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HSE Health Ins Pla

Cricks Health Insurance Plan FC

QuestionAnswer
Which kind of health care plan focuses on preventative care and uses a monthly premium? Health Maintenance Org (HMO)
What is the advantage of the HMO plan? Its subscribers have paid checkups and preventative care
What is the disadvantage of the HMO? The user has to use a doctor that is part of the HMO plan- so your choice is restricted.
What happens if you are in an HMO and you use a doctor who is not part of the HMO? YOu pay the bill
What health insurance plan focuses on contracting with large hospital and doctor providers for services at a discounted rate to the user? Preferred Provider Organization
Who is covered by Medicare? nearly all citizens over 65, or who has received social security payments for over 2 years
What is covered by medicare A? (3 things) 1) hospital services 2) extended care facility care 3) home health care
What is covered by medicare B? (3 things) doctors services, outpatient care, therapy
How is medicare A different from B? A is paid for by federal taxes, users have to pay a premium each month for medicare B
How is medicaid funded? medicaid is a STATE level provider- paid for with state taxes
What groups of people generally get coverage via medicaid? low income, children who qualilfy for public assistance, disabled individuals
What 2 things are covered by workers compensation? health care and lost wages for those injured on the job
Who pays for workers compensation insurance? state taxes
What kind of person is covered by TRICARE? US Military and their families
Created by: russcrick
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