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15 Cards in this Set
- Front
- Back
What is not included in comprehenive major medical plans ? |
First-dollar coverage |
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what does the term coinsurance refer to ? |
after the deductable is satisfied, the % paid by the insured for the remaining covered expenses |
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What is considered the most common type of specified disease insurance |
Cancer |
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Medical expense policies will typically cover which of the following ? |
injuries caused by accidents |
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At what point does a self-insured group qualify for stop-loss coverage |
when claims exceed a specified limit in a set period of time . |
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which of the following does specified disease insurance NOT cover ? |
cost covered by medical expense insurance |
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The elimination period in a disability income policy serves the same purpose as a (n) _____ in a medical expense policy . |
deductible |
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Major medical expense plans typically use a cost containment measure for emergency hospital care. This is reffered to as a (n) _____ |
deductible |
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NON-Example of cost sharing in a health insurance policy |
coordination |
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Health insurance policies typically contain a provision stating that insureds and their insurer will share covered losses in an agreed porportion. Which provison does this refer to ? |
coinsurance |
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which policy pays a stated amount for each day an individual is hospitalized ? |
Hosptial confinement indemnity |
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what does hosptial confinement indemnity policy pay for ? |
pays a specified daily amount while the insured's is confined to a hosptial |
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who is the indivdual paid on a fee-for-service basis? |
provider |
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which type of coverage pays an amount per day for hospitalization directly to the insured regardless of the insured's other health insurance ? |
hosptial indemnity |
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All of the following are qualitfications for establishing a health savings account (HSA) EXCEPT |
enrolled in a health plan with a perscrition drug benefit |