Medical Expense Ins. – Lesson 13 Flashcards
What are the two major categories of health insurance policies?
- Disability income policies.
2. Medical expense policies.
When two or three family members can satisfy the deductible for all family members, it is referred to as a:
Family deductible
Surgical benefits are paid based on what approach?
Usual, customary, and reasonable (UCR)
Which program is state-funded?
Major risk medical insurance program (MRMIP).
What program is federally funded?
Pre-existing insurance plan (PCIP).
What type of policy has a Corridor deductible?
Supplemental major medical
A feature of many major medical policies that limits the insured’s out-of-pocket expenses is:
Stop loss limit
What is coinsurance?
A sharing of expenses between the insured and the insurer.
Hospital indemnity policies pay benefits to whom?
The insured
A type of health policy that covers a specific disease is:
Dread disease insurance
Most major medical policies exclude pre-existing conditions for a specific amount of time. True or false?
True
What will dental plans cover?
- Oral surgery
- Cleanings
- Orthodontics
What does the common accident provision state?
Only one deductible needs to be satisfied if several family members are injured in the same accident.
PCIP and MRMIP require what to participate?
Social Security number
