Questions and Answers
In a US Healthcare system, who selects the Primary Care Physician (PCP)?
The member chooses the PCP
What is a feature of a US Healthcare system?
Wide range of healthcare facilities
In the PH Healthcare system, who selects the PCP?
The insurance company selects the PCP
What is a feature of a PH Healthcare system?
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What is a characteristic of a US Healthcare payment system?
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Study Notes
US Healthcare
- In the US, healthcare plans include HMO, PPO, POS, EPO, and Indemnity.
- Members have the freedom to choose their Primary Care Physician (PCP).
- A wide range of healthcare facilities are available to members.
- Members are responsible for various payment structures, including:
- Copay: a fixed amount paid for a specific service.
- Deductible: a set amount paid before insurance coverage begins.
- Coinsurance: a percentage of medical costs paid by the member.
- Out of pocket: total expenses paid by the member.
PH Healthcare
- In the Philippines, healthcare plans are primarily HMO plans.
- The insurance provider selects the member's Primary Care Physician (PCP).
- Healthcare facilities are limited to affiliated hospitals and clinics.
- The insurance company covers all medical expenses, eliminating the need for payment schemes.
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