Health and Life Insurance

Category - Theory

How are Blue Cross and Blue Shield different from traditional commercial insurance companies?
  1. Majority of benefits are on a reimbursement plan
  2. Majority of benefits are on a service basis
  3. Insured can see any doctor
  4. Non-participatory doctors are subject to the same costs
Explanation
Answer: B - Blue Cross and Blue Shield are different from traditional commercial insurance companies because the majority of benefits are on a service basis. The service basis provides coverage where the insurer (Blue Cross and Blue Shield) pay the provider directly. This means the insured does not have to be reimbursed. Blue Cross and Blue Shield also have contractual relationships with hospitals and doctors so the costs are contractually agreed upon for services provided.

Theory
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