Utilize the knowledge gained through the readings and discussion throughout Unit 2 to coordinate the benefits for a patient.
Utilize the knowledge gained through the readings and discussion throughout Unit 2 to coordinate the benefits for a patient.
Instructions: Sarah went to the emergency room in January with pain in her stomach. She was sent home within 24 hours. In March, she had an appendectomy. Sarah has Medicare A.
Review the document, Managed Care Organization Comparison.
Select another managed care organization from the table to serve as Sarah’s secondary insurance.
Coordinate the benefits for her emergency room visit and procedure between Medicare A (which must serve as the primary insurance plan) and the secondary insurance plan. Include the following information:
Rationale for the plan selected as Sarah’s secondary insurance. Include any special considerations that contributed to the selection
Summary of relevant benefits covered under each plan
Limitations: care needed but not covered by either plan (if applicable)
Answer preview to utilize the knowledge gained through the readings and discussion throughout Unit 2 to coordinate the benefits for a patient.
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