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Section 13.2 Quiz

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Section 13.2 Review

insurance limits coverage to specific medical care. insurance can work either as a supplement to a basic plan or as a comprehensive stand-alone plan providing more extensive coverage.


Word bank: Basic Medical, Major Medical

Basic Medical insurance limits coverage to specific medical care. Major Medical insurance can work either as a supplement to a basic plan or as a comprehensive stand-alone plan providing more extensive coverage.

Lesson 13.2Check your answer

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insurance provides coverage for daily room and board and miscellaneous expenses. insurance provides coverage for the cost of surgeons' services and the anesthesiologist. insurance provides coverage for office visits and non-surgical care by a physician while hospitalized. insurance provides coverage for private duty nursing care. insurance provides coverage for skilled nursing facility expenses.


Word bank: Convalescent Care Expense, Hospital Expense, Nurses' Expense, Physicians' Expense, Surgical Expense

Hospital Expense insurance provides coverage for daily room and board and miscellaneous expenses. Surgical Expense insurance provides coverage for the cost of surgeons' services and the anesthesiologist. Physicians' Expense insurance provides coverage for office visits and non-surgical care by a physician while hospitalized. Nurses' Expense insurance provides coverage for private duty nursing care. Convalescent Care Expense insurance provides coverage for skilled nursing facility expenses.

Lesson 13.2Check your answer

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In a Hospital Expense Indemnity Plan, if the policy states a daily benefit of $200 and the hospital charges $100 per day, the policy will pay a _____ per day benefit.

a)
b)
CORRECTTRY AGAIN (Lesson 13.2.1)Your answer has been saved.
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4

Basic Surgical Expense plans cover the cost of a surgeon's services whether the surgery is performed on an inpatient basis or on an outpatient basis. Complete the following sentence utilizing the three different methods of payment.

Under the , every surgical procedure is assigned a dollar amount by the insurer. Under the , surgical expenses are compared to what is reasonable and customary for the geographical part of the country where the surgery was performed. The assigns points to surgical procedures instead of dollar figures.


Word bank: Reasonable and Customary approach, Relative Value Scale, Surgical Schedule method

Under the Surgical Schedule method, every surgical procedure is assigned a dollar amount by the insurer. Under the Reasonable and Customary approach, surgical expenses are compared to what is reasonable and customary for the geographical part of the country where the surgery was performed. The Relative Value Scale assigns points to surgical procedures instead of dollar figures.

Lesson 13.2.2Check your answer