Question

In: Finance

Traditional health insurance plans are a. HMO plans. b. value-based plans. c. pay for service plans....

Traditional health insurance plans are

a.

HMO plans.

b.

value-based plans.

c.

pay for service plans.

d.

managed care plans.

Solutions

Expert Solution

Answer:- Option (C):- pay for service plans

Explanation:- A traditional insurance plan is also known as indemnity or fee-for-service (FFS). It is actually pay for service plan which provides basic coverage for doctor visits, hospitalization, surgery and other medical expenses. A traditional type of insurance is pay for service plan, in which the health plan will either pay the medical provider directly or reimbursement is made after filing an insurance claim for each covered medical expense.


Related Solutions

VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model...
VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model that determines the payment according to the actual services used or costs incurred, VIP-MD receives a fixed, prepaid amount from subscribers. The per member, per month rate (PMPM) is determined by estimating the health care cost per enrollee within a geographic location. The average health care coverage in North Carolina costs $364 per month, which is the same amount irrespective of the subscriber’s age....
VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model...
VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model that determines the payment according to the actual services used or costs incurred, VIP-MD receives a fixed, prepaid amount from subscribers. The per member, per month rate (PMPM) is determined by estimating the health care cost per enrollee within a geographic location. The average health care coverage in North Carolina costs $360 per month, which is the same amount irrespective of the subscriber’s age....
Comparing the Costs of a Regular Health Insurance Policy and an HMO. A health insurance policy...
Comparing the Costs of a Regular Health Insurance Policy and an HMO. A health insurance policy pays 65 percent of physical therapy cost after a $200 deductible. In contrast, an HMO charges $15 per visit for physical therapy. How much would a person save with the HMO if he or she had 10 physical therapy sessions costing $50 each?
In 200 words or more, Explain the difference between competency-based and traditional pay plans?
In 200 words or more, Explain the difference between competency-based and traditional pay plans?
Discuss the economic impact of high deductible health insurance plans on patients’ ability to pay for...
Discuss the economic impact of high deductible health insurance plans on patients’ ability to pay for their medications. Describe the major factors that contribute to higher costs for prescription drugs and provide your opinion of the profit-seeking strategies of pharmaceutical companies.
_____ is not a type of term insurance. a. Annual b. limited pay . c. convertible....
_____ is not a type of term insurance. a. Annual b. limited pay . c. convertible. d. Renewable. e. Decreasing .
US HEALTHCARE Managed Care For years, your parents had a traditional fee-for-service health insurance. They are...
US HEALTHCARE Managed Care For years, your parents had a traditional fee-for-service health insurance. They are now required to switch to a managed care product. They are very upset because they love their physicians. However, their physicians did tell them they had contracted with certain MCO's to provide services. You parents were still confused. Explain the managed care principle, and which program would enable them to use their practitioners.
2. What type of health insurance do you have? Is it an HMO, a PPO, an...
2. What type of health insurance do you have? Is it an HMO, a PPO, an ACO, or some hybrid form of MCO? Are you familiar with your deductible? What other details about your health insurance are important to you?  
Employee Health Insurance Plans Part I Consider the four health plans below with an eye to...
Employee Health Insurance Plans Part I Consider the four health plans below with an eye to choosing one to offer to the company's employees. Assume that the health plans and their annual per employee premiums are as follows: Health Plan Premium, Individual Premium, Family Aetna Health $4,555 $11,428 MetroPlus $4,267 $10,540 Empire $4,217 $10,767 Oxford $6,029 $13,417 The employer will pay 80% of the premium for individual coverage, and the employee will pay the remaining 20% as well as the...
Goldberg and Silverstein (GS) is a for-profit mid-level HMO company, providing health plans mostly in metro...
Goldberg and Silverstein (GS) is a for-profit mid-level HMO company, providing health plans mostly in metro areas. GS is exploring to extend its health plan in a fast growing community called Newtown. There are three acute care hospitals in Newtown. GS bought Griffith HMO to provide services in Newtown. Griffith HMO is providing health care plans in Newtown area for past 10 years using Miller Hospital, one of the three hospitals in Newtown. You have been assigned to prepare capitation...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT