Business > CASE STUDY > ORGSYS2.docx A2a. In the United States, coverage for medications is provided through our (All)
ORGSYS2.docx A2a. In the United States, coverage for medications is provided through our private health insurance company. Citizens may pay a copay for medications depending on the coverages provide... d in the plan. For individuals in the United States who receive Medicare, the Part D portion of the plan covers most of the cost for medications or a small copay may be required. In Great Britain, citizens pay a small fee for prescription drugs. Low-income citizens, disabled citizens, children under the age of 18, and adults over the age of 60 are not required to pay fees for prescription drugs in Great Britain. A2b. In Great Britain, citizens must see their general practice physician to obtain a referral for specialty services. Similarly, in the United States, a citizen with private health insurance that is a health maintenance organization (HMO) policy will need to obtain a referral from their primary care physician for specialty services. If a referral is not obtained, the HMO insurance company may deny claim payment for specialty services. If a United States citizen has a preferred provider organization (PPO) policy, specialty services may be obtained without a referral from the primary care physician. (Harris, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . [Show More]
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