week6 day 7 - Jerry Byrd&#2 July 23 rd 2010 Health...

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Unformatted text preview: Jerry Byrd  July 23 rd . 2010 Health insurance is purchased to protect from financial losses due to expenses that occur from medical services.  Can be purchased via the private sector or publicly funded.  Can be purchased by individuals or through employers or associations. Accident insurance – 1860  Sickness coverage – 1911  Predecessor to HMO – 1929  Modern Health Insurance – Present Day Managed Care  HMO – Health Maintenance Organizations  PPO – Preferred Provider Organization  TRICARE Emphasis on preventative care  Control cost and health care use  Benefits: Lower cost  Disadvantages: Provider and service restrictions Low costs  As costs increased, restrictions lessened  In-network providers  Benefits: Co-payment cost share, focus on preventative care, no maximum lifetime payout  Disadvantages: out of network providers are not covered, tighter controls make it difficult to get specialized care Preferred Provider Organization...
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  • Spring '10
  • runyon
  • Jerry Byrd, lifetime payout Disadvantages, Lower cost Disadvantages, limited Disadvantages, preventative care Control

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week6 day 7 - Jerry Byrd&#2 July 23 rd 2010 Health...

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