CEBS GBA 1: {Assignment 3 based on the 2013 learning guide for GBA 1 } LATEST QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+
prepaid service plans - CORRECT ANS this 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 - CORRECT ANS plans that reimbursed or indemnified a set dollar amount to the subscriber first dollar coverage - CORRECT ANS 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 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 - CORRECT ANS 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 7 radiation and chemo 8 inpatient mental and nervous care
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