MM 1.3: Services and Benefits [NQqsmff9O]
MM 1.3: Services and Benefits [NQqsmff9O]
~CHAPTERS~ 00:00 Intro 00:33 Legal Disclaimers 01:56 Covered Services 02:17 Excluded Services 03:05 Other Covered Services 03:37 Cost-Sharing Differs by Service Type 04:04 Summary of Benefits & Coverage (SBC) 04:37 First Page of an SBC 05:10 Individual vs Family Deductible 05:40 Pre-Deductible Coverage 06:08 Some Terms are NOT Intuitive 07:15 Service-Specific Deductibles 08:57 Referrals, PCPs, and Specialists 10:12 SBCs Vary Greatly 10:47 Second Page of an SBC 11:20 Benefits 11:52 "Office Visit" Means Discussion/Exam ONLY 12:29 Outpatient vs Inpatient 14:29 Pre-Authorization (Prior-Authorization / Pre-Approval) 17:14 Drug Formulary 18:50 Excluded and Other Covered Services in SBC 19:40 Never Assume, Always Call Your Health Plan 19:54 Calculating Your Responsibility 20:23 Guided Practice (Problem 1) 24:52 Outro ~CONTACT INFO~ Website: medicentsllc.com Email: info@medicentsllc.com ~ABOUT LAWS THAT LIMIT PRE-AUTHORIZATION~ YouTube only allows creators with sizeable followings to share links. Please help me get there! Thank you.
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Aired: December 3rd 2024
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