In This Experiential Learning Experience You Will Evaluate

Question

In this experiential learning experience, you will evaluate a h In this experiential learning experience, you will evaluate a healthcare plan using the attached worksheet. The selected plan can be your own health insurance or another plan. Assignment Steps Step 1: Use published information on the selected health insurance plan to complete the assignment 5.1 worksheet. Step 2: Create a 7-10 slide PowerPoint presentation to include the following: Introduction to the plan, including geographic boundaries Major coverage inclusions and exclusions (Medical, Dental, Vision etc.) Costs to consumer for insurance under the plan (include premiums, deductibles, copays, prescription costs) Health insurance plan ratings if available. If no ratings are found for this plan, include a possible explanation for this situation. Evaluation of the health insurance plan - include your evaluation of this plan from two standpoints: A consumer - focused on costs, coverage, and ease of use. A public health nurse - focused on access to care for populations and improving health outcomes. Cite all sources in APA format on a reference slide and with on-slide citations.

Dr. Jack HW Helper · Accepted Answer

Evaluating a healthcare plan is an essential exercise to understand how insurance affects access to care and patient outcomes. For this assignment, I will evaluate the Blue Cross Blue Shield (BCBS) Silver 2023 health insurance plan as an example, using publicly available data. Introduction to the Blue Cross Blue Shield Silver Plan The Blue Cross Blue Shield (BCBS) Silver plan is a mid-tier insurance option that covers a significant portion of healthcare costs, making it attractive to a wide range of consumers. This plan is available in many states, including California, Texas, and Florida, providing services in metropolitan areas as well as rural regions. Geographic boundaries for coverage include major cities and surrounding areas within each state. Coverage Inclusions and Exclusions The BCBS Silver plan includes comprehensive coverage that typically encompasses medical, dental, and vision services. Major inclusions are: Preventive services without copay (e.g., vaccinations, annual check-ups, screenings) Emergency services Hospitalization Prescription drugs Mental health services However, certain exclusions may apply, such as: Cosmetic surgery Experimental treatments Non-emergency transportation services Costs to Consumers Understanding the financial aspects of the BCBS Silver plan is vital for consumers. The costs associated with this health plan generally include: Premiums: Approximately $350 per month for an individual Deductibles: Around $3,000 for individual coverage Copays: $30 for primary care visits, higher for specialist visits Prescription costs: Varies, but averages $10 for generics and up to $100 for specialty drugs Health Insurance Plan Ratings Health insurance plan ratings can often be found on websites such as the National Committee for Quality Assurance (NCQA) or state health department websites. The BCBS Silver plan generally receives favorable ratings due to its wide network and comprehensive coverage. If no ratings are available, it might be due

In This Experiential Learning Experience You Will Evaluate ✓ Solved

In this experiential learning experience, you will evaluate a h

Assignment Steps

Paper For Above Instructions

Introduction to the Blue Cross Blue Shield Silver Plan

Coverage Inclusions and Exclusions

Costs to Consumers

Health Insurance Plan Ratings

Evaluation from a Consumer Perspective

Evaluation from a Public Health Nurse Perspective

Conclusion

References