2017.Fall 11 b.)
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:
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)