UK access to specialists often requires a lengthy wait than can be expedited by

Uk access to specialists often requires a lengthy

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UK, access to specialists often requires a lengthy wait than can be expedited by private insurance. Depending on the type of insurance a person has depends on the access to specialist. For patients that have Health maintenance organization insurance plans, it is required to be referred by a primary doctor. Other plans such as preferred provider plans have more direct access to specialist. Medicare and Medicaid have limited access to specialist due to low reimbursement rates, causing specialists to not accept these patients. In both countries there is some level of “gate keeping” through referral prior to specialist access, however it is less the case in the us depending on the type of insurance the person has. In
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Marion 5 the UK everyone that has the universal insurance has the same ability to see specialist where as it is limited to those with Medicare and Medicaid. In the UK private insurance can expedite seeing a specialist, where as the time to see one in the us is generally not as long. A2C. Coverage for preexisting conditions The international profiles report by the common wealth fund states that according to the NHS constitution, healthcare is provided to everyone who qualifies without discrimination. The healthcare system is also universal (2017). This means that all persons who qualify by being a resident of England or by having a European healthcare card with pre-existing conditions covered. The website Healthcare.gov controlled by the FDA states that under the Patient protection and Affordable Care Act, the health insurance exchange prohibits insurance companies from discrimination based on pre-existing coverage (2018). While both countries pre-existing conditions are covered, in Great Britain healthcare is universal and primarily provided by the government. In the US it is up to the individual to ascertain health care coverage for themselves, however they cannot be denied coverage during open enrollment for having a pre-existing condition. A3. Finance implications for healthcare delivery The healthcare system in England is publicly financed. The system is paid for mostly by payroll taxes, general taxation, private pay patients that use NHS, and copayments. Co-sharing and out of pocket spending are paid by the patient by certain services such as employment health screenings. According to the American institute of medical sciences and education, this is
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  • Common Wealth Fund

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