Medical expense insurance - Study guides, Class notes & Summaries

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...

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...

When life insurance proceeds are used to pay inheritance taxes and federal estate taxes, it is known as - Answer- Estate conservation In group insurance, the primary purpose of the Coordination of Benefits provision is to - Answer- Prevent overinsurance Which of the following statements is NOT true regarding health insurance policy provisions? - Answer- All additional provisions written by insurers are cataloged by their respective states. The policyowner has an option to pledge the lif...

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...

Medical Expense Insurance Practice Exam Questions and Answers What is the period of coverage for events such as death or divorce under COBRA? - ANSWER 36 months Who determines the eligibility and contribution limits of an HRA? - ANSWER The employer Health Reimbursement Accounts (HRAs) - ANSWER Plans that allow employers to set aside funds for reimbursing employees for qualified medical expenses. Are open to employees of companies of all sizes; however, the employer determines eligibi...

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...

Medical Expense Insurance Exam Questions and Answers 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 covered by a dental plan? - ANSWER Replacement of dentures is typically not covered by dental plans. The correct answer is: Replacement of dentures Which of the following are routin...

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage HMO Conventional PPO and POS H...

Medical expense insurance Practice Test Questions and Answers Medical expense insurance provides - ANSWER Financial protection against the cost of medical care for accidents and illness Basic medical expense insurance is sometimes called - ANSWER First dollar insurance Unlike major medical expense insurance basic medical expense insurance provides - ANSWER upfront without having to satisfy a deductible Benefits provided by basic medical expense insurance are - ANSWER Lower than actua...

Medical Expense Insurance UPDATED Exam Questions and CORRECT Answers Which of the following policy features allows an insured to defer current health charges to the following year's deductible instead of the current year's deducitble? - Correct AnswerCarryover provision A Health Reimbursement Arrangement MUST be established - Correct Answer- by the