CNSR SCI 275 : chapter 9
30 Oct 2014
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Helps to pay for illness and injury. High prices of health care and prescription drugs. Private health insurance plans: group health insurance-health insurance consisting of contracts written between a group (employer, union, etc. ) and the healthcare provider, two categories: Managed care plans (hmos, ppos: traditional indemnity (fee for service) plans. Indemnity (fee for service) plan-health insurance plan in which the health care provider is separate from the insurer, who pays the provider or reimburses you for a specified percentage of expenses after a deductible. Managed care plan-a healthcare plan in which subscribers/users contact with the provider organization, which uses a designated group of providers meeting specific selection standards to furnish health care services for a monthly fee. Health maintenance organizations (hmo)-an organization of hospitals, physicians and other healthcare providers who have joined to provide comprehensive services to its members, who pay a monthly fee. Group hmo-an hmo that provides healthcare services from a central facility; most prevalent in larger cities.
