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Introduction to Health Science 
Investigate the Various Aspects of 
Health Insurance
Why is Health Care so Expensive?
Look at all they charge 
for….. 
Who pays for it all?
WOW!
Health Insurance 
• Health care costs, including 
dental, are so high that most 
people have some type of 
insurance plan. 
• Insurance companies 
require a fee in return for 
coverage for specific 
medical and dental care.
Premium 
• Periodic payment for 
healthcare or prescription 
drug coverage.
Co-payment 
• Amount the subscriber pays 
for medical service. 
• Paid to the provider on the 
day of medical care.
Deductible 
• Amount the subscriber must 
pay before insurance will 
pay.
Health Maintenance 
Organizations 
• Require members to pay a 
co-payment for medical 
services. 
• Must get medical care from 
providers that agree to the 
fee the HMO is willing to 
pay.
Preferred Provider 
Organization 
• Physician groups and 
hospitals working together 
to give health care at a 
reduced cost to companies. 
• Employees of these 
companies contract with 
PPOs and agree to see their 
providers.
Medicaid 
• Health insurance funded by 
the state and federal 
government. 
• Blind, disabled, and low 
income generally able to 
qualify.
Medicare 
• Health insurance provided 
by the government to 
people over the age of 65.
TRICARE 
• Health care program for 
active duty service 
members, retirees, and their 
families.
Workers’ Compensation 
• Employees that get injured 
or die at work are covered 
by state workers’ 
compensation laws. 
• Includes illness resulting 
from the workplace.
Learn about YOUR 
Insurance 
• Talk to your parents and fill 
out the worksheet and learn 
about the type of health 
insurance you have.

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Introduction to Health Insurance Types, Costs & Coverage Explained

  • 1. Introduction to Health Science Investigate the Various Aspects of Health Insurance
  • 2. Why is Health Care so Expensive?
  • 3. Look at all they charge for….. Who pays for it all?
  • 5.
  • 6. Health Insurance • Health care costs, including dental, are so high that most people have some type of insurance plan. • Insurance companies require a fee in return for coverage for specific medical and dental care.
  • 7. Premium • Periodic payment for healthcare or prescription drug coverage.
  • 8. Co-payment • Amount the subscriber pays for medical service. • Paid to the provider on the day of medical care.
  • 9. Deductible • Amount the subscriber must pay before insurance will pay.
  • 10. Health Maintenance Organizations • Require members to pay a co-payment for medical services. • Must get medical care from providers that agree to the fee the HMO is willing to pay.
  • 11. Preferred Provider Organization • Physician groups and hospitals working together to give health care at a reduced cost to companies. • Employees of these companies contract with PPOs and agree to see their providers.
  • 12. Medicaid • Health insurance funded by the state and federal government. • Blind, disabled, and low income generally able to qualify.
  • 13. Medicare • Health insurance provided by the government to people over the age of 65.
  • 14. TRICARE • Health care program for active duty service members, retirees, and their families.
  • 15. Workers’ Compensation • Employees that get injured or die at work are covered by state workers’ compensation laws. • Includes illness resulting from the workplace.
  • 16. Learn about YOUR Insurance • Talk to your parents and fill out the worksheet and learn about the type of health insurance you have.