CIIN - Health Insurance Products - CF7

Chartered Insurance Institute of Nigeria |



Insurance | Change
2020-10-09 18:53:38


UK healthcare insurace market

Before the NHS
The NHS: 1948 to today
Healthcare insurance market
Health trusts and self-insurance
Taxation
Distribution channels
Healthcare outside the UK

Europe
USA
Rest of the world
How the UK compares internationally
International healthcare insurance for UK expatriates
Travel insurance and international medical expenses
Core healthcare insurance products

Private medical insurance
Health cash plans
Dental insurance and capitation plans
Appendix 1: Extract from typical table of benefits

Appendix 2: Extract from a variation on a typical table of benefits

Other healthcare insurance products and healthcare services

Major medex
Sickness and accident insurance
Payment protection insurance
Long-term care insurance
Income protection insurance
Critical illness insurance
Soft and hard benefits
Employee benefits
Treatment advice services
Health screening
Private GP services
Choosing the right policy
Assessing the risk

Basic principles of medical insurance
Underwriting principles
Rating factors relating to medical insurance
Underwriting other types of healthcare insurance
Appendix 1: Example application form for individual PMI

Paying Claims

Claims assessment
Direct settlement
Electronic data interchange
Claim forms
Payment determination
Notification to the member
Use of procedure codes
Controlling claims codes
Health cash plan claims
Dental claims
Law and regulation

Regulation prior to January 2005
Regulation from January 2005
Access to Medical Reports Act 1988
Access to Health Records Act 1990
Disability Discrimination Act 1995
Data Protection Act 1998
Appendix 1: ABI Cusumer Guide to PMI

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