This is a brutal topic for most medical students. I am no insurance expert, but I did my best to simplify some pretty complex things into a short video so that you all feel confident in answering questions about this on USMLE, COMLEX, or in-class exams.
Quick thing that helps me with HMO, PPO, EPO, and POS: If it starts with P- You can go outside network (PPO, POS). If it contains "PO"- You don't need a referral for specialists (PPO, EPO). If it doesn't meet those requirements, it can't participate in that benefit (HMO both must stay in network and needs referral, EPO must stay in network, POS needs referral)
This is amazing! Maybe my limited brain cells but got thrown off using this when I was hit with the POS type. Soo maybe a slight tweak to help anyone similar to me. If it starts w/ "P" - you can go outside of network (PPO, POS) If it *ends* w/ "PO" - you don't need a referral for specialists (PPO, EPO)
Ngl, I am a grad student and was required to watch this per a course curriculum. That being said, you’ve managed to make a dull topic tolerable. Well done Sir!
Wow, I have never understood this topic better,. Tried lots of different resources for this unless someone recommended your channel! Glad for his recommendation, your videos are just amazing!
Thank you for taking the time and writing this post. Great help for me! Keep doing such wonderful work in the future also. Good luck with your upcoming updates.
Yo Dirty, can you please make a playlist specifically for Comlex Level 2 / USMLE Step 2. I love your videos but im not sure which one of these is more applicable for 2nd level board exams. Thanks! @Dirty Medicine
Just a minor correction, patients with disabilities are covered under Medicare, not Medicaid. Had a practice question regarding this exact scenario. The rest of the vid is amazing as always! Thank you!
They're actually covered under Medicaid, most of my textbooks refer to this but its also on the website: www.healthcare.gov/medicaid-chip/getting-medicaid-chip/ its under Medicaid and CHIP basics
@@DirtyMedicine So I'm a little confused. The SSA article mentions people with disabilities being covered under Medicare as well as Medicaid. And then First Aid lists Medicare as the go to for disability coverage. For the purpose of step 1, should we consider these individuals as Medicare or Medicaid eligible?
Hi , we have just obtained green card and moving to US shortly, can you please guide us what sort of economical and best health insurance go for (aged above 65 and in state of Arizona)
This could probably help my sister cuz my sister wants to be a doctor and she needs to know a lot about insurance I mean I know more medicine than her but I don't want to be a doctor
You can qualify for Medicare if you get Social Security Disability Insurance aka SSDI. Some people call it SSA but that is not accurate. You are entitled to it if Social Security deems your disability to be permanent and prevents you from obtaining gainful employment. You must have also earned enough work credits to activate SSDI. If you did not, that is another long story. In short, you can be under 65 and not have a terminal disease to get Medicare. An example would be someone who worked for a long time but has not reached retirement age. They suddenly had a catastrophic injury such as full paralysis or blindness. If they accumulated enough work credits, they could be given Medicare as part of their disability benefit. Unfortunately, some people have to wait 6-12 months for it to activate. Not clear on why but they eventually do get Medicare which has pros and cons.
The U.S. Railroad Retirement Board (RRB) is an independent agency in the executive branch of the United States government created in 1935 to administer a social insurance program providing retirement benefits to the country's railroad workers. The RRB serves U.S. railroad workers and their families, and administers retirement, survivor, unemployment, and sickness benefits. Consequently, railroad workers do not participate in the United States Social Security program. The RRB's headquarters are in Chicago, Illinois, with field offices throughout the country. In connection with the retirement program, the RRB has administrative responsibilities under the Social Security Act for certain benefit payments and railroad workers' Medicare coverage. During fiscal year 2009, retirement survivor benefits of some $10.5 billion were paid to about 589,000 beneficiaries, while net unemployment-sickness benefits of $160 million, including over $10 million in temporary extended unemployment benefits under the American Recovery and Reinvestment Act of 2009, were paid to more than 40,000 claimants. At the end of fiscal year 2018, the average annuity paid to career rail employees was $3,525 per month, the average annuity paid for all retired rail employees was $2,815 per month, and the average retirement benefit under Social Security was $1,415 per month. Railroad retirement benefit payments are financed primarily by payroll taxes paid by railroad employers and their employees. Since 2002, funds not needed immediately for benefit payments or administrative expenses have been invested by an independent National Railroad Retirement Investment Trust, which qualifies as non profit 501(c)(28). As of September 30, 2009, Trust-managed assets and RRB assets held in reserve totaled almost $25 billion.
