Common coverage of HMOs include Annual Check-ups, confinements, laboratory fees, doctor's fees and dental care TRUE OR FALSE
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Common coverage of HMOs include Annual Check-ups, confinements, laboratory fees, doctor's fees and dental care
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- Which of Ike following statements is CORRECT about he Missialement of Age provision in a health policy? A.Il is not an oplional provision. B.It allows an insurance company to adjust the levels of policy benefits for an insured who misslated his age. C.It limits the time wilhin which an insurance company may conlest a claim on the basis of misstatement of age. D.It always voids the contractWhich of the following statements about "Waiver of Premium due to Disability" is false? A) Disability must occur before a stated date B) The insured has to die while disabled C) There is a waiting period D) It has to be attached to a life insurance policyIf an employee pays for a periodic medical checkup required by an employer, can the amount paid be deducted, and if so, is there any limitation? Explain.
- The best strategy for health insurance coverage is to purchase a comprehensive policy. Of the following, which additional coverage should you not buy if it is not provided at work or in your individual policy? ○ Accident Terminal Disease O Dental O Eyewear O You should not buy any of the aboveWhat is the total unreimbursed qualified medical expenses reported on form 8889, Part II?What is a contractual adjustment? An increase in a patient’s charges caused by revisions in the billing process utilized by a health care entity. A year-end journal entry to recognize all of a health care entity’s remaining receivables. A reduction in patient service revenues caused by agreements with third-party payors that allows them to pay a health care entity based on their determination of reasonable costs. The results of a cost allocation system that allows a health care entity to determine a patient’s cost by department.
- Which of the following statements regarding the Patient Protection and Affordable Care Act (ACA) is true? Group of answer choices a. The ACA eliminates lifetime limits on total health care insurance payments by insurers. b. The ACA limits the total number of surgeries for the insurers. c. The ACA requires employers to reimburse the cost of hospital stays of the insured. d. The ACA decides the insurance payments for dependents. e. The ACA provides major medical insurance with low deductibles to protect against catastrophic illnesses.Suppose health-care reform Y makes it unlawful for insurance companies to deny insurance to persons with a preexisting disease and sets a fine for those people who do not buy insurance. It follows that if the fine is a. larger than the benefits derived from not buying insurance right away, then people will not buy the insurance and pay the fine. b. smaller than the benefits derived from not buying the insurance right away, then people will not buy the insurance and pay the fine. c. There is not enough information provided to answer this question. d. larger than the benefits derived from not buying insurance right away, then people will buy the insurance right away and not pay the fine.if the company is self-insured and the insurance plan says that it does not cover health routine and check up, does that mean that the company is still paying for that amount or not? for example: Plan A would charge a $350 premium with no deductible. Coverage is extended to pre-existing conditions, but to cover the non-deductible clause, health screening and routine check-ups are not covered. In this case, is the company only paying $350 or $350 PLUS the health screening?
- Fill in the blank. The ____________ principle of accounting requires the revenues generated by providing care for a patient to be recorded in the same accounting period as the expenses incurred to provide that care.Indicate whether the statement is true, false, or unclear, and justify your answer.On average, observed mortality rates are higher for people who buy life insurance than for people who do not. This is best taken as evidence in favor of adverse selection in life insurance markets.Third Party Payer Lock-in programs can use restrictions when their clients attempt to fill Controlled Substance prescriptions.