Health Care Providers and Services In this lesson, you will Learn About… The goals of health care. The types of health care providers and facilities. The types of insurance that help pay for health care.

Health Care Providers and Services The Vocabulary terms for this lesson are : Primary care provider. Primary care provider Specialist. Specialist Health insurance. Health insurance Managed care. Managed care Health maintenance organization (HMO). Health maintenance organization (HMO) Preferred provider organization (PPO). Preferred provider organization (PPO) Point-of-service (POS) plan. Point-of-service (POS) plan

The Goals of Health Care Health care professionals include school nurses, counselors, health teachers, dental hygienists, and dietitians. They: Provide treatment for diseases and injuries. Provide wellness exams to prevent diseases and injuries. Work to educate people and help them stay healthy.

The Goals of Health Care (cont’d.) Some health care professionals provide general care, while others have special training to handle specific medical problems. The health care professionals who provide checkups and general care are called primary care providers. The health care professionals who are trained to treat patients who have problems in specific areas are called specialists.

Health Care Facilities Health care is available in many different places. These include the following: School nurses’ offices Doctors’ offices Clinics Hospitals Emergency rooms

Health Insurance Medical care is often very expensive. To pay for health care, many people buy health insurance. Health insurance is a plan in which a person pays a set fee to an insurance company in return for the company’s agreement to pay some or all medical expenses.

Private Health Care Plans Many people receive health services through managed care plans. These health plans emphasize preventive medicine and work to control the cost and maintain the quality of health care. Types of managed care include the following: Health maintenance organization (HMO). Health maintenance organization (HMO) Preferred provider organization (PPO). Preferred provider organization (PPO) Point-of-service (POS) plan. Point-of-service (POS) plan

Government Health Care Programs All states, counties, and most large cities have health departments. Health departments: Develop health-related policies and laws. Work to maintain community health standards. Provide health-related information, services, and programs. These programs include immunizations and well-baby checkups.

Reviewing Terms and Facts 1.Define the term primary care provider. A primary care provider is a health care professional who provides checkups and general care.

Reviewing Terms and Facts 2.What is a POS plan? A POS plan is a health insurance plan that combines the features of HMOs and PPOs. POS plans allow members to visit participating doctors or seek care outside the network at a higher cost.

3.How can you cooperate with your health care provider during a health screening? Thinking Critically

Chapter Review

Reviewing Terms and Facts 1.Hair grows from structures called ______. follicles

Reviewing Terms and Facts 2.The loudness of sound is measured in _______. decibels

Reviewing Terms and Facts 3.Deliberate deceit or trickery in advertising is known as fraud. A.True B.False

Reviewing Terms and Facts 3.Deliberate deceit or trickery in advertising is known as fraud. A.True B.False

Reviewing Terms and Facts 4.Brand name products come in plain packages. A.True B.False

Reviewing Terms and Facts 4.Brand name products come in plain packages. A.True B.False

Reviewing Terms and Facts 5.A nurse practitioner is an example of a specialist. A.True B.False

Reviewing Terms and Facts 5.A nurse practitioner is an example of a specialist. A.True B.False

Thinking Critically 6.How are healthy teeth the result of both good hygiene and a well- balanced diet?

Thinking Critically 7.How might allowing eye or ear problems to go untreated affect other areas of your health?

Thinking Critically 8.How can analyzing advertising claims for health care products help you make wise purchasing decisions?

Thinking Critically 9.Do you think that companies should be required to provide health insurance for employees and their families? Why or why not?

Thinking Critically 10.Explain the role of preventive health measures, immunizations, and treatment in disease prevention.

Vocabulary Review Primary care providers are the health care professionals who provide checkups and general care.

Vocabulary Review A specialist is a health care professional trained to treat patients who have problems in specific areas.

Vocabulary Review Health insurance is a plan in which a person pays a set fee to an insurance company in return for the company’s agreement to pay some or all medical expenses.

Vocabulary Review Managed care plans are health plans that emphasize preventive medicine and work to control the cost and maintain the quality of health care.

Vocabulary Review A health maintenance organization (HMO) is a health insurance plan that contracts with selected physicians and specialists to provide medical services.

Vocabulary Review A preferred provider organization (PPO) is a health insurance plan that allows its members to select a physician who participates in the plan or visit the physician of their choice.

Vocabulary Review A point-of-service (PPO) plan is a health insurance plan that combines the features of HMOs and PPOs.