Week 3 Flashcards Part 2
Coverage Details
1
Q
What is a co-pay?
A
A fixed amount a patient pays for a service, with the remainder covered by insurance.
2
Q
Define “deductible” in dental insurance.
A
The amount a patient must pay out-of-pocket before insurance starts covering treatments.
3
Q
What is an annual maximum?
A
The maximum dollar amount a dental insurance plan will pay within a calendar year.
4
Q
What does “waiting period” mean in dental insurance?
A
The time a patient must wait before certain services are covered by their plan.
5
Q
What is the purpose of an Explanation of Coverage (EOC)?
A
To outline details about co-pays, deductibles, annual maximums, and coverage percentages.
