NUR 22201 Chapter Notes - Chapter 3: Defensive Medicine, Medigap, Copayment
Document Summary
Nur 22201 chapter 3 book notes: how much money does the united states spend on health care, approx. Under many employer-based plans, the provider may bill patients above and beyond this amount. Health status is generally a factor in eligibility: medical loss ratio: the ratio of benefit payments paid to premium collected indicating the proportion of the premiums spent on health services. These costs may be due to caps on insurance, deductibles, copayments, and/or balance billing: portability: the ability to continue employer-based health insurance after leaving a job usually by paying the full cost of the insurance. Congress or when it can be shown that they actually save the medicare system money: skilled nursing and rehab care, but not nursing home or custodial care, is covered through medicare. It is a federal government plan, which means that eligibility and benefits are consistent throughout the united states.
