What is the relationship between covered conditions and covered services in health insurance plans quizlet?

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What is the relationship between covered conditions and covered services?

What is the relation between covered conditions and covered services in private or commercial insurance plans? Covered conditions are patient diseases or injuries for which the healthcare plan will pay. The services related to treating covered conditions are covered services.

What is meant by the term covered services quizlet?

Covered services are healthcare services the insurer agrees to pay for, such as routine annual physicals and non-elective treatments, but the insurer will not cover elective surgeries.

What are the two essential types on which insurance plans are based on quizlet?

All insurance plans are based on one of the two essential types of plans, indemnity and managed care. Under an indemnity plan, the payer protects the member against loss from the costs of medical services and procedures.

Which type of healthcare insurance policy provides benefits to an insured who is blinded as the result of an accident?

Accidental death and dismemberment (AD&D) insurance is a category of life insurance that only pays out a benefit when the insured is in a covered accident that causes death or specific serious injuries such as the loss of a limb, paralysis, or blindness.