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6 Cards in this Set
- Front
- Back
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health insurance can provide different policies for many different reasons no one policy covers all risks
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true
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difference between reimbursement and valued basis
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Reimbursment- based on the actual loss
Valued- predetermined amount |
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coordinated benefits
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specific to health insurance, defines how benefits will be coordinated with other plans
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subrogation
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insurers have the right to recoup any excess amount they paid over what the plan called for
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Patient protection and affordable care act (PPACA)
affordable care act (ACA) |
decrease number of uninsured americans and reduce overall cost of medical care
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Metal levels
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bronze -insurer pays 60 insured pays 40
silver -70 30 gold- 80 20 platinum- 90 10 |
