Chapter 10: Medical Expense Coverage, Long Term Care and Medicare Suppliments

I. Hospital Expense Coverage - Basic Hospital Expense Coverage * Basic Hospital Expense Benefits * Miscellaneous Expense Benefits * In-Hospital Physicians Visits * Emergency Accident Benefits - Major Medical Expense Coverage * Deductibles * Coinsurance Percentage * Out-of-Pocket Limit * Maximum Benefit * Restoration of Benefits * Covered Medical Expenses * Limits of Coverage * Common Major Medical Policy Exclusions - Comprehensive Major Medical Coverage * Comprehensive Medical Expense * Medical Expense Limitations - Mental or Emotional Disorders - Maternity - Substance Abuse - Chiropractic Services - Preexisting Conditions - Waivers for Impairments * Medical Expense Exclusions * Optional Features and Benefits - Prescription Drugs - Vision Care - Hospital Indemnity Rider - Nursing/Convalescent Home - Organ Transplant - Maternity Benefits - Mental and Nervous Disorders - Hospice Care - Home Health Care - Outpatient Care Print Section 1* II. Types of Health Insurance Providers - Multiple Employer Trust (MET) - Multiple Employer Welfare Arrangements (MEWA) III. Long Term Care Insurance - Characteristics of Long Term Care Policies - Activities of Daily Living - Long Term Care Policy Regulations - Disclosure Provisions - Preexisting Conditions - Free Look Provision (Right Return) - Outline of Coverage Group Long Term Care Insurance Print Section 3* IV. Medicare Supplement Insurance - Standard Policy Provisions - Core Benefits - Free Look Provision (Right to Return) - Open Enrollment - Loss Ratio Standards - Outline of Coverage - Medicare SELECT - Medicare + Choice Plans * Medicare Managed Care Plans * Medicare Private Fee-for-Service Plan * Medicare Preferred Provider Organization Plans * Medicare Specialty Plans Print Section 4* V. Take Chapter 10 Test

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