Health Insurance Flashcards
1
Q
How do HMOs operate?
A
in limited geographic areas, providing members with broad health care coverage in exchange for a set fee called a capitation payment.
2
Q
What are PPOs?
A
Associations of cooperating physicians and hospitals, agree to provide employers with health care services for their employees at discount prices.
3
Q
What are the three characteristics that distinguish major medical coverage from basic medical plans?
A
provision for substantial deductible
provision for participation
high limit of liability.
4
Q
A
