Unit 2 Discussion – Plan Recommendations 99 unread replies.99 replies. Plan Recommendations Patients will often look to healthcare providers for information healthcare plans, coverage, and options.  Understanding and being able to communicate this information to patients is an important part of working in the healthcare field. Practice making recommendations in this discussion. There are three patients: Joe, Scott, and Steve.  Joe is 42, relatively healthy, and was a member of the Army for 20 years.  Scott is 67 and suffers from chronic bronchitis.  Steve is 25 and is battling stage 2 cancer. These three patients can choose from one of the following plans (either from Group A or Group B): Group A Plans: Medicare, TRICARE Group B Plans: HMO, PPO, and POS Joe, Scott, and Steve would like recommendations on the best plan options.  Instructions: Select one patient (Joe, Scott, or Steve) and provide a Group A Plan and a Group B Plan that would be the best options for the provided parameters.  Include the following: A comparison of the two plans Rationale for selection of the plans A selection (between the two plans) of what the patient should ultimately choose and why. Refer to the background material in this unit for assistance and complete outside research as appropriate.  Be sure to cite your resources. Please be sure to validate your opinions and ideas with citations and references in APA format. Estimated time to complete initial post: 2 hours This topic is valued at 40 points.  Please review post and response expectations. Please review the rubric to ensure that your response meets criteria. Cite any resources/references in APA formatting that were used in the discussion – if applicable. Peer Responses/Participation Due Sunday Continue the conversation regarding patient plan options with classmates through response posts in the discussion board. Instructions: In your responses to your classmates, include the following: First response: Select a post where a classmate chose the same patient.   Do you agree with the plan options for the patient? Why or why not? Do you agree with the final choice?  Why or why not? Additional responses: Select posts where classmates chose different patients. Do you agree with the plan options for the patient? Why or why not? Do you agree with the final choice?  Why or why not? Please be sure to validate your opinions and ideas with citations and references in APA format.  Estimated time to complete: 1.25 hours x 3 (3.75 hours total) REPLY TO  Joe is 42 and served for twenty years in the US army and he is relatively healthy. Since Joe served for twenty years that means he will get retirement monthly from the Veterans affairs office for the rest of his life this also includes healthcare he will be able for Tricare select that means his copay is 20% and it covers 80% . Than there is also Tricare for life that is Medicare part A and B combined and Tricare where the patient only pays for plan B and the monthly premium will be based on the individuals income and Your provider files your claims with Medicare. Collapse SubdiscussionLucille Isom Lucille Isom MondayMay 11 at 5:37pm Manage Discussion Entry Hello Class, Steve is 25 and battling stage II cancer and as this type cancer refers to large tumors that grow deep into nearby tissue and determined by many cancer type such as breast cancer, lung cancer or prostate cancer. A person diagnosed with stage II cancer needs to have a plan that is supported by the cost of therapies and /or surgeries (“What is stage 2 cancer & how is stage 2 cancer treated?,” n.d.). If Group A Plans are selected such as Medicare, or Tricare, it’s best to also have a medicare supplement as most cancer treatment is covered. Depending on the plan (“Cancer treatment: Medicare supplement plan coverage,” 2019)you choose, your plan may pay for co-insurance amounts, deductibles and excess charges. If Group B Plans (“Hmo, PPO, EPO, POS — How do they differ and which should you choose?,” 2013) such as HMO, PPO , and POS were chosen then certain requirements have to be met such as physician, referral, and prior authorization requirements. These plans also have provider that includes doctor’s, hospitals, and lab that in many cases contacted with a health plan. Steve, a person with stage II cancer should ultimately choose a plan that fits his / their needs as well as an affordable plan. Group B plans should be chosen for this type of condition because they offer differentiated services, lower premium payments or cost -sharing plans with fewer restrictions. Although Health Care reform has opened many doors for individual left uninsured, pre-existing conditions are a risk and according to (Brandes, n.d.) options are now available. Things to consider are out of pocket maximum, premiums, and prescription cost. References What is stage 2 cancer & how is stage 2 cancer treated? (n.d.). Retrieved from https://www.cancercenter.com/stage-two-cancer (Links to an external site.) Cancer treatment: Medicare supplement plan coverage. (2019, October 28). Retrieved from https://www.ehealthmedicare.com/medicare-supplement-articles/can-a-medicare-supplement-plan-help-pay-for-cancer-treatment/ (Links to an external site.) Hmo, PPO, EPO, POS — How do they differ and which should you choose? (2013, September 21). Retrieved May 11, 2020, from https://www.verywellhealth.com/hmo-ppo-epo-pos-whats-the-difference-1738615 (Links to an external site.) Brandes, A. (n.d.). I have cancer | Which