Medication in Great Britain while in the hospital are covered by the NHS while medications that are outpatient may have a copay. The medications prices are set by the department of health and are not subject to changes base on where you get the medications from. There are some exceptions to the copayments. Children fifteen and under or 16-18 that are in school full time, elderly, low income, postpartum up to 12 months, people with certain illnesses and disabilities fall into the exception category. In the United State medication cost vary due to many different reasons. It is dependent on the insurance coverage that a person is under, if the medication is generic or brand, if the insurance company sees the medication is indicated for the patient, what the targeted use of the medication is for, along with others. Insurance can deny medications that are not approved for the reason it is being given, even if a medical provider deems it necessary. If this becomes the case, a patient is responsible for the costs of the medication. The medication cost is varied on the pharmacy and the manufacturer. Medications that are covered by the insurance provider come with a copay or are covered completely under the policy. Government assisted persons will have more limitations to the medications that are covered but will have minimal to no costs for those medications. A2B. Referral to See a Specialist In Great Britain, patients go through their general practitioners for a specialist referral. The general practitioner acts as a “gatekeeper” for referrals. Their job as a general practitioner is to provide preventative care and monitoring of chronic illnesses. Most specialist are employees of hospital’s but can perform outpatient consults for patients.
C489 TASK 3 4 In the United States referrals are needed based on your insurance plan. With PPO insurance you can see any specialist without a referral from a primary care provider. Costs of
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- Spring '19