Chap 6 Health Care

Question 0

Health care / comprehensiveness

Answer 0

It must cover all health services provided by hospitals, physicians or dentists and additional services where the law permits it

Question 1

Health care / 5 criteria provinces and territories must meet under the Canada health act

Answer 1

1) public administration
2) comprehensiveness
3) universality
4) portability
5) accessibility

Question 2

Health care / universality

Answer 2

All provinces or territory’s residents must be covered by the plan

Question 3

Health care / accessibility

Answer 3

The same service must be provided for all residents in all provinces or territories

Question 4

Health care / 2 services prescribed by the health act

Answer 4

1) extended heath care service

2) insured health service

Question 5

Canada Health Act/ 4 extended heath care services

Answer 5

1) nursing home intermediate care service
2) adult residential care service
3) home care service
4) ambulatory health care service

Question 6

Canada Health Act/ insured health service

Answer 6

This means hospital service, physician service and surgical dental services provided to insured persons, but does not include any health services under any other act of parliament and provincial workers’ compensation

Question 7

Canada Heath Act /3 prohibitions

Answer 7

1) extra billing
2) user charge/fee
3) any service provided by a provincial plan may be not provided by a private clinic for a fee

Question 8

Canada Health Act/ excluded coverage

Answer 8

1) Uninsured hospital service (private room, telephone and television)
2) uninsured physician service ( telephone advice, medical certificate, court testimony, cosmetics service, tattoo removal)

Question 10

Canada Health Act / 4 people not covered

Answer 10

1) member of Canadian forces
2) royal Canadian mounted police
3) prisoners
4) persons who have not completed s min period of residence in Canada

Question 11

Alternative medical practitioners partially covered by some provinces and territories

Answer 11

Chiropractors, podiatrists, osteopath, naturopaths, licensed massage therapists, acupuncturists, physiotherapist

Question 12

opted out and non participating physicians

Answer 12

every jurisdictions allows physicians to operate outside the provincial and territorial health plan and bill their patients directly;

Question 13

opted out doctors (definition)

Answer 13

bills the patient directly at the amount not exceeding the amount in the schedule of benefit and the patient is then reimburced

Question 14

non participating doctors

Answer 14

bills the patient directly without regard to the limits of the schedule of benefits and the patient cannot be reimbursed

Question 15

Health care : 5 priority areas

Answer 15

1) Cancer care
2) Cardiac treatment
3) diagnostic test
4) Joint replacement
5) Cataract surgeries

Question 16

health care: 5 areas that need to be addressed

Answer 16

1) Wait time for children
2) Surge capacity
3) Health Human Resource
4) Gender based analysis
5) Cinderella diseases

Question 17

Health care: surge capacity

Answer 17

ability to access unused capacity outside of the local region or province in case of an emergency

Question 18

health care: Cinderella diseases

Answer 18

Diseases that were not recognized or prioritized in the 5 areas selected in the benchmarks

Question 19

health care: 5 reasons for longer wait time

Answer 19

1) poorly organized services
2) shortage of healthcare workers
3) physicians not working in teams
4) cuts to hospital services
5) need for more long term and home care

Question 20

American health care: medicare

Answer 20

universal health care for people over 65

Question 21

American health care: medicaid

Answer 21

universal healthcare for low income people

Question 22

2 types of supplementary health care plan

Answer 22

1) group plans provided by employers

2) private plans paid for by individuals

Question 23

Group health plan

Answer 23

Offered by employer or associations. When premiums are only paid by employers, employees must pay extra for family coverage

Question 24

Health care: cafeteria plan

Answer 24

each employee is allocated a certain number of points and chooses the coverage he or she will spend the points on

Question 25

health care group plan coinsurance and deductible requirements

Answer 25

annual deductible between 35 and 50$ and there is no penalty for being under-insured since rates increase every year

Question 26

Long term care insurance

Answer 26

can apply for it between 18 and 80. Once in place, it cover for life if you have cognitive impairment or can no longer perform 2 of the 6 activities of daily life

Question 27

3 types of long term care insurance

Answer 27

1) Reimbursement policies
2) indemnity policy
3) income policy