Question

multiple choice question

when a service is noncovered the ______ must pay for the service.

patient
insurance
hsa
provider

Explanation:

Define noncovered services

Using the Patient Financial Responsibility knowledge point
A noncovered service is a medical procedure, test, or treatment that is not included in an insurance plan's benefit package. Because the insurance policy does not cover these services, the insurance company will not pay the healthcare provider for them.

Determine financial liability

When a service is deemed noncovered by the insurance plan, the financial liability shifts away from the insurer. Unless there is a specific contractual agreement stating otherwise, the ultimate responsibility for payment falls upon the individual receiving the care. Therefore, the patient must pay for the service out-of-pocket.

Answer:

• patient (Correct answer)
• insurance
• HSA
• provider