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- 1. Multiple Choice
The deductible is...
The amount the member has to meet before cost-sharing
The amount BCBSNC has to pay before cost-sharing
A cost-share between the member and BCBSNC
The amount of coverage they will get from BCBSNC
- 2. Multiple Choice
Coinsurance is....
The amount the member needs to meet before cost-sharing
The amount BCBSNC has to meet before cost-sharing
The cost-share between the member and BCBSNC
The cost-share between two insurance companies
- 3. Multiple Choice
What needs to be meet first for coinsurance to begin?
Copays
Out-of-Pocket Maximums
Deductible
- 4. Multiple Choice
Coinsurance is represented by...
A set amount
A percentage
A maximum amount
- 5. Multiple Choice
Deductibles need to be met before Coinsurance begins. True or False?
True
False
- 6. Multiple Choice
The maximum amount a provider will be reimbursed as negotiated by the provider contract is called....
Balance Bill
Allowed Amount
Deductible
Coinsurance
- 7. Multiple Choice
The difference between the allowed amount and the billed amount is called....
Deductible
Allowed Amount
Liability
Balance Bill
- 8. Multiple Choice
If a member uses an INN provider, they are responsible for....
The Allowed Amount
The Balance Bill
The Allowed Amount and The Balance Bill
None of the answers provided
- 9. Multiple Choice
If a member uses an OON provider, they are responsible for...
The Allowed Amount
The Balance Bill
The Allowed Amount and Balance Bill
None the answer provided
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