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Kinn's The Administrative Medical Assistant - Chapter 16 Basics of Health Insurance Questions And Answers Rated A+ New Update Assured Satisfaction

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The health benefits program run by the Department of Veterans Affairs (VA) that helps eligible beneficiaries pay the cost of specific healthcare services and supplies is the (give acronym)________________. - CHAMPVA There are resources for patients who have questions on health insurance coverage...

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  • August 25, 2024
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  • Chapter 16 Kinn's Administrative Medical Assistant
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Kinn's The Administrative Medical
Assistant - Chapter 16 Basics of Health
Insurance
The health benefits program run by the Department of Veterans Affairs (VA) that helps eligible
beneficiaries pay the cost of specific healthcare services and supplies is the (give
acronym)________________. - CHAMPVA



There are resources for patients who have questions on health insurance coverage through the Patient
Protection and Affordable Care Act, such as ____________________. - Affordable Care Act
Navigators



An alphanumeric number issued by the insurance company giving approval of a procedure or service is
a(n) ___________. - authorization code



The amount payable by an insurance company for a monetary loss to an individual insured by that
company, under each coverage, is known as _________. - benefits



In the United States, healthcare practitioners render services ______________ receiving payment. -
prior to



Active duty military personnel, family members, military retirees and their eligible family members
under the age of 65, and the survivors of all uniformed services are covered by ___________. -
TRICARE



___________________ provides periodic payments to replace income when an insured person is unable
to work as a result of illness, injury, or disease. - Disability Income Insurance



The ___________________ is the date on which the insurance coverage begins so that benefits are
payable. - Effective date

, ___________________________ is the process of confirming health insurance coverage for the patient
for the medical service and the date of service. - Verification of Eligibility



The term for limitations on an insurance contract for which benefits are not payable is
__________________. - exclusions



A reimbursement model in which the health plan pays the provider's fee for every health insurance claim
is called ________________. - Fee-for-service or Indemnity plan



Medicaid and Medicare are examples of ________________ plans. - Government-sponsored



A privately sponsored health plan purchased by an employer for their employees is considered a(n)
____________________ policy. - Employer-sponsored group



___________________ is a third-party system that reimburses a provider when services are rendered for
an insured patient. - Health insurance



A(n) ______________ is a healthcare plan that controls the cost of healthcare delivery by requiring all
patients to seek care with a primary care provider to assess if more specialized care is needed. -
Health Maintenance Organization (HMO)



_________________ pay for all or a share of the cost of covered services, regardless of which physician,
hospital, or other licensed healthcare provider is used. Policyholders of these plans and their
dependents choose when and where to get healthcare services. - Indemnity plans



A(n) __________ is health insurance coverage for those who are not covered by their employer group
plan. - Individual health insurance



An umbrella term for all healthcare plans that focus on reducing the cost of delivering quality care to
patient members in return for scheduled payments and coordinated care through a defined network of
primary care physicians and hospitals is _________________. - Managed Care Plan

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