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CEBS GBA 1: Assignment 3 Advanced.

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CEBS GBA 1: Assignment 3 Advancedprepaid service plans - ANSWERthis type of plan provided a set allowance (level of benefit) for hospital/medical services and paid them directly to the provider ex: blue cross blue shield indemnity plans - ANSWERplans that reimbursed or indemnified a set dollar amount to the subscriber first dollar coverage - ANSWERplan 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 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 list the types of hospitalization benefits covered in health plans - ANSWER1. 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 7 radiation and chemo 8 inpatient mental and nervous care 9 inpatient drup and alcohol abuse care 10 physical, inhalation andcardiac therapy 11 home health care 12 hospice 13 respite care list the types of medical benefits covered in health plans - ANSWER1. surgeons 2 anesthesiologists 3 nurse and other surgical assistants 4 service fees assoc with inpatient medical care 5 second surgical opinions 6 xray and diagnostic and lab expenses 7 skilled nursing care 8 obs and pediatriacians assoc with prenatal delivery and newborn care 9 inpatient ICU 10 allergy testing .


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