1. What is the difference between co-pay and coinsurance? a. They mean the same thing and used by insurance companies interchangebly b. Coinsurance is a percentage and copay is a set amount c. Copay is a percentage and coinsurance is a set amount d. Coinsurance is the term used only for Medicare patients 2. What is capitation? a. Pre-established payments to providers for enrollees over a period of time, whether the patient is seen or not by the provider b. Payment for services rendered by providers and based many times on Medicare fee schedules c. Services that all inclusive for a procedure, typically 10, 30 or 90 days d. Health insurance plans that include preventive services

Personal Finance
13th Edition
ISBN:9781337669214
Author:GARMAN
Publisher:GARMAN
Chapter11: Planning For Health Care Expenses
Section: Chapter Questions
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Answer 1-2
1. What is the difference between co-pay and coinsurance?
a. They mean the same thing and used by insurance
companies interchangebly
b. Coinsurance is a percentage and copay is a set amount
c. Copay is a percentage and coinsurance is a set amount
d. Coinsurance is the term used only for Medicare
patients
2. What is capitation?
a. Pre-established payments to providers for enrollees
over a period of time, whether the patient is seen or not by
the provider
b. Payment for services rendered by providers and based
many times on Medicare fee schedules
c. Services that all inclusive for a procedure, typically 10,
30 or 90 days
d. Health insurance plans that include preventive services
Transcribed Image Text:1. What is the difference between co-pay and coinsurance? a. They mean the same thing and used by insurance companies interchangebly b. Coinsurance is a percentage and copay is a set amount c. Copay is a percentage and coinsurance is a set amount d. Coinsurance is the term used only for Medicare patients 2. What is capitation? a. Pre-established payments to providers for enrollees over a period of time, whether the patient is seen or not by the provider b. Payment for services rendered by providers and based many times on Medicare fee schedules c. Services that all inclusive for a procedure, typically 10, 30 or 90 days d. Health insurance plans that include preventive services
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