HCR 202 Week 2 Health Care Reimbursement Worksheet

Complete the University of Phoenix Material: Health Care Reimbursement Worksheet.

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Health Care Reimbursement Worksheet

Complete Parts A and B of this worksheet.

Reference: Ch. 1 and Ch. 17 of Medical Insurance

Part A

Pair the health care term from Column A with the appropriate definition from Column B. List the corresponding letter in Column C.

Column A	Column C	Column B
co-pay		A. The amount owed for covered health care services before the health insurance plan begins to pay
Deductible		B. The portion of charges an insured person must pay for health care services after payment of the deductible amount is met; usually stated as a percentage
Out-of-pocket max		C. A patient who does not have insurance
Self-pay patient		D. The most an insured person will have to pay for covered health care services in a policy period. Until this maximum amount is met, the health care plan and insured person share costs
co-insurance		E. A set dollar amount a health plan requires an insured person to pay at the time of service for each health care encounter

Part B

Resource: Table 1.2 in Ch. 1 of Medical Insurance

Describe three to four health plans by completing the following table. Be clear and concise, use complete sentences, and use in your own words.

Health Plans

Plan type	Provider options	Payment methods	Features

Write 50- to 150-word responses to the following question. Use your own words and provide examples to support your answer.

Cite any outside sources. For additional information on how to properly cite your sources see the Reference and Citation Generator resource in the Center for Writing Excellence.

How do provider options (network) impact reimbursement for patients?

Review the features of the plan types discussed in the table and identify what features are most important to a patient.