Which mode of payment is not used by health insurance policies?

Which of these provisions is not required in life insurance policies quizlet?

Which provision is NOT a requirement in a group life policy? Accidental". An AD&D provision is not required in a group life policy.

Which of the following is not a required provision in group life policies?

Which provision is NOT a requirement in a group life policy? An AD&D provision is not required in a group life policy. The correct answer is "the entire cost of the plan is paid for by the employer". When an employer provides noncontributory group term life insurance, the employer pays the entire cost of the plan.

Which of the following is not a benefit of insurance?

Insurance is a means of protection from financial loss. It is a form of risk management primarily hedged against any uncertain future loss. The functions of insurance are risk sharing, assisting in capital formation, economic progress, etc. Lending of funds is not a function of insurance.

Which of the following terms describes a payment method in which medical providers are paid for each medical service they provide?

Which of the following terms describes a payment method in which medical providers are paid for each medical service they provide? Under the fee-for-service payment method, medical providers are paid for each medical service they provide.

Can a partnership pay for health insurance?

Premiums for health insurance paid by a partnership on behalf of a partner, for services as a partner, are treated as guaranteed payments. The partnership can deduct the payments as a business expense, and the partner must include them in gross income.

What are conditions that might be excluded in a health insurance policy?

Use of the hospital room phone or TV, extra pillows and sometimes even Band-Aids are commonly excluded from insurance coverage. Hospital fees can be high, so it's important to be familiar with your plan's exclusions. Home care and private nursing expenses are some of the most common excluded expenses.

What are the 5 types of health insurance?

Which of the following items is not typically covered under a medical expense policies Miscellaneous expense benefit?

The miscellaneous expense benefit covers hospital "extras," such as x-rays, laboratory fees, and use of the operating room. It does not cover a surgeon's fees, which would be covered under a surgical expense policy.

Which of these types of policies may not have the automatic premium loan provision attached to it?

The automatic premium loan is available on whole life insurance policies. Because universal life policies will always deduct policy expenses from available cash value, they do not have an automatic premium loan feature.

Which of the following types of care is excluded in a Long Term Care policy?

Most long-term care insurance policies permanently exclude benefits being paid for certain conditions. Watch out for common conditions excluded, such as certain forms of heart disease, cancer or diabetes. Other exclusions include: Mental or nervous disorders, not counting Alzheimer's or other dementia.

Which of the following is not covered under a hospitalization expense policy?

Which of the following services is NOT covered under a hospitalization expense policy? Surgeon's fees. (While an insured is hospitalized, the hospitalization expense coverage includes benefits for the cost of all of these services EXCEPT a surgeon's fees.) S wants to open a tax-exempt Health Savings Account.

What are the different types of payment systems in healthcare?

Traditionally, there have been three main forms of reimbursement in the healthcare marketplace: Fee for Service (FFS), Capitation, and Bundled Payments / Episode-Based Payments. The structure of these reimbursement approaches, along with potential unintended consequences, are described below.

What are the three main payment mechanisms used in managed care?

What are the three main payment mechanisms managed care uses? In each mechanism who bears the risk. The three main types of payment arrangements with providers are: capitation, discounted fees, and salaries.

Which of these is the term for different types of health insurance payments made to providers for patient services?

Capitation payments are payments made to health care providers for providing services to patients. These payments are fixed and generally paid monthly (based on yearly contracts—i.e. capitation contracts).

Which of the following is not insurance?

Lending funds is not a function of insurance. Among the given options option (c) lending funds is the correct answer. Explanation: The main functions of insurance are : Protection, Risk sharing , Asset in capital formation, Providing certainty.

Which is not included in insurance work?

Health insurance typically covers most doctor and hospital visits, prescription drugs, wellness care, and medical devices. Most health insurance will not cover elective or cosmetic procedures, beauty treatments, off-label drug use, or brand-new technologies.

What are the 4 types of insurance?

Which of the following is not a situation that involves life insurance policy replacement?

Whose life is covered on a life insurance policy that contains a payor benefit clause. Which of the following is NOT a situation that involves life insurance policy replacement? Maintaining an existing policy and applying for a new one.

Which is not a characteristic of group health insurance?

individual members of the group may select the level of benefits for their own coverage. Which is NOT a characteristic of group health insurance? group coverage must be extended for terminated employees up to a certain period of time at the former employees expense.

Which of the following groups may not be insured by a group life insurance policy quizlet?

Which of the following groups may NOT be insured by a group life insurance policy? Individuals who are related by blood. A group life insurance policy may NOT insure groups consisting exclusively of persons who are related by marriage, blood or legal adoption.