Question

Comparing Private Insurance P Alison purchases health insurance coverage for herself and her spouse. This is an example of a group urance plan Indemnity, or fee-for-service, plans and managed care plans cover medical expenses if you are sick or injured, but in different ways. The following questions examine the general differences between the two plans. Taking a closer look at how these plans provide coverage will help you begin to customize a health care plan that best suits your requirements. Select the plan that most closely matches each given description Indemnity plan Managed care plan Service providers must meet specific selection standards An annual deductible is inc The insurer pays the care provider or reimburses the patient for covered expenses once the deductible has been met Insureds create contract with, and make monthly payments, tothe O care provider A PPO plan is a one exa Now that you've taken a closer look at the differences between these types of plans, consider the fallowing statements. Each indicates common preferences and situations. Select the type of plan to which each statement most closely aligns. Indemnity plan Managed care plan I'd rather have the flexibility of either having the insurance company reimburse me or directly paying the health care provider. I'd rather receive my health care from a group of pre-screened providers who meet specific selection standards I most value the freedom of choice and am willing to pay for it. There are several types of managed care plans, including group health maintenance arganizations (group HMos), individual practice associations HMO (IPA HMOs) preferred provider organizations (PPOs), exclusive provider organizations (EPOs) and point-of-service (POS) plans.

Answer 1

service provider must meet specific selection standard --------- managed care plan

an annual deductible is incured----------------- indemnity plan

The insurer pays the care provider or reimburses the patient for covered expenses once the deductible has been met------------------ indemnity plan

insured create contract with, and make monthly payment to the care provider------------------- managed care plan

A PPO plan is one example-------------------managed care plan

I would rather have the flexibility of either having the insurance company reimburse me or directly paying the health care provider-----------------------indemnity plan

I would rather receive my health care from a group of pre-screened providers who meet specific selection standard-----------------------------------managed care plan

I most value the freedom of choice and am willing to pay for it-----------indemnity plan

If I want my plan to exihibit these characteristics, then I should purchase------------EPO