Why do insurance companies often exclude consumables from coverage? Option: Consumables are considered unnecessary medical expenses, Insurance companies prioritize coverage for major medical procedures, It's difficult to verify the actual usage of consumables, Hospitals inflate the cost of consumables

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Why do insurance companies often exclude consumables from coverage?

Consumables are considered unnecessary medical expenses

Insurance companies prioritize coverage for major medical procedures

It's difficult to verify the actual usage of consumables

Hospitals inflate the cost of consumables

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What are consumables in the context of a hospital bill?

Miscellaneous expenses like gloves, masks, and telephone bills

Essential medical equipment used during treatment

Fees charged by specialists for consultations

Routine administrative costs associated with hospitalization

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Why might an insurance company decline a cashless claim even if the insured is in a network hospital?

The insured has a history of frequent claims

The policy does not include cashless claim benefits

The hospital is not a preferred provider within the network

The insurer suspects a complex medical condition requiring extensive coverage

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What is the main reason why insurance companies might reject a claim?

"Fraudulent activity"

"Change in health status after policy purchase"

"Non-disclosure of pre-existing conditions"

"Non-payment of premiums"

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What is the purpose of an insurance company's blacklist?

"To identify hospitals known for overcharging or fraudulent practices"

"To track customers with a history of fraudulent claims"

"To list medical procedures that are not covered under any circumstances"

"To monitor doctors with a high rate of malpractice lawsuits

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What is a deductible in insurance?

"The regular payment made by the policyholder"

"The amount paid by the insurer for a claim"

"The maximum amount covered by the insurance policy"

"The out-of-pocket expense paid by the policyholder before receiving the claim"