Coverage includes inpatient, emergency care and ambulatory care visits. Lab services are covered and certain amount of drug prescription coverage. Participants of this plan can receive care from specialists such as: behavior health, substance abuse, surgeons and services and devices that help people recover after injuries and illnesses. As part of family benefits Children’s visits to doctors, dentists, and eye doctors are covered. The essential plan offered preventive services such as such as flu shots, cholesterol screening, and many others, with no out-of-pocket costs. BSBS follows the HEDIS and performance measures by services such as screening for Blood Pressure screening for all adults, Cholesterol screening for adults of certain ages or at higher risk, Colorectal Cancer screening for adults over 50 and Depression screening for adults. For HEDIS measures for children: Leading screening, Obesity screening and counseling, HIV screening for adolescents at higher risk, Cervical Dysplasia screening for sexually active females and behavior health just name a few of the measurements. (Ask Blue, …show more content…
Techniker Krankenkasse (TK) is Germany premier health insurance company it has received awards for service excellence and business quality test. This insurance company offers student and working class citizen health care plans with the convenience of paying on line or through direct debit from your banking account. The benefits that insurance provide is hospitalization, outpatient and dental treatment, pay for dental prosthesis with prescription coverage. I would describe TK as HMO because they have free to choose of specified doctors and dentists but care facilities are owned by the government however, Germany practice socialize medicine they own, operate and employ health care professionals. In comparison their system is one payer system which is very similar to how HMO are run. If a participant travel abroad it coverage only extends to the European Union and countries with which the Federal Republic of Germany has health insurance agreement in place. TK offers maternity pay for females who are employed and covered by legal maternity protection. (The Right choice,