Question

16 Basics of Health Insurance VOCABULARY REVIEW de blanks with the corecr vewcubulary terns from this chopte hi phsomeric number isued by the insurance compuny giving approval of a procedure or service is ai : The The amsunt pagable by an insaurane conpany for a monetary loss to an inrvidual insuned by tha for a monetary loss to an individual insured by that company cash coverage. is known as be-0643 , In the United States beultheare practitioners rendr services bieft receiving payment duty military personnel, family members of astive duty personnel, malar)TRELRE i Active family under the age of 65, and the sarvivors of all uniformed services ane retirees and their eligible t covered by s The health benefits program run by the Department of prpgram run by the Department of Veterans Affairs (VA) that belps cligible bencticiaries pay the cost of specific healthcare Dssbiliy 1nids perdie and supplies is the (give acronym) nprovides periodic payments to replace income when an insared person is inable to work as a result of illness, injury, or disease. 7. The sVecicecis the prokess of confirming health insurance coverage for the patient for the medical service dot e. is the datc on which inurance conerage hegins so that henefits are payable and the date of service 9. The term for limitations on an insurance contract for which benefits are not payable is 10 A reimbursement model in which the health plan pays the provider's fee for every health insurance claim is called I Medicaid and Medicare are examples of plans 12 A privately sponsored health plan purchased by an employer for their employees is considered ain policy is a third-party system that reimburses a provider when services are rendered for 13 an insured patient 14. Ain) is a healthcare plan that controls the cost of healthcare delivery by requir- ing all patients to seek care with a primary care provider to assess if more specialized care is needed 15 pay for all or a share of the cost of covered services, regardless of which physician hospital, or ocher licensed healthcare peovider is used. Policyholdlers of these plans and their dependents choose when and where to get healthcare services 16. Ain) is bealth insarance coverage for those who are not covered by their employer group plan 213

Answer 1

Basics of Health Insurance REVIEW Authorization comuny giving approval of a procedure or vervice ou for a manetary o an individual insored by that cony uner an each coverage, is known as be " the United States, health are practitioners sender ernas befo Active duty malitary personnel, famaly memobers of active duty ernnet lary Benefits Before of active duty pernneiy te and their tamely ander the age of 6 and the savios of all unformed services are covered by Tricare The health benc ias prosgram run by th Deptmest of Vecrans Affi services and sopplies is the (giveCHAMPVA (The Civilian Health Disability Income Insurance injuty, piovides perisli payiments to replace inorne w Medical Program of the Dept. c Veterans Affair) is the date on which innce coverage begins o that henetits ane paable pxess of contirnming health insurance coverage for the patiens fow the medical sevice TheEffective date Verification of eligibilitysies of coatioming health and the date of service Exclusiorn odel ia which the health plan pays the provider's foe every health ~ance claim 8% called abur w Fee-for-Service Il Medicaid and Medicare are examples of plans 12 A privately sponsored health plan purchased by an employer for their empkoyees is considered wn Group policy is a thind-party systom that reimburses a provider when services are rendcred for is a healthcare plan that controls the cost of healthcare delivery by requir Indemnity planay for all or a share of the cost of covened services, regardless of which physician an iasured patient HMO ng all patients to seek care with a primary care provisder to assess if moe specialined care is needed bospital, or other licensed healthcare prov ider is used. Policyhoklers of these plans and their dependents choose when and where to get healthcare services s Na Individual insurance is health insurance coverage for hose who are nox covered by their employer group plan 213