A plan that uses the fee-for-service payment method and operates by means of a submittal-and-reimbursement method is called ________.

Question

Quizplus · Accepted Answer

The submittal-and-reimbursement method is a characteristic of the indemnity payment method. With an indemnity plan, the patient pays upfront for healthcare services and then submits a claim to the insurance company for reimbursement. The fee-for-service payment method also aligns with the indemnity plan, where healthcare providers are paid for each service they provide rather than a set amount for the whole package of care. Utilization review, deductible, and capitation do not involve the submittal-and-reimbursement payment method.

A Plan That Uses the Fee-For-Service Payment Method and Operates