published official public-health and government guidance, then run through automated quality checks against our course depth standard and automated source checks that match each rule to its official source, listed above. Read how these courses are made.

Last updated:

General information, not tax, accounting, legal or professional advice. Spotted an error or an out-of-date rule? Send us a correction.

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