Saturday, December 26, 2015

Basic Surgical Expense Policy

Barney has a surgical expense policy listed as a "$1,000 Basic Surgical Expense Policy". This means which of the following?

 Any surgery will pay $1,000.
 The plan will pay $1,000, only if the surgeon is board certified.
 Only the most complex surgery will be reimbursed at $1,000 and other procedures by the dollar value of procedure.
 Only specific surgeries listed in the policy will be covered.
Correct
The basic surgical expense plan contains a list of covered surgical procedures and the dollar limit for each procedure. This list of surgical procedures is referred to as a schedule. The most complex procedures are assigned the highest dollar benefit, while the least complex have the lowest.

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