A
This refers to services rendered while the patient was staying overnight at the hospital
Inpatient
How do you call the set of services for which a member is eligible to receive under his or her contract?
Benefits Package
Which of the following best describes the BlueCard program?
A. A benefit that only applies within your local area
B. A program that allows members to receive healthcare services while living or traveling in another plan’s area
C. A set of emergency mental health services
D. A type of insurance policy offered by Medicare
B. A program that allows members to receive healthcare services while living or traveling in another plan’s area
Is the provision of mental health and chemical dependency (or substance abuse) service.
A. Behavioral Healthcare.
B .Claim.
C. Catastrophic plan.
Behavioral Healthcare.
Services that are intended to help you stay healthy and may also detect some diseases in the early stages.
Preventive Care
How do you call it when a patient asks a health insurer to reconsider a decision, such as nbot pay a claim?
Appeal
What does the term Benefit Period refer to?
A. The number of benefits a member has per year
B. The time when members can enroll in a new plan
C. The period during which charges for covered services must be incurred to be eligible for payment
D. The deadline to file an insurance claim
B. A program that allows members to receive healthcare services while living or traveling in another plan’s area
Provides hospital coverage for medically necessary inpatient and outpatient services.
A. Blue Cross.
B. Blue card.
C. Claim.
Blue Cross.
you need this from your doctor before you see other network providers, such as a dermatologist or a cardiologist.
Referral
What is also know as open enrollment period?
Annual Enrollment Period
What is the Annual Enrollment Period used for?
It is the specific time each year when you can buy, renew, or switch a health insurance plan.
Is the set of services for which a member is eligible to receive under his or her contract.
A. Benefits Package.
B. Benefit Period.
C. Behavioral Health.
Benefits Package.