Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

3. Private health insurance - Comparison of plans and providers In the United States, private health insurance plans can be written as group or individual

image text in transcribed
image text in transcribed
image text in transcribed
3. Private health insurance - Comparison of plans and providers In the United States, private health insurance plans can be written as group or individual plans, or as indemnity or managed care plans. Comparing Private Insurance Plans Madeline is able to secure health insurance because she is member of the electrician's union. This is an example of insurance plan. Indemnity, or fee-for-service, plans and managed core plans cover medical expenses if you are sick or injured, but in different ways. The following questions examine the general differences between the two plans. Taking a closer look at how these plans provide coverage will help you begin to customize a health care plan that best sults your requirements. Select the plan that most closely matches each given description. Now that you've taken a closer look at the differences between these types of plans, consider the following statements. Each indicates common preferences and situations. Select the type of plan to which each statement most closely allgns. There are several typos of managed care plans, including group health maintenance organizations (group. HMOs), individual practice associations HMO (IPA HMOs) preferred provider organizabions (PPOs), excluslve provider organizations (EPOs), and point-of-5ervice (POS) plans. Deciding which particular type of practice would best meet your needs requires knowing the major characteristics of each. fidentify the particular form of private health care organization or plan described by the following three clues. Clue a 1: 17i see all of the doctors and medical professionals in my plan by visiting them at a central facility. Clue \#2: To receive the covered medical services, I'Il pay a monthly fee and a small copay for each visit to the doctor or prescription. Clue \#3. Many of these plans now allow me to obtain medical services from doctors or facilities located outside my plan's geographic area, If I want my plan to exhibit these characteristics, then I should purchase DPPO a group HMO an EPO There are several types of managed care plans, including group health maintenance organizations (group HMOs), individual practice associations HMO (IPA HMOs) preferred provider organizations (PPOS), exclusive provider organizations (EPOS), and point-of-service (POS) plans. Deciding which particular type of practice would best meet your needs requires knowing the major characteristics of each. Identify the particular form of private health care organization or plan described by the following three clues. Clue \#1: 17 see all of the doctors and medical professionals in my plan by visiting them at a central facility. Clue \#2: To receive the covered medical services, I'l pay a monthly fee and a small copay for each visit to the doctor or prescription. Clue \#3: Many of these plans now allow me to obtain medical services from doctors or facilities located outside my plan's geographic ares. If I want my plan to exhibit these characteristics, then I should purchase a PPO a group HMO an EPO an IPA HMO

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Modern Project Finance A Casebook

Authors: Benjamin C. Esty

1st Edition

0471434256, 978-0471434252

More Books

Students also viewed these Finance questions