US Healthcare Plans and Payment Structures
5 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

In a US Healthcare system, who selects the Primary Care Physician (PCP)?

  • The doctor selects the member
  • The member chooses the PCP (correct)
  • The hospital assigns the PCP
  • The insurance company selects the PCP
  • What is a feature of a US Healthcare system?

  • Limited hospitals and clinics
  • Wide range of healthcare facilities (correct)
  • No payment scheme, insurance pays
  • Insurance selects the PCP
  • In the PH Healthcare system, who selects the PCP?

  • The member chooses the PCP
  • The doctor selects the PCP
  • The insurance company selects the PCP (correct)
  • The hospital assigns the PCP
  • What is a feature of a PH Healthcare system?

    <p>Limited hospitals and clinics</p> Signup and view all the answers

    What is a characteristic of a US Healthcare payment system?

    <p>Copay, deductible, coinsurance, out of pocket</p> Signup and view all the answers

    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.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Understand the different types of healthcare plans available in the US, including HMO, PPO, and more. Learn about the payment structures, including copays, deductibles, and coinsurance.

    More Like This

    Health Insurance Plans Quiz
    10 questions
    Health Care System in the US
    21 questions

    Health Care System in the US

    SelfSufficientAgate1041 avatar
    SelfSufficientAgate1041
    Health Insurance and Medicaid Quiz
    48 questions
    Use Quizgecko on...
    Browser
    Browser