Health Care Delivery Systems: Major limitations on choice of providers. (a) Are you required to choose a primary care physician? (b) Are there limitations on use of out-of-network providers? Custom Essay

Explain a type of health insurance coverage:
� Insurance Product (e.g., HMO, PPO, POS, Indemnity, or others).
� Source (employer, government, parents, or others).
� Out-of-pocket costs: co-payments and deductibles.
� Level of coverage (e.g., 100% coverage or 80% coverage with 20% coinsurance).
� Major limitations on choice of providers. (a) Are you required to choose a primary care physician? (b) Are there limitations on use of out-of-network providers? (Refer to insurance handbook or website and include details.)
2. Explain the process of seeking healthcare (starting from making an appointment to receiving all the required services) under health plan for the following scenarios:
� You need to have your annual physical examination.
� You need to see a specialist (e.g., ophthalmologist, neurologist, or orthopedic surgeon).
� You need to be admitted to the hospital for elective surgery (non-emergency).

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