Quantitative Methods in Health Care Management Solution Manual
How to Find the Right Health Care Plan
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Your health is more important than anything else. A healthy person can keep earning money so always put your health ahead of your financial needs. Don't make the mistake of thinking that you're too young to consider your health care needs. All adults need a good healthcare package so take time before committing to a healthcare insurance plan. There are four levels of insurance plan available to you - Bronze, Silver, Gold, and Platinum, and there are lots of other things to consider before you decide on your insurance package. Don't forget that you will be paying a monthly fee even if you don't need medical help.
Metal Levels
Typically, the insurance plan's monthly amount will increase as you go from Bronze up to Platinum but the amount you have to pay for treatment decreases. For example, you might be asked to pay 40% of the costs with the insurance firm covering the other 60% if you opt for Bronze, while Silver customers will find perhaps as much as 70% covered by the insurance company. If you'd like to make sure you're not surprised by a major bill, opt for the Platinum package as you'll normally pay something like 10% of the medical bill.
What Is the Total Cost?
Don't just look at the monthly premium when choosing an insurance package as there may be a deductible to pay. This amount is paid whenever you need the insurance. And consider what the insurance package is covering before committing to it. Does it pay for some of your regular check-ups? What about disease management programs? Are they covered by the insurance? You should also check if preventive services like shots and screening tests are available to you at no extra cost.
Exclusive Provider Organization (EPO)
Some plans offer low monthly costs but come with restrictions. For example, you might opt for an EPO plan. That's an Exclusive Provider Organization plan in which you're only able to use doctors and specialists from hospitals within the plan's network. Of course, in an emergency, you can go wherever you need to but apart from that, you're restricted which might not work for you if you travel a lot and need medical aid in various places.
Health Maintenance Organization (HMO)
HMOs normally offer lower costs than other similar services but they have a more restrictive provider network. You will also need to coordinate your health care through your primary care physician which could slow down the process of being seen because you'll need a referral, except in the case of an emergency. For example, if you get a rash on your skin, you'll have to see your primary care physician before being referred to a dermatologist.
Preferred Provider Organization (PPO)
This subscription-based medical care arrangement offers more flexibility than HMOs as there are fewer restrictions on visits to specialists outside their network. You won't need to see a PCP before seeing a specialist which will save you time, although premiums are normally higher, and there's normally a deductible to pay. Before committing to either an HMO or PPO consider your medical needs above the costs. If buying insurance for yourself rather than taking it through your employer, remember that you might be eligible for tax subsidies.
Quantitative Methods in Health Care Management Solution Manual
Source: https://www.life123.com/article/How-to-Find-the-Right-Health-Care-Plan?utm_content=params%3Ao%3D740009%26ad%3DdirN%26qo%3DserpIndex