Chapter 7 Flashcards
Period of time during which benefits are paid under policy
Enrollee
Premium
Waiting period
Benefit period
Benefit period
Person enrolled in health ins plan, an insured doesn’t include dependents of insured
Enrollee
Benefit period
Waitin period
Per existing conditions
Enrollee
Conditions insured has recd diagnosis for diagnosis advice care or treatment during specific time period prior to Capp for health coverage
Benefit period
Premium
Social security disability insured status
Pre existing conditions
Pre existing conditions
Money paid to ins company for ins coverage
Waiting period
Medicare
Premium
Premium
Fully insured or currently insured depending on number of coverage credits earned
Social security disability insured status
Medicare
Premium
Social security disability insured status
Period of time that must pass after a loss occurs before insurer start paying policy benefits
Waiting period
Trial period
Executive period
Waiting period
Federal medical expense ins program for ppl age 65 and older even if individual continues to work
Actual charge insurance
Supplemental ins
Disability ins
Medicare
Medicare
Available to anyone regardless of age entitled to social security disability income benefits for two years or has permanent kidney failure
Rehab services
Medicare
Group care
Medicare
If already receives social security disability benefits what would need to be done to qualify for Medicare part a once 65
Nothing
Apply for coverage through state
Apply for coverage through social security administration
Nothing
Financed through portion of payroll tax FICA
Part a
Part b
Part c
Part d
Part a hospital ins
Financed from monthly premiums paid by insureds and from general revenues of federal govt
Part a
Part b
Part c
Part d
Part b
Allows ppl to rec all of their health care services through available provider organizations
Part a
Part b
Part c
Part d
Part c
Is for prescription drug coverage
Part a
Part b
Part c
Part d
Part d
Does not require patient to choose primary care doc nor does it require referral to see specialist as long as specialist is enrolled in Medicare
Ambulatory surgical services
Medicare part d
Original Medicare
Original medicare
Amount physician actually bills for particular service or supply
Actual charge