3 healthcare questions.

timer Asked: Jul 3rd, 2018
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Question description

1) Describe the general differences that exist between individual health insurance and group health insurance.

Your response should be at least 75 words in length.

2)Describe how healthcare organizations are reimbursed by the following types of insurance policies: automobile, disability, and liability.

Your response should be at least 200 words in length.

3) Describe how the commercial claims completion process can differ in the following situations:

    • Patient is covered by just one commercial plan.
    • Patient is covered by a large employer group health plan (EGHP), and the patient is also a Medicare beneficiary.
    • Patient is covered by a small or larger employer group health plan on which the patient is designated as the policyholder, and the patient is also listed as a dependent on another EHGP.
    • Patient is a child covered by two or more plans.

    Your response should be at least 200 words in length.

Tutor Answer

School: Rice University


Surname 1
Health Care Insurance
Question 1
Individual health insurance is a policy for health where a person purchases insurance for
himself and his or her entire family. Primarily, these policies are always purchased accompanied
by insurance agent guidance to help in navigating premium costs and plan choices. Thus, the
companies for insurance no longer charge or deny more on premium tax credits and medical
conditions on qualified members (Gallen and Casey, 1). On the other hand, group health
insurance coverage is a health policy, which an employer purchases and gives it to a company's
eligible employees and also to employees’ eligible dependents. According to the policies of a
group insurance, it is the duty of the employer in selecting a plan or plans to be offered to the
employees. Notably, the cost of the premium is split...

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