What is the term for a health insurance plan that provides coverage for a specific set of services?

Prepare for the Delaware Health Insurance Test. Ace the exam with flashcards and multiple-choice questions, each offering hints and explanations. Get exam-ready!

The term for a health insurance plan that offers coverage for a specific set of services is known as a Limited Benefit Plan. These plans are designed to provide coverage for predetermined benefits and do not cover a wide array of medical services or conditions. They typically focus on essential healthcare needs but exclude a broader range of potential medical expenses.

Limited Benefit Plans can be attractive for individuals seeking a lower-cost option with a clear understanding of what is covered. They often target specific areas such as hospital visits, preventative care, or specific medical treatments. Because of their focused nature, these plans can be a good fit for individuals who are relatively healthy and do not anticipate the need for extensive medical care.

In contrast, Comprehensive Plans provide a wider range of coverage, including various treatments, preventative care, and more extensive medical services. High Deductible Plans, while providing substantial coverage, have higher out-of-pocket costs before the insurance benefits kick in. PPO (Preferred Provider Organization) Plans, on the other hand, offer flexibility in choosing healthcare providers but generally cover a broad spectrum of services without the limitations that characterized Limited Benefit Plans.

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