health plan is best? Retrieved from https://blog.bernardbenefits.com/bid/195551/i-have… “Medicare pays its portion and sends the claim to the Tricare For Life claims processor. Tricare For Life then pays the provider directly for Tricare-covered services.” (Military.com,n.d) now compared to an HMO, PPO and POS plans where theirs is a higher co- payments and deductables where part of his retirement from the military he is eligible Tricare is part of the retirement plan provided to him. Tricare.mil plans healthplans retrieved from https://www.tricare.mil/Plans/HealthPlans/TS (Links to an external site.) Military.com(n.d)benefits Tricare for life retrieved from https://www.google.com/amp/s/www.military.com/bene… Group A plan Underage 65 with specific disabilities or end-stage diseases. (If you have Medicare due to a disability, you can continue your TRICARE Prime enrollment [if you qualify]. If you do, your Prime enrollment fees are waived. You can also get a refund for any Prime enrollment fees that you paid. Check with your regional contractor for details.) But Group B plan the difference between HMO, PPO, and POS It’s open enrollment season at your job, and your employer offers you a choice between the most significant plan types: HMO, PPO, and PSO. It depends on your financial and medical situation — and preferences. For instance, would you rather the flexibility of not having to go to a smaller group of providers in an HMO and don’t mind paying more upfront for your care via premiums? Then, a PPO might be right for you. Do you not care about having an extensive network of providers, but paying as little as possible for health care is more important to you? Then, an HMO could be perfect. Choosing the right health insurance plan is a personal decision and depends on your situation and preferences. Whether you ultimately choose a PPO, HMO, or POS, take costs, flexibility, coverage, and convenience into account when making that decisionReference: to an external site.) Hmo, PPO, EPO, POS — How do they differ, and which should you choose? (2013, September 21). Retrieved May 11, 2020, from https://www.verywellhealth.com/hmo-ppo-epo-pos-whats-the-difference-1738615 (Links to an external site.)Cancer treatment: Medicare supplement plan coverage. (2019, October 28). Retrieved from https://www.ehealthmedicare.com/medicare-supplement-articles/can-a-medicare-supplement-plan-help-pay-for-cancer-treatment/ (Links to an external site.) ReplyReply to Comment Collapse SubdiscussionTedrick JacksonTedrick Jackson YesterdayMay 12 at 1:55pmManage Discussion Entry Steve 20 years with stage 2 cancerGroup A planUnder age 65 with certain disabilities or end stage diseases. (If you have Medicare due to a disability, you can continue your TRICARE Prime enrollment [if you qualify]. If you do, your Prime enrollment fees are waived. You can also get a refund for any Prime enrollment fees that you paid. Check with your regional contractor for details.)But Group B planthe difference between HMO, PPO, and POSIt’s open enrollment season at your job and your employer offers you a choice between the biggest plan types: HMO, PPO and PSO.It really depends on your financial and medical situation — and preferences. For instance, would you rather the flexibility of not having to go to a smaller group of providers in an HMO and don’t mind paying more upfront for your care via premiums? Then, a PPO might be right for you.Do you not care about having a large network of providers, but paying as little as possible for health care is more important to you? Then, an HMO could be perfect. Choosing the right health insurance plan is a personal decision and depends on your situation and preferences. Whether you ultimately choose a PPO, HMO,or POS , take costs, flexibility, coverage and convenience into account when making that decisionMOAA’s TRICARE under 65 page. (2019, September 19). MOAA – MOAA Home Page. https://www.moaa.org/content/benefits-and-discounts/health/tricare-under-65/tricare-under-65-landing-page/ (Links to an external site.) ReplyReply to Comment Collapse SubdiscussionAndrea WellsAndrea Wells YesterdayMay 12 at 3:07pmManage Discussion Entry Hello Everyone, Steve 25 years with stage 2 cancer Group A plan Underage 65 with certain disabilities or end-stage diseases. (If you have Medicare due to a disability, you can continue your TRICARE Prime enrollment [if you qualify]. If you do, your Prime enrollment fees are waived. You can also get a refund for any Prime enrollment fees that you paid. Check with your regional contractor for details.) But Group B plan the difference between HMO, PPO, and POS It’s open enrollment season at your job and your employer offers you a choice between the biggest plan types: HMO, PPO, and PSO. It depends on your financial and medical situation — and preferences. For instance, would you rather the flexibility of not having to go to a smaller group of providers in an HMO and don’t mind paying more upfront for your care via premiums? Then, a PPO might be right for you. Do you not care about having a large network of providers, but paying as little as possible for health care is more important to you? Then, an HMO could be perfect. Choosing the right health insurance plan is a personal decision and depends on your situation and preferences. Whether you ultimately choose a PPO, HMO, or POS, take costs, flexibility, coverage, and convenience into account when making that decision. ReplyReply to Comment  

