Accident & Health FundamentalsQuestion 22 of 315
A major medical health insurance policy is best characterized by:
a.Broad coverage for inpatient and outpatient services with a deductible, coinsurance, and out-of-pocket maximum
b.Coverage limited to dental and vision benefits only
c.Coverage that pays only for accidental injuries, not illness
d.A fixed daily indemnity benefit regardless of actual medical charges
Explanation
Major medical insurance provides broad coverage for hospital, surgical, physician, and outpatient care subject to plan design features such as a deductible, coinsurance, copayments, and an annual out-of-pocket maximum. Limited-benefit, accident-only, and indemnity policies are distinct product types.
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