Exam 4: Types and Sources of Health Insurance

The type of insurance that covers a broad range of services,including nursing home care,assisted living facilities,certain types of home healthcare,and adult day care.

The amount the insured must pay before insurance coverage begins is referred to as the ________________.

The dollar amount that a patient must pay each year before his or her insurance benefits begin is called a/an:

A health insurance model intended to create a more organized and competitive market by offering consumers plan choices with common rules as to how the plan is offered,its cost,etc.defines a/an:

Medical illnesses or injuries that a patient has before the purchase of a health insurance policy are called:

The part of a provider's charge that the insurance carrier will allow as a covered expense.

UCR fees for commercial insurers are established by the federal government.

Name the two basic types of health insurance plans today,and list the three primary ways these two types of plans differ in their basic approach to paying healthcare benefits.

Health insurance payments are sometimes based on what is referred to as:

A periodic fee that is paid to an insurer for healthcare coverage.

Most third-party payers do not pay for medical services that are:

HRAs,also known as "health reimbursement accounts," are a type of healthcare plan that reimburses employees for certain qualifying medical expenses.

Under a health reimbursement arrangement (HRA),employees must provide the funds for all medical expenses incurred.

After the yearly deductible is met,the patient typically shares the bill with the insurance company in an arrangement called ____________________.

A network of doctors and hospitals that shares responsibility for managing healthcare needs of a minimum of 5000 Medicare beneficiaries for at least 3 years.

A law that provides continuation of group health coverage when an individual leaves his or her place of work.

A special tax shelter set up for the purpose of paying medical bills.

Medicare supplement policies are frequently called Medigap policies.

The level of health plan which is most like the former "basic" coverage is called the:

Medicaid is administered solely by the federal government.