GBA 1 Exam | 100 Questions with 100% Correct Answers | Verified | 36 Pages

A behavioral health care carve-out program usually operates under a separate contract and from a separate company known as a... 7-2.1 - Managed behavioral health care organization (MBHO) A dental plan in which certain procedures are reimbursed on a scheduled basis and others are reimbursed on a nonscheduled basis is called a... 5-2.4 - Combination plan A health care plan has no restrictions on a member's choice of provider, there is no "steerage," and there is no basic utilization management. This type of health care coverage is known as... 3-1.1 - Indemnity plan A mechanism by which one attempts either to prevent or reduce the probability of a loss taking place or to reduce the severity of the loss if it does take place is referred to as... 2-2.5 - Control