PBMF Chapter 20 Examinable Questions
and answers
Coinsurance - -a percentage of the service costs that patients pay.
Exclusion - -a medical service that is not covered in an insurance plan.
Preexisting condition - -an illness or an injury a person has before signing up for health insurance.
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PBMF Chapter 20 Examinable Questions and an swers Coinsurance - ✅✅ -a percentage of the service costs that patients pay. Exclusion - ✅✅ -a medical service that is not covered in an insurance plan. Preexisting condition - ✅✅ -an illness or an injury a person has before signing up for health insurance. Preauthorization - ✅✅ -an approval from the plan before receiving certain procedures and treatments. Utilization review - ✅✅ -an insurance company's examination of requests for medical treatments and procedures to make sure they are covered and the patient truly needs them. Regular medical insurance - ✅✅-insurance whose coverage includes prescriptions, hospital stays, and inpatient tests. Inpatient - ✅✅ -a person whose care requires a stay in a hospital. Major medical insurance - ✅✅ -insurance that typically covers the costs of serious illnesses and injuries, as well as high -cost procedures. Comprehensive medical insurance - ✅✅ -insurance that combines basic and major medical protection in one policy. Dent al insurance - ✅✅ -insurance that covers specified dental services, such as exams and teeth cleaning.
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