Saudi Electronic University Benefits and Requirements of Insurance Essay

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View attached explanation and answer. Let me know if you have any questions.1Critical 2m5 HandoutStudent NameUniversityCourseProfessor NameDate2Critical 2m5 HandoutCovered Preventive CareCovered preventative measures aim to eliminate cost barriers that prevent people fromobtaining health care services. The Affordable Care Act (ACA) provided by private insuranceplans covers patients recommended services without the patient having to incur massive amountsof cash for healthcare services at one particular moment (Toyoda et al., 2020). The primary focusfor evidence-based preventative services offers patients the opportunity to identify illness early,control, and have healthcare professionals provide medication before the diseases develop intomore complex and fatal conditions. For all private health plans, the patients receiving preventiveservices are provided with a range of services, which might not involve cost-sharing, includingco-insurance, co-payments, and deductibles.Frequency of Preventative Care AllowedThere are numerous preventative healthcare services, including annual check-up, whichtake one per calendar year when primary healthcare professionals assess all areas of a patient’shealth. The areas covered include emotional, physical, and other health concerns before theybecome fatal health hazards (Cigna, 2020). The flu shot covers 100% of patient flu virus strains,and in case of any effect, the PCP caries diagnosis and provides the full coverage of thetreatment. For women who may be subject to breast cancer, the mammogram usually one yearafter 40 assesses any symptoms associated with cancer and other conditions (Silva et al., 2017).Some private plans may protect and provide measures for 3D imaging. When an individualreaches 50 years, the frequency of preventative care allows colon cancer screening once everyten years. Therefore, for every condition, the frequency varies from one condition to anotherdepending on the insured’s age.3UtilizationHow utilization changes based on health insurance coverageHealthcare services to enhance or maintain health status are a critical determinant forhealthcare insurance coverage. According to World Health Organization, individualcharacteristics determine the need for healthcare coverage, including socioeconomic domain,physical environment, and behaviors. Social, economic status is a person’s social class orstanding determined by professional income, education, and social group (Hatef et al., 2021).These individuals tend to obtain health insurance coverage, paid in a particular range, includingmonthly or yearly. People with low incomes are mostly uninsured and Medicaid memberscharacterized by poor-quality healthcare services. These patients lack enough money to insurethemselves or their families and seek less healthcare because they cannot cater to all servicesrelated to their conditions. Also, individual traits, including smoking and alcohol consumption,require health insurance, and the prevalence is distinct according to a particular age, sex, andethnicity. Financially stable people, including those who have met their needs, are more likely toseek healthcare insurance coverage than those who have unmet social needs.The physical geographical area can determine if an individual obtains health insurancecoverage. People cannot get insurance if their physical environment does not support theallocation of preventative insurance services. The rural area lacks insurance companies comparedto urban areas, characterized by insufficient mental, physicians, and unique healthcare providers(Hatef et al., 2021). Factors includin…

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