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Samples in periodicals archive:
The service chooses the Medicare Advantage plans with the best overall value in 85 cities, based on estimated out-of-pocket costs for three levels of health status (healthy, episodic, chronic) and utilization of the most common health plan benefits (such as physician office visits, emergency care, hospital care, home health visits, preventive care and prescriptions).
For example, the average physician office visit jumped to $207 from an inflation-adjusted $128, prescription medicines nearly doubled from $103 to $199, and an emergency department visit rose from $563 to S947, the AHRQ found.
The survey also found an increase in the percentage of workers with deductibles for single coverage of $1,000 or more and an increase in the average co-payments for primary or specialty physician office visits.
Maves, MD, "trigger physician office visits, which in turn may trigger an array of other medically necessary services, including laboratory tests, to monitor or treat conditions that might have otherwise gone undetected and untreated.
A recent study by Washington State University showed physician office visits to treat ADHD more than doubled between 1990 and 1995, and prescriptions for treatment, including drugs such as Ritalin, nearly tripled among 5- to 18-year-olds, according to Science Daily magazine.
7 physician office visits were made for ED in 1985.
The Plan 2 option, however, requires $10 copayments for both primary care and specialist physician office visits.
In conducting a medical benefits audit, ask the insurance carrier for the average number of diagnostic tests per physician office visit.