Term
| Hospice Expenses Include & What is not covered. |
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Definition
| Pain-killers (relief), Hospital Bed, NOT Antibiotics- NOT A Surgical Procedure. |
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Term
| Change of Occupation Provision |
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Definition
| Adjustment of benefits under certain circumstances. |
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Term
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Definition
| Refer patients to providers who offer discounted medical services. |
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Term
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Definition
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Term
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Definition
| Comprehensive Health Care |
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Term
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Definition
| Provide choice of physicians and hospitals. |
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Term
| What must be in a contract to be legal (3)OA,C,P |
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Definition
| Offer & acceptance, consideration, parties. |
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Term
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Definition
| element in which the insured is competent and has the capacity to enter into a contract. |
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Term
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Definition
| premiums- nothing can be increased. |
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Term
| What insurance groups can be covered under a master policy? |
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Definition
| HMO, Self Insured, Service |
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Term
| Comprehensive major medical insurance does not use what benefit? |
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Definition
| NO first dollar benefits. |
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Term
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Definition
| A statement or condition that the applicant represents to be true. |
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Term
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Definition
| failure to enforce a policy provision. |
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Term
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Definition
| preventative care, prepaid health care, select primary care. |
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Term
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Definition
| combination of HMO and PPO |
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Term
| HIPAA exclusion period is? |
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Definition
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Term
| HIPAA requirements get offered insurance because of... |
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Definition
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Term
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Definition
| hospital insurance and medical expenses |
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Term
| entire contract provision |
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Definition
| prevents the producer from changing the provision |
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Term
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Definition
| maintain the right to treat patients who are not subscribers. |
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Term
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Definition
| Insurer agrees to pay the policy benefits based off the proof of loss. |
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Term
| Proof of loss provision # of days to file |
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Definition
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Term
| Medical Savings account offered if you have how many employees or less? |
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Definition
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Term
| Blue Cross Blue Shield BC/BS. |
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Definition
| Mutual organization. Service basis. Prepaid. |
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Term
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Definition
| health insurance claim expenses |
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Term
| per occurrence deductible |
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Definition
| deductible satisfied each year when a new claim is submitted in a new calendar year. |
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Term
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Definition
| one time period following effective date- before sickness coverage is available. |
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