medications because it’s for low income families or individuals. A2B. Determine the requirements to get a referral to see a specialist in the two healthcare systems.
Healthcare Financing 4 In Japan, you do not need a referral to see a specialist, you do not need an appointment to see the doctor, or a specialist and there are no waiting lists in Japan. Everyone in Japan has the same coverage, same insurance. There are no insurance companies competing. In the United States, you need a referral from your primary care doctor too see any kind of specialist, even a massage therapist. After the referral is sent, it can take a month or two to even receive a call from the specialist office, and then another one to three months to be seen by that specialist. It also depends on the insurance you have whether it’s an HMO or PPO as that can limit the patient’s choice of specialists. With no referral, your insurance may not pay for services. A2C. Discuss coverage for preexisting conditions in the two healthcare systems. In Japan, patient’s with pre-existing conditions cannot be turned down. This is forbidden. It is known that Japan has the longest healthy life expectancy and lowest infant mortality rates. A lot of this has to do with diet and exercise, also the fact that their insurance is phenomenal compared to the United States. The Affordable Care Act that became effective in January 2014 put an end to coverage being denied due to pre-existing conditions. No health insurance can reject an individual’s coverage because of pre-existing conditions. Furthermore, health insurance is not allowed to charge more or refuse to pay for essential health benefits for any conditions that existed preceding to when coverage started.
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