Medical expense insurance - Study guides, Class notes & Summaries

Medical Expense Insurance 2023- 2024 Exam Questions and Answers Basic dental plans provide coverage through a: - ANSWER A schedule lists the procedures and each benefit amount for a basic dental plan. The correct answer is: Schedule Which of the following characteristics does not apply to prepaid dental plans? - ANSWER Medical providers are paid on a capitation basis. The correct answer is: Medical providers are paid on a fee-for-service basis. Which of the following is typically not ...

PTCB Pharmacy Billing and Reimbursement Practice Questions and Answers Latest . The cost of the coverage of an insurance policy is known as which of the following? A. Deductible B. Co-payment C. Coinsurance D. Premium 5. Which of the following is another name for the cardholder of the insurance policy? A. Subscriber B. Dependent Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest Rated A+ C. Patient D. Third party 6. When a patient picks up a prescrip...

Colorado Health Insurance Exam| Questions and Verified Answers|100% Correct (2023/2024) Q: A group long-term disability plan is integrated with Social Security when which of the following statements is CORRECT? A. Social Security and group benefits pay a combined maximum limit. A. Social Security and group benefits pay a combined maximum limit. B. Full group benefits are paid in addition to Social Security benefits. B. Full group benefits are paid in addition to Social Security ben...

Medical expense insurance - provides benefits for medical care. Contracts may provide for payment of medical expenses incurred on a reimbursement basis (by paying benefits to the policyowner), payment on a service basis (by paying those who provide the services directly), or payment of an indemnity (by paying a set amount regardless of the amount charged for medical expenses). Medical expense or hospitalization insurance may be written on an individual or group basis. Benefits provided cove...

A Hospital/Surgical Expense policy was purchased for a family of four in March of 2013. The policy was issued with a $500 deductible and a limit of four deductibles per calendar year. Two claims were paid in September 2013, each incurring medical expenses in excess of the deductible. Two additional claims were filed in 2014, each in excess of the deductible amount as well. What would be this family's out-ofpocket medical expenses for 2013? - $1,000 (In this situation, the insured's maximum...

NY Series 17-52 Questions and Answers 100% Pass How many eligible employees must be included in a contributory health insurance plan? 50% A man works for Company A and his wife works for Company B. The spouses are covered by health plans through their respective companies that also cover the other spouse. If the husband files a claim, The insurance through his company is primary. What is the period of coverage for events such as death or divorce under COBRA? 36 months Twenty-five days after ...

Xcel solutions final exam Insuring Which health policy clause specifies the amount of benefits to be paid - Answer ️️ - Insuring The investment gains from a universal life policy usually go to - Answer ️️ -The cash value L takes out a life insurance policy and dies 10 years later. During the claim process, the insurer finds out that the applicant misstated their age. What will the insurer do? - Answer ️️ -Adjust the death benefit to a reduced amount An employee is covered unde...

the transfer of an insured's right to seek damages from a negligent party to the insurer is found in which of the following clauses? correct answer: Subrogation the purpose of managed care health insurance is to correct answer: control health insurance claims expenses a man works for company A and his wife works for company B. The spouses are covered by health plans through their respective companies that also cover the other spouse. If the husband files a claim correct answer: the ins...

Certain conditions, such as dismemberment or total and permanent blinds, will automatically qualify the insured for full disability benefits. Which disability policy provision does this describe? - presumptive disability Which provision concerns the insured's duty to provide the insurer with reasonable notice in the event of a loss? - notice of claim Because an insurance policy is a legal contract, it must conform to the state laws governing contracts which require all of the following el...

Medical Expense Insurance Exam Questions with Correct Answers Medical expense insurance - ANSWER provides benefits for medical care. Contracts may provide for payment of medical expenses incurred on a reimbursement basis (by paying benefits to the policyowner), payment on a service basis (by paying those who provide the services directly), or payment of an indemnity (by paying a set amount regardless of the amount charged for medical expenses). Medical expense or hospitalization insura...