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Terms in this set (15)
estimated cost for a procedure for an insured from their health carrier will include
copayment, deductible, coinsurance and out-of-pocket amount.
OBRA minimum for large group
balance can be carried over
amounts deposited for employees are income tax deductible
information regarding a person's credit, character, reputation, and habits?
core benefits in medicare supplemental benefits
appearance or the assumption of authority based on the actions, words, or deeds of the principal or because of circumstances the principal created.
80 plus LTC
physical exam, the attending physician's report, and copies of medical records.
diagnosis and treatment of biologically-based mental health disorders
The regulation of the insurance industry primarily rests with
insured replaces one Medicare supplement policy with another, the pre-existing conditions waiting period
does not start over
MassHealth is a public health insurance program that is a combination of
SCHIP and Medicaid
employers and insurers can evaluate the utilization review process and the effectiveness of the professionals involved in large claims.
A new employee who meets HIPAA eligibility requirements must be issued health coverage on what basis?
major medical insurance policies, when the insured's share of coinsurance reaches a certain amount, the insured is no longer obligated to pay it. This feature is known as
What type of benefit helps to pay for accidental injuries that are not severe enough to qualify as disabilities?
Medical Reimbursement Benefit
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