Differentiate among the types of health insurance.
Differentiation should include
- preferred provider organization (PPO)
- health maintenance organization (HMO)
- Medicare
- Medicaid
- managed care
- workers’ compensation
- State Children’s Health Insurance Program (SCHIP) Links to an external site.
- Affordable Care Act (ACA)
- Health Savings Account (HSA)
- commercial insurances (e.g., Anthem, TRICARE, Railroad Retirement Program benefits)
- U.S. Department of Veterans Affairs (VA) Links to an external site.
- self-pay.
Where applicable, differentiation should include elements of health insurance such as
- premiums
- deductibles
- coinsurance
- copayment.
Process/Skill Questions:
- Why are there different types of health insurance?
- How are Medicare and Medicaid similar, and how are they different?
- How has the development of managed care affected the cost of medical care?
- What is the difference between a PPO and an HMO?
- What is the purpose of workers’ compensation?
- What does ACA provide related to coverage, cost, and care?
- What happens to citizens who are not insured or who do not comply with the minimum essential health insurance coverage requirement?