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Ch 5: Health Insurance Policies & the Government

About This Chapter

Retain more information about health insurance policies and the government by studying with our chapter materials. We offer video and article-style lessons, self-assessment quizzes, and other learning tools to help you memorize all the major insurance terminology and concepts.

Health Insurance Policies & the Government - Chapter Summary

Even if you studied and work in insurance, health insurance policies and the government can get confusing, which is why this well-mapped out chapter is a great tool to teach you brand new information and refresh your memory. Start off with the first lesson in the chapter, then build up your knowledge as you move from lesson to lesson. You can skip around if you already know some of this information, and you can always go back if some lessons don't make sense. By completing the chapter, you will have gained the knowledge to do the following:

  • Describe the regulations and roles of health care and insurance
  • Identify the main features of the U.S. health care system
  • Analyze the concept and types of health insurance
  • Check out an overview of health maintenance organizations (HMOs)
  • Define preferred provider organizations (PPOs)
  • Examine flexible benefits and insurance for employees
  • Explain major provisions of the Affordable Care and Patient Protection Act
  • Point out present-day trends in health care costs
  • Compare individual vs. group insurance
  • Review the necessity of COBRA
  • Show the features of long-term care insurance (LTCI)
  • Determine the different kinds of health care coverage
  • Establish the purpose of supplemental health insurance

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13 Lessons in Chapter 5: Health Insurance Policies & the Government
Test your knowledge with a 30-question chapter practice test
Health Insurance and Health Care: Overview, Roles & Regulations

1. Health Insurance and Health Care: Overview, Roles & Regulations

This lesson will explain the major aspects of health insurance and its role in your health care costs. We will discuss premiums, deductibles, coinsurance, copays, and more!

The U.S. Health Care System: Description, Structure, Cost, Quality & Access

2. The U.S. Health Care System: Description, Structure, Cost, Quality & Access

This lesson will explore the issues associated with the costs and quality of health care access, as well as what HMOs, PPOs, POS, HSAs, Medicare, and Medicaid are.

Health Insurance: Types & Concept

3. Health Insurance: Types & Concept

Did you know that there are an estimated 1 billion health insurance claims filed each year? Learn more about the different types of health insurance that are available in the United States.

Health Maintenance Organization (HMO): Definition & Overview

4. Health Maintenance Organization (HMO): Definition & Overview

Health Maintenance Organization (HMO) is a specific type of health insurance plan. Let's follow a hypothetical HMO consumer, Emy, as she learns all about her medical coverage under her HMO plan.

Preferred Provider Organization (PPO): Definition & Overview

5. Preferred Provider Organization (PPO): Definition & Overview

A preferred provider organization (PPO) is a specific type of health insurance plan that contracts with medical providers. We'll use an example of a patient with a PPO plan to learn what these plans cover - and what they don't.

Insurance & Flexible Benefits for Employees

6. Insurance & Flexible Benefits for Employees

Employee benefits, such as insurance and flexible spending accounts, offer a valuable incentive for employees to join and stay with a company. In this lesson, we'll explore a few common types of benefits and how they work.

The Affordable Care & Patient Protection Act: Key Provisions

7. The Affordable Care & Patient Protection Act: Key Provisions

In this lesson, you'll learn about the Affordable Care Act and how it impacts individuals with and without health insurance. You'll also learn what benefits it provides to those with health insurance.

Health Care Costs: Trends & Reducing Personal Costs

8. Health Care Costs: Trends & Reducing Personal Costs

After reading this lesson, you will see why health care costs are rising and how the Affordable Care Act has affected this rise in prices. You'll also learn some ways you can help lower your medical costs.

Group & Individual Insurance: Comparison Pros & Cons

9. Group & Individual Insurance: Comparison Pros & Cons

After reading this lesson, you will know how individual and group insurances are different. You will know the pros and cons of each. You can then choose the one that works best for you.

COBRA: Overview and Importance

10. COBRA: Overview and Importance

Health insurance is one of the most important benefits an employee receives. In this lesson, you'll learn how COBRA allows an employee to keep his insurance coverage after he has left employment. A short quiz follows.

Long-Term Care Insurance (LTCI): Definition & Features

11. Long-Term Care Insurance (LTCI): Definition & Features

This lesson describes the basic features of Long Term Care Insurance (LTCI) and what aid LTCI covers that is not covered by basic healthcare insurance.

Types of Health Insurance Coverage

12. Types of Health Insurance Coverage

Read this lesson to learn about the different types of health insurance you can purchase. Learn what basic health insurance covers along with what types of extra insurance you can purchase to cover your medical needs.

Supplemental Health Insurance Policies

13. Supplemental Health Insurance Policies

We can purchase insurance to protect us from financial hardship in the event of accident, critical illness, or cancer. In this lesson, you will learn about supplemental health insurance.

Chapter Practice Exam
Test your knowledge of this chapter with a 30 question practice chapter exam.
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Practice Final Exam
Test your knowledge of the entire course with a 50 question practice final exam.
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