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

Prepare for the Delaware Health Insurance Exam. Review key concepts with flashcards and multiple choice questions, each with detailed explanations. Ensure success on your test!

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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