We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy

U.S. Health Care Delivery System Essay Sample

essay
  • Pages: 3
  • Word count: 688
  • Rewriting Possibility: 99% (excellent)
  • Category: health Health care

Get Full Essay

Get access to this section to get all help you need with your essay and educational issues.

Get Access

Introduction of TOPIC

The type of health care coverage that I currently have is TRICARE Standards. This is the most flexible option available to TRICARE-eligible beneficiaries. It is a fee-for-services option which gives beneficiaries opportunity to see any given TRICARE-authorized provider (Military.com Benefits, 2010). This coverage is not available to active duty service members and those who subscribe to the coverage share cost o medical care from civilian providers in case there is not military treatment facility nearby.

TRICARE-standard may be used as a primary or second coverage for retired military officers. TRICARE standard is preferred by most retirees when they live in an area where TRICARE prime network is not available. The source of my coverage if Government Retried Army. Since there are co-payments to be made, additional payment comes from personal out of pocket expenses.

My total out of pocket cost amounts to $12. This is in addition to the amount of deductibles which amounts to $150 (Military.com Benefits, 2010). The amount of cost shared amounts to 25% of the allowable charges. For most medical services, especially outpatient services, TRICARE standard provides 25% coverage of all medical services. Even for inpatient services, TRICARE standard provides 25% coverage for most services (Strobridge, 2005). Generally, TRICARE excludes a number of services and supplies which are considered medically or psychologically necessary for diagnoses or for treatmen

t of the covered illnesses.  It also exclude all services and supplies, which may include inpatient

Sorry, but full essay samples are available only for registered users

Choose a Membership Plan
institutional cost related to non-covered  conditions or those provided by providers who are not authorized.

There are many limitations of this coverage. It provides no primary care manager. Patients are also required to pay deductive and co-payment which means it does not provide coverage for all medical services. Patients are also required to pay the balance if the bill exceeds the allowable charge and when provide is non-participating which can add up to 15% additional (Military.com Benefits, 2010). In addition, non-availability statement may be required to civilian inpatient for any area that surrounds MTFs. Also, beneficiaries may be required to complete their own paperwork and therefore file own claims.

Question 2

There are options which are available for individuals who lose insurance coverage which I may include:

The Consolidated Omnibus Budget Reconciliation Act (COBRA) is one of the many options that are available for individuals who lose their health insurance coverage.  It gives workers and their families  an individual to choose to continue with  a health benefits which are provided by their health plan for a short period of time which may be due to different circumstances like job loss, reduction in number of working hours, death, divorce, and many others (United States Department of Labor, 2010a).  Those who quality may be forced to pay entire premium up to 102 percent of cost plan.

Health Insurance Portability and Accountability Act (HIPAA) provides for facilitation of continued access to health insurance when one loses employer-sponsored coverage. Although access to HIPAA may be limited by stringent provision, it provides a temporary coverage for workers and retires after they lose their initial coverage. HIPAA has limited exclusions given for the pre-existing conditions and also provide credit against maximum condition exclusion (United States Department of Labor, 2010b).

References

Military.com Benefits, (2010). TRICARE Standard Overview. Retrieved May 7, 2010, from http://www.military.com/benefits/tricare/tricare-standard/tricare-standard-overview

Strobridge, S. (2005). Health  coverage at what price? Retrieved May 7, 2010, from http://www.moaa.org/todaysofficer/columnists/Strobridge/health_coverage.asp

United States Department of Labor, (2010a). COBRA. Retrieved May 7, 2010, from http://www.dol.gov/ebsa/faqs/faq_consumer_cobra.HTML

United States Department of Labor, (2010b). Health Insurance Portability and Accountability Act. Retrieved May 7, 2010, from http://www.dol.gov/ebsa/newsroom/fshipaa.html

We can write a custom essay on

U.S. Health Care Delivery System Essay Sample ...
According to Your Specific Requirements.

Order an essay

You May Also Find These Documents Helpful

The meanings and implications of receiving care

This is a reflective essay based on a significant incident while completing the practice hours for my MSPP course. The objective of this essay is to demonstrate my insight and grasp on the art and science of mentorship practice and the issues encountered during mentoring. Moreover, this essay aims to explore the issues on creating an environment for Learning and providing constructive feedback. I have chosen this particular incident as I spend a considerable amount of time dealing with both the students and other members of the health care team and I have to maintain healthy working relationships with members of the team while ensuring that the student is provided valuable learning opportunities. To protect the identity and maintain confidentiality of the patient, staff and the organization I have chosen to discuss, they shall have pseudonyms; this is accordance with The Code requiring all nurses to uphold the duty of...

Changes with ageing

1.1 Describe changes that may come with ageing? There are many changes might come with the people who getting old, normally their age between 50 years old and over. One of the most vital change is cell or organs start functioning very low moreover, the immune system become very weak which fight against the disease however, bones and joint getting faint day by day especially for those who not doing experience or not followed an adequate healthy diet. The vision is affected by aging in various way ,over one half of severe visual impairment in the population occur in individuals who are 65 or older .additionally ,legal blind less is prevalent in this age. They also become too sensitive and emotional, nervous system and brain which is main source of memorizing information start functioning very slowly and as result of nervous cell get decreased. Digestive system is another issue could occur...

First Nations Health Authority

Traditional healing/Traditional medicine as defined by WHO - “It is the sum total of the knowledge, skill and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness”. Sometimes, the terms, complementary medicine or alternative medicine are used interchangeably with traditional medicine in different countries. In simple terms, addressing the physical and mental well being of the individual, treatment diagnosis or prevention of illness by using a wide array of approaches, knowledge and belief systems, use of biotic and abiotic materials, spiritual therapies, manual methods and exercises either in isolation or in combination is the core of traditional healing. According to WHO, it has been estimated that “about 80% of the population in developing countries depends on traditional medicine for their Primary Health Care needs”....

Popular Essays

logo

Emma Taylor

online

Hi there!
Would you like to get such a paper?
How about getting a customized one?