Florida State Health Insurance Test with Certified Solutions

Florida State Health Insurance Test with Certified Solutions neighbor An individual may purchase a life insurance policy on all of the following persons EXCEPT: a)dependent b)spouse c) business partner d) neighbor preexisting condition regarding long term care insurance, the existence of symptoms that would cause an ordinarily prudent person to seek diagnosis or treatment, or a condition for which medical advice or treatment was recommended by or received from a provider of health care service within six months before the effective date of an insured's coverage is known as: capitation Method of payment in which a provider is paid a specific monthly fee for each subscriber. Incontestable policy 2 years group model HMO contracts with an independent medical group that specializes in a variety of medical services in order to provide those services to its HMO subscribers. prepaid basis HMO managed health care and the associated costs. staff model HMO contracting physicians that are paid employees working on the staff of the HMO. Operate at the clinic setting at the physical facility. network model HMO an HMO that contracts with several medical groups to increase accessibility to providers as a convenience to subscribers. Each of the medical groups is paid a capitation fee to provide services to its Star subscribers. individual practice association model HMO A group of individual physicians with each physician operating from his or her own office paid a fee-for-service basis with the fees negotiated in advance. closed panel HMO that provides health care services from a limited number of health care providers chosen by the HMO long term care Refers to care provided for an extended period of time, normally more than 90 days. Depending on the severity of the impairment, assistance may be given at home, at an adult care center, or in a nursing home. This pays for rehabilitative or recuperative care needed after a long illness or hospital. long term care described as broad range of medical, personal, and environmental service designed to assist individual who have lost their ability to remain completely independent in the community. inflation protection increases benefits to keep up