Exam 17: Medical Insurance

MATCHING Indicate whether the statements apply to managed care or traditional insurance plans. -capitation payment

MATCHING Indicate whether the statements apply to managed care or traditional insurance plans. -annual deductible

Before certain procedures or visits can be made,some insurance policies require which of the following?

Which of the following terms is applied when more than one policy covers an individual?

Which of the following is NOT a category for referrals?

Which of the following best describes a network of providers and hospitals who have a contract with insurance companies to provide discounted health care?

Which of the following is known as the fee system that defines allowable charges that will be accepted by insurance carriers?

Which of the following best describes policies that are supplementary to Medicare insurance?

Which of the following best describes insurance policies that require policyholders to select a primary care provider?

Which of the following applies to medical insurance for dependents of active duty or retired military personnel and their dependents?

The amount of charges the provider would have to write off if insurance did not cover it,is known as what?

Which of the following is medical insurance for the spouse and unmarried dependent children of a veteran with permanent total disability resulting from a service-related injury?

Which of the following is applied to determine primary coverage for a dependent child when both parents are covered by health insurance?

Which is the most common type of referral used by managed care?

Which of the following is a type of insurance coverage for persons injured on the job?

Which of the following applies to Medicare coverage that pays for outpatient services?

Which of the following best describes the managed care organization model having the freedom of obtaining medical services from an HMO provider or by self-referral to a non-HMO provider?