A form of third-party reimbursement. It is carried as individual or group coverage through a job; the company pays either a portion or the entire cost.

Study for your transition to the professional nursing role. Review with flashcards and multiple choice questions to gain confidence and competence in your nursing exam. Increase your chances of success today!

Multiple Choice

A form of third-party reimbursement. It is carried as individual or group coverage through a job; the company pays either a portion or the entire cost.

Explanation:
Third-party reimbursement means someone other than the patient pays for care. When coverage is provided through a job, it’s typically private insurance—employer-sponsored coverage where the employer pays part or all of the premium and the plan reimburses providers for services. This setup is a common way to spread risk and manage costs for employees, separate from government programs or the specific delivery model of care. Medicare and Medicaid are government programs with eligibility based on age, disability, or income, not tied to a job-based plan. Managed care refers to a way of organizing and paying for care within private plans, not a distinct payer type. So the description best fits private insurance.

Third-party reimbursement means someone other than the patient pays for care. When coverage is provided through a job, it’s typically private insurance—employer-sponsored coverage where the employer pays part or all of the premium and the plan reimburses providers for services. This setup is a common way to spread risk and manage costs for employees, separate from government programs or the specific delivery model of care. Medicare and Medicaid are government programs with eligibility based on age, disability, or income, not tied to a job-based plan. Managed care refers to a way of organizing and paying for care within private plans, not a distinct payer type. So the description best fits private insurance.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy