SKI106 Health InsuranceIstanbul Okan UniversityDegree Programs Acil Durum ve Afet Yönetimi General Information For StudentsDiploma SupplementErasmus Policy StatementNational Qualifications
Acil Durum ve Afet Yönetimi
Associate TR-NQF-HE: Level 5 QF-EHEA: Short Cycle EQF-LLL: Level 5

General course introduction information

Course Code: SKI106
Course Name: Health Insurance
Course Semester: Fall
Course Credits:
Theoretical Practical Credit ECTS
3 0 3 4
Language of instruction: TR
Course Requisites:
Does the Course Require Work Experience?: No
Type of course: Department Elective
Course Level:
Associate TR-NQF-HE:5. Master`s Degree QF-EHEA:Short Cycle EQF-LLL:5. Master`s Degree
Mode of Delivery: Face to face
Course Coordinator : Öğr.Gör. BÜLENT DERSE
Course Lecturer(s):
Course Assistants:

Course Objective and Content

Course Objectives: To gain a basic perspective on public and private health insurance and to explain the importance of insurance and insurance in health management.
Course Content: This course includes the following topics; Health Care System and the Border, Basic Criteria in Health Organization, Basic Finance Models and Role and Importance of Health Insurance on Health, Health Insurance Concepts, Types, and Classification of Private Health Insurance History in Turkey, Technical and Market Analysis, Distribution Channels, Private and Public Health Basic Legislation in Insurance, Organizational Structure in Health Insurances, Underwriting and Production Processes, Related Legislation, Organizational Structure in Health Insurances, Underwriting and Production Processes, Related Legislation (continued), Compensation and Provision Process in Health Insurances, Related Legislation, Network and Contract Management in Health Insurances, related Legislation (continued), Sustainability in Health Spending, Financial Management of Chronic Diseases in Health Care and Reimbursement Methods, Process and General Health Insurance Complementary Health Insurance in Turkey, Medical Tourism and Health Tourism Insurance, Analysis of General Health Data and Strategic Goals, Analysis of General Health Data and Strategic Goals (continued).

Learning Outcomes

The students who have succeeded in this course;
Learning Outcomes
1 - Knowledge
Theoretical - Conceptual
2 - Skills
Cognitive - Practical
3 - Competences
Communication and Social Competence
Learning Competence
Field Specific Competence
1) Reviews health system and its sub-systems from a financial macro perspective.
2) Explain health financing resources and the importance of diversity.
3) Classifies health expenses by source and distribution and explains the importance of sustainability of health expenditures.
4) Explain the concepts of insurance and insurance and comprehend basic working principles of insurance.
Competence to Work Independently and Take Responsibility

Lesson Plan

Week Subject Related Preparation
1) Health Services System and Boundaries, Basic Criteria in Health Organization Examination of sample cases related to the subject
2) Basic Financing Models in Health and the Importance of Health Insurances Examination of sample cases related to the subject
3) Health Insurance Concepts, Types and Classification Examination of sample cases related to the subject
4) History of Private Health Insurance in Turkey, Technical and Market Analysis, Distribution Channels Examination of sample cases related to the subject
5) Basic Legislation in Private and General Health Insurance Examination of sample cases related to the subject
6) Organizational Structure, Underwriting and Production Processes in Health Insurance, Related Legislation Examination of sample cases related to the subject
7) Midterm exams
8) Compensation and Provision Process in Health Insurance, Related Legislation Examination of sample cases related to the subject
9) Compensation and Provision Process in Health Insurance, Related Legislation Examination of sample cases related to the subject
10) Sustainability in Health Expenditures, Reimbursement Methods in Health Services and Financial Management of Chronic Diseases Examination of sample cases related to the subject
11) Process and General Health Insurance Complementary Health Insurance in Turkey Examination of sample cases related to the subject
12) Health Tourism and Health Insurance in Tourism Examination of sample cases related to the subject
13) Analysis of General Health Data and Strategic Targets Examination of sample cases related to the subject
14) Analysis of General Health Data and Strategic Targets Examination of sample cases related to the subject
15) Final exams none

