CEBS GBA 1: ASSIGNMENT 3 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
this type of plan provided a set allowance
(level of benefit) for hospital/medical
prepaid service plans services and paid them directly to the
provider
ex: blue cross blue shield
indemnity plans plans that reimbursed or indemnified a set dollar
amount to the subscriber
plan pays benefits from the minute an
expense is incurred. the subscriber pays
no expense. this model was used in
early hospital and medical plans when
costs and utilization patterns were
first dollar coverage lower
, this type of coverage is not used often today
it has been replaced with plans that use
deductibles, coinsurance provisions or
other cost containment measures.
managed care has also replaced this type
of coverage
1. inpatient room and board
2 emergency care
3 intensive and specialty care
4 maternity and newborn care
5 xray, diagnostic testing and laboratory
expenses in a hospital
6 skilled nursing facility care
list the types of
7 radiation and chemo
hospitalization
8 inpatient mental and nervous care
benefits covered in
9 inpatient drup and alcohol abuse care
health plans
, 10 physical, inhalation andcardiac therapy
11 home health care
12 hospice
13 respite care
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
this type of plan provided a set allowance
(level of benefit) for hospital/medical
prepaid service plans services and paid them directly to the
provider
ex: blue cross blue shield
indemnity plans plans that reimbursed or indemnified a set dollar
amount to the subscriber
plan pays benefits from the minute an
expense is incurred. the subscriber pays
no expense. this model was used in
early hospital and medical plans when
costs and utilization patterns were
first dollar coverage lower
, this type of coverage is not used often today
it has been replaced with plans that use
deductibles, coinsurance provisions or
other cost containment measures.
managed care has also replaced this type
of coverage
1. inpatient room and board
2 emergency care
3 intensive and specialty care
4 maternity and newborn care
5 xray, diagnostic testing and laboratory
expenses in a hospital
6 skilled nursing facility care
list the types of
7 radiation and chemo
hospitalization
8 inpatient mental and nervous care
benefits covered in
9 inpatient drup and alcohol abuse care
health plans
, 10 physical, inhalation andcardiac therapy
11 home health care
12 hospice
13 respite care
