AHIP AHM-530 Exam - Topic 5 Question 82 Discussion
Reimbursement for prescription drugs and services in a third-party prescription drug plan typically follows one of two approaches: a reimbursement approach or a service approach. One true statement about these approaches is that:
D) Most current health plan prescription drug plans are service plans
A) Payments under the reimbursement method typically are not subject to any copayment or deductible requirements
B) Payments under the reimbursement approach are typically based on a structured reimbursement schedule rather than on usual, customary, and reasonable (UCR) charges
C) Most major medical plans follow a service approach
Tish
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