Sources

Course Notes / Textbooks: Özbolat, M. (2017). Temel Sigortacılık, Seçkin Kitapevi, Ankara.
References: Orhaner, E. (2000). Türkiye’de Sağlık Sigortacılığı, Gazi Kitapevi, Ankara

Course-Program Learning Outcome Relationship

Learning Outcomes

1

2

3

4

Program Outcomes
1) Having theoretical and practical knowledge at the basic level supported by textbooks, application tools and other resources with up-to-date information in the field based on the competences gained at secondary level.
2) - Gaining the ability to use the same level of theoretical and practical knowledge at the same level in an advanced level of education or in the same field. - To be able to interpret and evaluate data, to identify and analyze data, to develop evidence-based solution proposals using basic knowledge and skills acquired in the field.
3) - To be able to communicate the thoughts at the level of basic knowledge and skills that are in possession of the field through written and oral communication. - Share ideas and suggestions for solutions to issues related to the field with experts and non-experts. - Using a foreign language at least in the European Language Portfolio A2 General Level to monitor information in the field and communicate with colleagues. - To be able to use information and communication technologies with the computer software at least at the European Computer Use License Basic Level required by the field.
4) - To be able to evaluate basic knowledge and skills in the field with a critical approach, to be able to identify and meet learning needs. - be able to lead their study to an advanced level of education or to a profession at the same level. - Learning to survive is not a conscious winner.
5) - To have social, scientific, cultural and ethical values in the stages of collection, application and announcement of data about the field. - Universality of social rights, social justice, quality and cultural values and environmental protection, occupational health and safety issues.
6) - Be able to carry out a basic level of work independently of the field. - Take responsibility as a team member to solve complex and unforeseen problems encountered in field related applications. - Carrying out activities for the development of employees under the responsibility of a project.

Course - Learning Outcome Relationship

No Effect 1 Lowest 2 Low 3 Average 4 High 5 Highest
           
Program Outcomes Level of Contribution
1) Having theoretical and practical knowledge at the basic level supported by textbooks, application tools and other resources with up-to-date information in the field based on the competences gained at secondary level.
2) - Gaining the ability to use the same level of theoretical and practical knowledge at the same level in an advanced level of education or in the same field. - To be able to interpret and evaluate data, to identify and analyze data, to develop evidence-based solution proposals using basic knowledge and skills acquired in the field.
3) - To be able to communicate the thoughts at the level of basic knowledge and skills that are in possession of the field through written and oral communication. - Share ideas and suggestions for solutions to issues related to the field with experts and non-experts. - Using a foreign language at least in the European Language Portfolio A2 General Level to monitor information in the field and communicate with colleagues. - To be able to use information and communication technologies with the computer software at least at the European Computer Use License Basic Level required by the field.
4) - To be able to evaluate basic knowledge and skills in the field with a critical approach, to be able to identify and meet learning needs. - be able to lead their study to an advanced level of education or to a profession at the same level. - Learning to survive is not a conscious winner.
5) - To have social, scientific, cultural and ethical values in the stages of collection, application and announcement of data about the field. - Universality of social rights, social justice, quality and cultural values and environmental protection, occupational health and safety issues.
6) - Be able to carry out a basic level of work independently of the field. - Take responsibility as a team member to solve complex and unforeseen problems encountered in field related applications. - Carrying out activities for the development of employees under the responsibility of a project.

Learning Activity and Teaching Methods

Expression
Q&A / Discussion

Assessment & Grading Methods and Criteria

Written Exam (Open-ended questions, multiple choice, true-false, matching, fill in the blanks, sequencing)

Assessment & Grading

Semester Requirements Number of Activities Level of Contribution
Midterms 1 % 40
Final 1 % 60
total % 100
PERCENTAGE OF SEMESTER WORK % 40
PERCENTAGE OF FINAL WORK % 60
total % 100

Workload and ECTS Credit Grading

Activities Number of Activities Duration (Hours) Workload
Course Hours 1 30 30
Midterms 1 40 40
Final 1 60 60
Total Workload 130