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This is a brutal topic for most medical students. I am no insurance expert, but I did my best to simplify some pretty complex things into a short video so that you all feel confident in answering questions about this on USMLE, COMLEX, or in-class exams.
What is the difference between bundled and global payment?
love u
Quick thing that helps me with HMO, PPO, EPO, and POS:
If it starts with P- You can go outside network (PPO, POS).
If it contains "PO"- You don't need a referral for specialists (PPO, EPO).
If it doesn't meet those requirements, it can't participate in that benefit (HMO both must stay in network and needs referral, EPO must stay in network, POS needs referral)
This is amazing! Maybe my limited brain cells but got thrown off using this when I was hit with the POS type. Soo maybe a slight tweak to help anyone similar to me.
If it starts w/ "P" - you can go outside of network (PPO, POS)
If it *ends* w/ "PO" - you don't need a referral for specialists (PPO, EPO)
I'm naming my first born Dirty
or name them Highyield
No caps😂
😂
😂😂😂
AHAHAHHAHAHAHAHAH
Was here for COMLEX 2 & USMLE 2, here again for COMLEX 3, almost done Dirty! wish me luck, Thank you again!
I'm taking my insurance exam next week and you did a great job explaining and reviewing all of the concepts that I am being tested on.
did you pass tho
@@gabecohran5572 I did...first try
Ngl, I am a grad student and was required to watch this per a course curriculum. That being said, you’ve managed to make a dull topic tolerable. Well done Sir!
Wow, I have never understood this topic better,. Tried lots of different resources for this unless someone recommended your channel! Glad for his recommendation, your videos are just amazing!
Most anticipated release of the year . Thankyou
THANKS THIS IS WHAT IMGS NEED
This is what everybody needs including us US students. We don’t learn any of this in school.
Thank you so much, that was really helpful, especially for us who are imgs and don't know anything about the us healthcare system! 👏🏼👏🏼
Already liked the video without seeing it
Me too👍
I never knew about payment and insurance...as coming from india...this is everything I need
Earlier ethics and communication skills were too difficult for me,thank u so much for these wonderful videos....kudos to ur hardwork...!
So helpful for Non-US IMG like me. thanks
Awesome content. Quite interesting and very useful. Thank you for sharing this wealth of information. Thanks.
Wow! Thankyou so much. Dirty is the best for ethics, social sciences and biostat!
Thank you for taking the time and writing this post. Great help for me! Keep doing such wonderful work in the future also. Good luck with your upcoming updates.
Really I loved this video and how you explained it
❤❤❤❤
Ironic to be learning this rn..
This series is a life saver! Thank you so much
Yo Dirty, can you please make a playlist specifically for Comlex Level 2 / USMLE Step 2. I love your videos but im not sure which one of these is more applicable for 2nd level board exams. Thanks! @Dirty Medicine
Easy peasy: biochem, physio, neuroanatomy
*Brutal* topic: insurance :/
You are so knowledgeable. Thanks for an awesome video.
I busted out laughing when you did your cobra voice. You sound like a knock-off Elmo, actually hilarious 💀😂
That is the voice of the inner conscience of every medical student when they get pimped on clinicals
Thank you so much for this !!! Please make one for LFT/Liver enzymes interpretations
AST 2x than ALT = alcoholic hepatitis. Now go get that 269.
Liver enzymes go up for similar reason to cardiac enzymes. Cells are irreversibly injured and thus their membrane is compromised, so enzymes leak out
Perfect explanation ❤️❤️
We Stan Dirty Medicine University. Our Varsity name is HIGH YIELDERS
Thanks for your help
Thank you so much
In which of these does obamacare fall into? Do we have to know about that too?
This video is soooo clutch!!
This is actually very helpful
Just a minor correction, patients with disabilities are covered under Medicare, not Medicaid. Had a practice question regarding this exact scenario.
The rest of the vid is amazing as always! Thank you!
They're actually covered under Medicaid, most of my textbooks refer to this but its also on the website: www.healthcare.gov/medicaid-chip/getting-medicaid-chip/
its under Medicaid and CHIP basics
*cough* that one UWorld question
@@davemallari5382 UWorld cited this: pubmed.ncbi.nlm.nih.gov/12675050/
www.ssa.gov/history/pdf/PeoplewithDisabilities.pdf
@@DirtyMedicine So I'm a little confused. The SSA article mentions people with disabilities being covered under Medicare as well as Medicaid. And then First Aid lists Medicare as the go to for disability coverage. For the purpose of step 1, should we consider these individuals as Medicare or Medicaid eligible?
I also think of Part C as "Comprehensive" in that it's A + B + D.
"no dirty I hate snakes, no not the cobra" killed me XD
Love your videos
Thanks!
thank you!!!
I sincerely laughed when hearing the Cobra joke 😂
Thank u
The point of co pay/co insurance is to keep you from seeking medical care.
please make a video about how to master basic sciences in med school (5 tips to understand and read )for solid foundation of usmle
King Dirt back at it again -- gotta love it!
is this still relevant for the new format of topics from step 1? Thanks!
you realy amazing ,thanks a lot man
Thanks sir!
Yo dirty,you help to keen concepts clean
Hi , we have just obtained green card and moving to US shortly, can you please guide us what sort of economical and best health insurance go for (aged above 65 and in state of Arizona)
Thank you so much for this! Can you do some basic questions that come on the test?
Also for step2 how imp is this topic?
pretty important honestly
I took the exam on feb and I did not see any questions on that to be honest. What I saw a lot it was cultural and hospital safety questions.
Is this international stuff or only local or it's different from country time country
Only in the US. That's how government works
This could probably help my sister cuz my sister wants to be a doctor and she needs to know a lot about insurance I mean I know more medicine than her but I don't want to be a doctor
If you are receiving social security disability Insurance (SSDI), such as a young patient with Cystic Fibrosis, you also qualify for Medicare
Are disabled people who work (= are employed) eglible to medicaid too?
You can qualify for Medicare if you get Social Security Disability Insurance aka SSDI. Some people call it SSA but that is not accurate. You are entitled to it if Social Security deems your disability to be permanent and prevents you from obtaining gainful employment. You must have also earned enough work credits to activate SSDI. If you did not, that is another long story. In short, you can be under 65 and not have a terminal disease to get Medicare. An example would be someone who worked for a long time but has not reached retirement age. They suddenly had a catastrophic injury such as full paralysis or blindness. If they accumulated enough work credits, they could be given Medicare as part of their disability benefit. Unfortunately, some people have to wait 6-12 months for it to activate. Not clear on why but they eventually do get Medicare which has pros and cons.
When you said COBRA insurance I was imagining COBRA from GI Joe offering its mercenaries health insurance and a 401k lol
te
Imagine there's a Dirty Tiktok account and just in between dogs and dance toks, there's just our guy Dirty giving us the dirt
Part A : Admission 🫡
what about obama-care?
Does this come on step 1?
Wondering the same
Medicare for all!!
We don’t have to waste brain space on this in the UK
10:38 --> If you had your own medical school, I'd be happy paying loans to attend. Shit you've taught more than every professor in most med schools.
Love you. Bye
I will send my kids to graduate from dirty University😂
Medicare is eldercare, medicaid is for those who couldn't have paid.
No, not really.
The U.S. Railroad Retirement Board (RRB) is an independent agency in the executive branch of the United States government created in 1935 to administer a social insurance program providing retirement benefits to the country's railroad workers.
The RRB serves U.S. railroad workers and their families, and administers retirement, survivor, unemployment, and sickness benefits.
Consequently, railroad workers do not participate in the United States Social Security program.
The RRB's headquarters are in Chicago, Illinois, with field offices throughout the country.
In connection with the retirement program, the RRB has administrative responsibilities under the Social Security Act for certain benefit payments and railroad workers' Medicare coverage.
During fiscal year 2009, retirement survivor benefits of some $10.5 billion were paid to about 589,000 beneficiaries, while net unemployment-sickness benefits of $160 million, including over $10 million in temporary extended unemployment benefits under the American Recovery and Reinvestment Act of 2009, were paid to more than 40,000 claimants.
At the end of fiscal year 2018, the average annuity paid to career rail employees was $3,525 per month, the average annuity paid for all retired rail employees was $2,815 per month, and the average retirement benefit under Social Security was $1,415 per month.
Railroad retirement benefit payments are financed primarily by payroll taxes paid by railroad employers and their employees.
Since 2002, funds not needed immediately for benefit payments or administrative expenses have been invested by an independent National Railroad Retirement Investment Trust, which qualifies as non profit 501(c)(28).
As of September 30, 2009, Trust-managed assets and RRB assets held in reserve totaled almost $25 billion.
🤍 thank you