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kotykmax [81]
4 years ago
7

Describe the deductible, coinsurance, and copayment requirements for an HMO plan.

Medicine
1 answer:
Pavlova-9 [17]4 years ago
4 0

Answer:

A deductible is the amount you pay for health care services before your health insurance begins to pay. The deductible in the HMO Plan will pay the full charges once you have reached the total deductible. You will start paying less, with a copay or coinsurance, depending on the selected plan. When the limit is reached, you share the cost with your plan by paying coinsurance.

Coinsurance is a percentage of a medical charge that you pay, with the rest paid by your health insurance plan, that typically applies after your deductible has been met. Let's say your health insurance plan's allowed amount for an office visit is $50 and your coinsurance is 20%. All you have to pay is the 20% and your coinsurance will pay the rest.

A health insurance copayment is a fixed amount a healthcare beneficiary pays for covered medical services. The rest of the balance is paid for by the person's insurance company. Copays for standard doctor visits are typically lower than those for specialists.

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A person with type-a blood will produce what type of antibodies when challenged with type b blood?
ra1l [238]

Answer:

a - antibodies or AB antibodies

7 0
3 years ago
Read 2 more answers
What are Kupffer cells and their actions?
professor190 [17]

Answer:

Kupffer cells, also known as stellate macrophages due to their particular structure while viewed under a microscope, were first identified by scientist Karl Wilhelm von Kupffer, after whom the cells were named, in 1876.

These cells, whose origin is in the yolk sack during fetal development, later on move to the liver where they will stay and further differentiate into their mature versions.

These cells are part of the liver cells, and are found particularly on the walls of the sinusoids, where they perform their two most important tasks. First, these cells are part of the immune system, as they are essentially macrophages. However, their role is pretty unique, as they are responsible not just for phagocytosis of invading bacteria, and other pathogens, and initiating immune responses, but also, this cell plays a role in decomposing red blood cells who are dying, and taking up the hemoglobin from them to further break that into reusable globin, and the heme group, from which iron is further extracted to be re-used and also to create bilirrubin, a part of bile.

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6 0
3 years ago
Mrs. Shields is covered by original medicare. She sustained a hip fracture and is being successfully treated for that condition.
Solnce55 [7]

I would tell that original Medicare will cover Mrs. Schmidt's skilled nursing services provided during the first 20 days of her stay

<h3>What is Medicare?</h3>

Medicare is defined as the insurance developed by the US government that aims at reducing the coat of health care delivery services for its citizens.

For nursing and rehabilitative care for an individual for a long period of time, the insurance covers only the first 20 days after which they would have a coinsurance until the next 100 days.

Therefore, I would tell that original Medicare will cover Mrs. Schmidt's skilled nursing services provided during the first 20 days of her stay.

Learn more about Medicare here:

brainly.com/question/1960701

#SPJ1

8 0
2 years ago
What conditions occurs when the bronchial tubes are inflamed and as a result obstructed?
solniwko [45]

Answer:

Atelectasis is a condition in which all or part of a lung becomes airless and collapses. Blockage of the bronchial tubes is a common cause of atelectasis. Shortness of breath can develop if oxygen levels are low or pneumonia occurs.

HOPE THIS HELPED!!!!!! XDDD

5 0
3 years ago
Imagine a world where health insurance does not exist. On the upside, you don’t have to pay any health insurance premiums! On th
Oksana_A [137]

Answer:

that's so true. and the world is still sort of like that, since some people don't have health insurance and they still have to pay with cash up front

3 0
3 years ago
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