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15 Cards in this Set

  • Front
  • Back

What is not included in comprehenive major medical plans ?

First-dollar coverage

what does the term coinsurance refer to ?

after the deductable is satisfied, the % paid by the insured for the remaining covered expenses

What is considered the most common type of specified disease insurance

Cancer

Medical expense policies will typically cover which of the following ?

injuries caused by accidents

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 .

which of the following does specified disease insurance NOT cover ?

cost covered by medical expense insurance

The elimination period in a disability income policy serves the same purpose as a (n) _____ in a medical expense policy .

deductible

Major medical expense plans typically use a cost containment measure for emergency hospital care. This is reffered to as a (n) _____

deductible

NON-Example of cost sharing in a health insurance policy

coordination

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

which policy pays a stated amount for each day an individual is hospitalized ?

Hosptial confinement indemnity

what does hosptial confinement indemnity policy pay for ?

pays a specified daily amount while the insured's is confined to a hosptial

who is the indivdual paid on a fee-for-service basis?

provider

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

All of the following are qualitfications for establishing a health savings account (HSA) EXCEPT

enrolled in a health plan with a perscrition drug benefit