Psy 230 Week 2 Health And Social Care Case Study Answers

More and more people with medical insurance are relying on the health care system as new technologies and treatments become available. This leads to a grater number of claims for payment by insurance companies, the costs of which are passed back to health care consumers. The baby-boom generation is entering its peak health-care using period. Over eighty million Americans will turn 50 in the next 10 years. The cost of providing heath care for these individuals will be staggering

Health care expenses are a never ending headache that create numerous liabilities. Liabilities are created when goods or services are purchased on credit and obtained through short- term and long- term loans. Health care expenses create liabilities such that payments are made late or no payments are made at all. In some cases, the cost of health care expenses are unaffordable resulting in those type of payments. To prevent large health care debt, many individuals seek health insurance. Health insurance is provided by private insurance companies or by the government. It covers health care expenses and provides the necessary health care. Although, health insurance is necessary it can also be very costly.

However, this option has its limitations that make it difficult for the patients to access health care services in many ways. Since it does not fully cover the medication expenses, some patients may get it difficult to cover the remaining expenses. The indemnity insurance has the set limit in which the policy will cover you. If the hospital bills surpass the set level, expenses will go up and it will be your responsibility to pay the remaining expenses. This coverage will not be relevant since it will not have fulfilled your mission for taking a policy.

A health insurance plan pays for medical care only after the insured has first paid $500 out of pocket on an annual basis. The $500 annual cost is called

H. (04/2015). Comprehensive Health Insurance: Billing, Coding & Reimbursement, VitalSource for Allen School of Health Sciences, 1st Edition. [Bookshelf Online]. Retrieved from https://online.vitalsource.com/#/books/9781323131503/

The patient is informed about their coverage and the amount of copayment they would have to pay.

will have a higher premium. These patients must pay the adjustment plus the standard premium

Question 5. 5. (TCO D) John Savage is a 35-year-old accountant who earns $72,000 per year. His monthly take-home pay is $4,500. His wife Jessica works part-time at their church but has no employee benefits. John's firm has a group short-term disability plan, which will provide him with 65% of his gross monthly pay for 2 years only. What would you advise John regarding his potential need for additional disability insurance, including the type, amount of benefits, or other policy provisions? (30 points total) (Points : 30)

What does it cover? “It cost around fifty dollars to see the primary doctors, and specialize doctor seventy-five dollars.” (www.ehealth.com, 2014) “The prescriptions cost from range from fifteen dollars for generics to out of the pocket on some name brand drugs.” (www.ehealth.com, 2014) Some the name brand drugs are mental disorder and they cost up to thousands of dollars for this one of those prescriptions alone. “Surgeries, x-rays, cat-scans, M.R.I’s all them are half of the cost of the procedure. That does not count price of ER is five hundred dollars and every day you stay in the hospital it extra five hundred dollars you pay every day that you are in there.” (www.ehealth.com, 2014) It would be cheaper than paying out the pocket for a hospital stay or most of those things besides the name brand prescriptions it the same price.

a. Pay a portion of an individual’s medical expenses according to the terms in the policy

However, in the event that I need emergency and urgent care services, outpatient or inpatient services, prescription drug coverage, preventative care services or to have imaging done, I am covered at no charge after the $500 deductible. Overall, anything could happen in the course of a year that costs more than $500 dollars and if it does happen, any other services after will be covered, as the out of pocket limit is $500.

Which type of health insurance pays part of all of the surgeon 's fee for an operation

The primary role for disability benefits is to compensate the employee for the wages lost while their illness or injury makes it impossible for them to work. There are four categories that disabilities fall under depending on the facts. Those categories are, temporary total disability, temporary partial disability, permanent disability, and finally, permanent partial disability. Temporary total disability is one that keeps someone from working at all, but only for a short amount of time. In other words, they might not be able to work now, but they will be able to work one day. The majority of workers' compensation disabilities fall into this type category. Temporary partial disability is one that prevents a person from doing some of the duties of their job for a certain amount of time. In other words, they may do some parts of their job now, and someday they might be able to do all of the duties, just as they had done before their injury. Permanent total disability prevents someone from ever coming back to work. They do not need to be totally helpless or medically incapacitated to fall into this category, just unable to work at their previous job or a similar one. Permanent partial disability

A disability income insurance policy could be quite beneficial to the Lawrence’s should something happen to either one of them that prevents them from working for a period of time. Mark’s employer only provides two weeks of sick leave which would only cover Mark if he should be ill. Shelby is currently operating her own business, and is covered by her husband’s insurance policy, however, she would not be considered covered for his sick leave policy as she is not the employee. The disability income insurance policy, would be able to help Mark provide for his family should an illness or accident befall him that he is not able to work for a period of time. The policy will cover a portion of your income while you are not able to work, and is

This policy covers hospitalization expenses which intends to provide coverage to people as well as their family in the eventuality of high treatment costs for any injury or disease related contingencies like hospitalization, organ transplantation etc. on the other hand , people opt for a compulsory deductible amount, which their bear either through existing health coverage or through own/other sources. The policy acts as an additional cover over and above the deductible amount. The policy therefore addresses galloping medical inflation at a very reasonable