Health Insurance 4 Flashcards

1
Q
  1. What are the different medical services offered by this plan?
A

a. Preventive Health Services
b. Office Services
c. Outpatient Diagnostic Services
d. Emergency and Urgent Care Services
e. Surgical Services
f. Hospital Services
g. BlueScript Pharmacy Program

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2
Q
  1. What are the Benefit Maximums for Home Health Care Vistis?
A

20 visits per Benefit Period

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3
Q
  1. What are the Benefit Maximums for Inpatient Rehabilitation?
A

21 days per Benefit Period

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4
Q
  1. What are the Benefit Maximums for Mental Health Services?
A

30 inpatient days/visits or combination of inpatient and Partial Hospitalization days, per Benefit Period

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5
Q
  1. What are the Benefit Maximums for Outpatient Therapies and Spinal Manipulations?
A

35 visits per Benefit Period

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6
Q
  1. What are the Benefit Maximums for Skilled Nursing Facility?
A

60 days per Benefit Period

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7
Q
  1. What are the benefit maximums for mental health services?
A

20 outpatient visits per benefit period

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8
Q
  1. Outpatient
A
out·pa·tient
ˈoutˌpāSHənt/
noun
a patient who receives medical treatment without being admitted to a hospital.
"attending a clinic as an outpatient"
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