2017.Fall 11 b.)

edited April 2022 in Morn.Pension

The per-visit deductible, could someone elaborate why this violates "Accessible"? If this deductible is applied to everyone, I believe Accessibility is still satisfied. However, I would say this violates "Universal" because not everyone may be able to afford the per-visit deductible, so not all eligible residents will be covered.

Also, would removing extended health care services violate "comprehensive" (because it's suppose to cover all medical services)? If not could someone elaborate on this please.

Comprehensive - covers all hospital & medical services
Universal - covers all eligible residents
Accessible - uniform terms & conditions for all eligible residents.

Comments

  • In the text:

    • Accessibility: Insured services must not be precluded or impeded directly or indirectly by charges or other mechanisms. This answers your first question.
    • Universal: I would not agree with your argument here. Not being able to afford the deductible and not being offered a service is different.
    • Comprehensive: No it would not. Because while provinces are encouraged to provide this extended health care services, it is not mandatory to receive federal funding
  • why removing extended health care services meet all conditions? can you explain all points?

  • It does meet all conditions, but I honestly think this is out of scope for the exam - wouldn't worry about it if I was you.
    But basically the five criteria have to be met for insured services (hospital services, physician services, and surgical-dental services provided to insured persons) but extended services are separate and include things like nursing home intermediate care, adult residential care, home care. So the 5 criteria only apply to insured services and even if you are to remove the extended services (which the criteria doesn't apply to), you still are meeting the criteria as your base insured services haven't changed.
    I do think this is a very detailed item so it's tough that CAS asked but now you know - The 5 criteria have to be met for insured services (things I mentioned above) but not for extended services (also mentioned above)

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