How is standard COB calculated with Medicare? a. A sliding ...

[Jkov05]

How is standard COB calculated with Medicare?
 
  a. A sliding scale based on what the patient can afford to pay
  b. As with any other COB claim
  c. Based on the amount approved by the physician
  d. Based on the amount approved by Medicare on an assigned claim

Question 2

Which of the following is considered a guideline for the calculation of benefits under the nonduplication approach?
 
  a. The same as with COB except that allowable expenses are those that are not listed as covered expenses under the group plan.
  b. Regular individual benefits are computed applying all eligibility requirements, deductibles, limitations, and maximums.
  c. If the claim is Medicare-assigned, the Medicare-approved amount is used as the base.
  d. The same as with COB except that reasonable expenses are not covered expenses under the group plan.

[jharrington11]

Answer to Question 1

B

Answer to Question 2

C

[Jkov05]

TYSM

[ryhom]

Excellent