Tuttsan Pharma Interview Questions and Answers

Members are responsible for understanding their insurance coverage and paying premiums on time.

• Understand their insurance coverage

• Pay premiums on time

• Submit claims accurately and timely

• Notify insurance company of any changes in personal information or coverage needs

Private insurance is purchased by individuals or employers, while govt insurance is provided by the government.

• Private insurance is more expensive but offers more options and flexibility.

• Govt insurance is more affordable but has limited coverage and options.

• Private insurance companies compete for customers, while govt insurance is a monopoly.

• Examples of private insurance include Blue Cross Blue Shield and Aetna, while examples of govt insurance include Medicare and Medicaid.

When insurance stops giving benefit

• It is important to understand the terms and conditions of your insurance policy

• Explore other insurance options that may be available to you

• Consider alternative sources of financial support such as government programs or community resources

• Consult with a financial advisor or insurance specialist for guidance

• Take steps to prevent future financial strain such as maintaining a healthy lifestyle and practicing safe behaviors

An InNetwork Hospital is a medical facility that has a contract with an insurance company to provide medical services at a discounted rate.

• InNetwork Hospitals are part of a network of healthcare providers that have agreed to accept a negotiated rate for services provided to patients with a specific insurance plan.

• Patients who receive care at an InNetwork Hospital typically pay less out-of-pocket than if they received care at an Out-of-Network Hospital.

• Insurance companies ofte...read more

Pre-authorization is the process of obtaining approval from an insurer or payer before receiving medical services.

• It is a process of obtaining approval from an insurer or payer before receiving medical services.

• It helps to ensure that the medical service is covered by the insurance plan.

• It is often required for expensive or elective procedures.

• It can be initiated by the healthcare provider or the patient.

• Examples include pre-authorization for surgery, diagnostic tests, or pre...read more

COBRA is a federal law that allows employees to continue their health insurance coverage after leaving their job.

• COBRA stands for Consolidated Omnibus Budget Reconciliation Act.

• It applies to companies with 20 or more employees.

• Employees who leave their job can continue their health insurance coverage for up to 18 months.

• The employee is responsible for paying the full premium, including the portion previously paid by the employer.

• COBRA also applies to dependents of the employe...read more