insurance fundamentals ccma

Define Copayment

• providers who agree to write off the difference between the amount charged by the provider and the approved fee established by insurer

• An amount of money that is paid at the time of medical service

• Amount of money a patient must pay out of pocket

A specify amount of money a patient must pay out of pocket before the insurance carrier begin paying.

• Coinsurance

• Deductible

• Participating Provider (PAR)

• Copayment

In 2009, how many americans did nit have healthcare?

• 50 million

• 46 million

• 40 million

• 36 million

An umbrella term for plans that provide healthcare in return for present scheduled payments and coordinated care through a defined network of providers and hospitals.

• Managed Care

• Worker's compensation

• Blue Cross Blue Shield

• CHAMPVA

Providers health insurance to the medically indigent population through a cost-sharing program between federal and state government for those who meet specific eligibility criternia.

• Medicare

• Managed Care

• Tricare

• Medicaid

covers surviving spouses and dependent children of veterans who died as result of service related disabilities.

• CHAMPVA

• Worker's compensation

• Medicare

• Tricare

what are some insurance plans

• Medicare

• Copayment

• Medicaid

• CHAMPVA

• Tricare

Is americans oldest and largest system of idependent health insures

• Medicaid

• Managed care

• Blue Cross Blue Shield

• Tricare

Authorize dependents of military personnel to receive treatment from civilian providers at the expense of federal government.

• Medicaid

• Medicare

• Tricare

• CHAMPVA

The maximun amount a third-party will pay for particular procedure or service.

• Allowed amount

• Deductible

• Copayment

• Coinsurance