10 Questions
Match the type of healthcare system with the characteristic of selecting a PCP:
US Healthcare = Insurance selects the PCP PH Healthcare = Member chooses PCP
Match the type of healthcare system with the type of plan available:
US Healthcare = HMO Plan PH Healthcare = HMO, PPO, POS, EPO, Indemnity
Match the type of healthcare system with the range of healthcare facilities:
US Healthcare = Limited Hospital PH Healthcare = Wide Range Healthcare Facilities
Match the type of healthcare system with the method of purchasing plans:
US Healthcare = Through Individual Plans only PH Healthcare = Through Employer and Individual Plans
Match the type of healthcare system with the facility restrictions:
US Healthcare = Affiliated facilities only PH Healthcare = No facility restrictions
Match the type of healthcare system with the party responsible for paying healthcare facilities:
US Healthcare = Member PH Healthcare = Insurance
Match the type of healthcare system with the level of coordination of benefits:
US Healthcare = Different responsibilities PH Healthcare = Coordination of benefits
Match the type of healthcare system with the restriction on healthcare facilities:
US Healthcare = Wide range of facilities PH Healthcare = Limited hospital options
Match the type of healthcare system with the availability of indeminity plans:
US Healthcare = Available (Indemnity) PH Healthcare = Not available
Match the type of healthcare system with the party responsible for selecting a PCP:
US Healthcare = Member PH Healthcare = Insurance
Study Notes
US Healthcare
- US healthcare plans are often obtained through employers
- Individuals can also purchase plans directly
- Multiple plan types are available, including:
- HMO (Health Maintenance Organization)
- PPO (Preferred Provider Organization)
- POS (Point of Service)
- EPO (Exclusive Provider Organization)
- Indemnity plans
- Patients have the freedom to choose their Primary Care Physician (PCP)
- A wide range of healthcare facilities are available for treatment
Philippine Healthcare
- Philippine healthcare plans can be obtained through employers
- Individuals can also purchase plans directly
- Typically, only HMO plans are available
- These HMO plans are restricted to affiliated facilities only
- The insurance company selects the Primary Care Physician (PCP) for the patient
- Hospital options are limited
US Healthcare System
- In the US, healthcare is often provided through employers, who offer health insurance plans to their employees.
- Individual plans can also be purchased directly from insurance providers.
- There are various types of health insurance plans available, including:
- HMO (Health Maintenance Organization)
- PPO (Preferred Provider Organization)
- POS (Point of Service)
- EPO (Exclusive Provider Organization)
- Indemnity plans
- Members of these plans have the freedom to choose their own Primary Care Physician (PCP).
- A wide range of healthcare facilities is available to members.
Key Aspects of Member Responsibilities
- Members have different responsibilities depending on their insurance plan.
Coordination of Benefits
- Coordination of benefits is necessary to ensure that healthcare services are properly paid for.
Philippine Healthcare System
- In the Philippines, healthcare is also often provided through employers, who offer health insurance plans to their employees.
- Individual plans can also be purchased directly from insurance providers.
- HMO plans are available, but they are limited to affiliated facilities only.
- Insurance providers select the PCP for members.
- The range of available hospitals is limited.
- There is no payment scheme, and insurance providers pay for healthcare services directly.
- Coordination of benefits is necessary to ensure that healthcare services are properly paid for.
This quiz compares and contrasts the healthcare systems of the United States and the Philippines, including how they are accessed and the types of plans available. Topics include HMO, PPO, POS, and EPO plans, as well as the role of primary care physicians.
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