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Surgical expense insurance pays all or part of the surgeon's fees for an operation in a doctor's office.

True / False

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Final answer:

Surgical expense insurance usually covers all or part of the surgeon's fees for an operation, including in a doctor's office, with the policy details and individual out-of-pocket expenses such as deductibles and copayments shaping the extent of the coverage.

Step-by-step explanation:

The statement that surgical expense insurance pays all or part of the surgeon's fees for an operation in a doctor's office is generally true. Surgical expense insurance typically covers the costs associated with a surgeon performing an operation, whether it occurs in a hospital or a doctor's office setting. However, the extent of coverage can vary depending on the specific insurance policy, and policyholders may be responsible for paying a deductible, copayments, or coinsurance.

Part B is an example of an insurance scheme that covers healthcare costs outside of hospital stays, which usually includes coverage for physician services. Those enrolled in Part B or a similar plan pay a monthly premium, and potentially other out-of-pocket costs, but the plan contributes to or covers the surgeon's fees. In a fee-for-service model, this coverage is based on the specific services provided by the surgeon. In contrast, in a Health Maintenance Organization (HMO) setup, coverage would be based on a preset per enrollee payment, not the individual services rendered.

User Crazy Joe Malloy
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