Chapter 12-Medical Expense policies

Question 1

medical expense policy is designed to be a reimbursement policy that pays on a ____________ basis

Answer 1

Fee for service

Question 2

managing and overseeing the healthcare being provided, while controlling expenses at the same time

Answer 2

managed care

Question 3

an older health policy that provides first dollar coverage with very low limits

Answer 3

basic plan

Question 4

plan designed to reimburse the insured for hospital bills incurred (room and board and miscellaneous medical expense)

Answer 4

basic hospital plans

Question 5

plan designed to cover specific expenses of surgery; purchased in units

Answer 5

surgical expense (basic surgical)

Question 6

medical expense policy designed to cover the doctor visits in the office or hospital

Answer 6

basic medical

Question 7

a high or unlimited catastrophic policy with deductibles and coinsurance

Answer 7

major medical

Question 8

a smaller limit on a specific benefit within a catastrophic policy

Answer 8

inside limits

Question 9

designed to cover today’s high cost of health care-high limits or unlimited coverage (now required by ACA 2010)

Answer 9

catastrophic coverage

Question 10

designed to cover most medical expenses in or out patient, labs, x-rays etc

Answer 10

comprehensive coverage

Question 11

policy that combines the basic plan with the major medical with a corridor deductible

Answer 11

supplemental major medical