Mastering the Art of Online Learning: Your Guide to Acing Online Courses

Introduction

In recent years, the popularity of online courses has skyrocketed, offering learners the flexibility to acquire new skills and knowledge from the comfort of their homes. However, succeeding in online courses requires a different approach compared to traditional classroom settings. To help you make the most of your online learning experience, this article presents essential strategies and tips to ace your online courses.

1. Set Clear Goals and Plan Ahead

Before embarking on an online course, establish clear goals and objectives. Determine what you hope to achieve by the end of the course and break down your goals into manageable milestones. Create a study schedule that aligns with your other commitments, ensuring you allocate dedicated time for coursework, assignments, and revision.

2. Create a Productive Study Environment

Establishing a conducive study environment is crucial for online learning success. Find a quiet, well-lit space where you can concentrate without distractions. Remove any potential interruptions, such as notifications from social media or email. Organize your study materials and have a reliable internet connection to ensure seamless access to course materials.

3. Actively Engage in the Course

Active participation is key to mastering online courses. Engage with course materials, including videos, readings, and interactive components. Take comprehensive notes, highlighting key concepts and ideas. Participate in discussion boards, forums, and virtual meetings to interact with instructors and peers, fostering a sense of community and enhancing your understanding of the subject matter.

4. Manage Your Time Effectively

Online courses offer flexibility, but it’s essential to manage your time wisely to avoid falling behind. Create a detailed schedule, allocating specific time slots for coursework, assignments, and studying. Break down larger tasks into smaller, manageable segments to prevent procrastination. Prioritize tasks based on deadlines and dedicate focused time to each one, ensuring consistent progress throughout the course.

5. Develop Effective Communication Skills

Online courses often rely on written communication, making it crucial to hone your skills in this area. Be concise and clear in your written responses, paying attention to grammar and spelling. Actively participate in discussions, asking thoughtful questions and providing constructive feedback to your peers. Regularly check your course emails and notifications, ensuring you stay updated with any important announcements or changes.

6. Utilize Available Resources

Take full advantage of the resources provided by your online course platform and instructors. Familiarize yourself with the learning management system (LMS) and explore its features. Access supplementary materials, such as textbooks, lecture slides, and external resources recommended by instructors. Utilize online libraries, research databases, and tutorial services to deepen your understanding of the subject matter.

7. Stay Motivated and Engaged

Maintaining motivation throughout an online course can be challenging, particularly when faced with competing priorities or a lack of face-to-face interaction. Set short-term goals and reward yourself upon their completion. Connect with fellow learners through virtual study groups or online forums to foster a sense of camaraderie. Regularly remind yourself of the benefits and personal growth associated with completing the course successfully.

8. Seek Support and Clarification

Don’t hesitate to seek support or clarification when needed. Reach out to your instructors for guidance or clarification on course material. Utilize online discussion forums to ask questions or engage in collaborative problem-solving. Leverage the support services provided by your course platform or institution, such as technical support or academic advising.

Conclusion

Online courses present unique opportunities for self-paced learning and personal growth. By setting clear goals, creating a productive study environment, actively engaging with course materials, and managing your time effectively, you can maximize your chances of acing online courses. Remember to stay motivated, seek support when needed, and make the most of the available resources. Embrace the flexibility and adaptability of online learning to achieve your educational goals.