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How does fee-for-service Insurance differ from private Insurance?
O A Private Insurance costs the Individual patient nothing while fee-for-service Insurance is typically very expensive.
O B. Private Insurance is paid as a set monthly or yearly amount, while fee-for-service Insurance is charged each time the patient
uses medical care.
OC Private Insurance covers health care in every type of facility, while a patient can only use fee-for-service Insurance in hospitals.
OD. Private Insurance is only available to people with low Incomes, while fee-for-service Insurance Is avallable to everyone.
OE Private Insurance is avallable for Americans over 65, while fee-for-service Insurance is available for Americans under 65.

Sagot :

Answer:

1. Usual, customary and reasonable. The plan probably will limit coverage to "medically necessary" treatments and to "usual, customary and reasonable" fees for that treatment in your area, as determined by the insurance company. Some services may be fully covered within these guidelines, others only partially covered. For example, 100% of your hospital bills may be paid but only 75% of your medical and surgical costs. If your doctor's fee is above the usual range for your area, you'll have to make up the difference. Benefits may be paid directly to the doctor or hospital. But, in the case of routine visits, you may have to pay up front and file paperwork for reimbursement. Often, the doctor's office will do the filing for you.

2. Predetermined costs, with limits. An indemnity, or scheduled, type of policy pays specific dollar amounts for each covered service according to a predetermined schedule or table of benefits. These schedules tend to become out of date even before the ink is dry on the policy. That means you could wind up digging deeper into your pocket to make up the difference between what the insurance company pays and what the doctor or hospital charges. Perhaps for this reason, this kind of policy is less common than it used to be.Explanation:

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