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Medical Plans

0 credits

Course Content

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Lessons Status
1

Concepts, Provisions, and Clauses
  • Fee-for-Service or Prepaid
  • Specified Coverage or Comprehensive Coverage
  • Dependent Coverage
  • Deductibles
  • Coinsurance
  • Stop-Loss Provision
  • Impairment Rider

2

Types of Medical Plans
  • Basic Plans
  • Major Medical Insurance
  • Major Medical Insurance—Out of Pocket
  • Major Medical Insurance—Covered Expenses
  • Major Medical Insurance—Exclusions
  • Health Maintenance Organizations (HMOs)
  • Preferred Provider Organizations (PPOs)
  • Point-of-Service (POS) Plans

3

Cost Containment in Health Care Delivery
  • Cost Containment
  • Managed Care
  • Preventive Care
  • Outpatient Benefits
  • Utilization Management
  • Preauthorization
  • Gatekeeper

4

HIPAA
  • What is HIPAA?
  • HIPAA Terms
  • Privacy
  • Portability
  • Portability — Losing Group Coverage
  • Portability — Changing Jobs

Concepts, Provisions, and Clauses
  • Fee-for-Service or Prepaid
  • Specified Coverage or Comprehensive Coverage
  • Dependent Coverage
  • Deductibles
  • Coinsurance
  • Stop-Loss Provision
  • Impairment Rider
Types of Medical Plans
  • Basic Plans
  • Major Medical Insurance
  • Major Medical Insurance—Out of Pocket
  • Major Medical Insurance—Covered Expenses
  • Major Medical Insurance—Exclusions
  • Health Maintenance Organizations (HMOs)
  • Preferred Provider Organizations (PPOs)
  • Point-of-Service (POS) Plans
Cost Containment in Health Care Delivery
  • Cost Containment
  • Managed Care
  • Preventive Care
  • Outpatient Benefits
  • Utilization Management
  • Preauthorization
  • Gatekeeper
HIPAA
  • What is HIPAA?
  • HIPAA Terms
  • Privacy
  • Portability
  • Portability — Losing Group Coverage
  • Portability — Changing Jobs
(801) 518-1956
kevinmauer@mountaince.com
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Arizona requires that students have a proctor present while taking an insurance professional continuing education course test. Is your proctor present now and for the duration of the test?