READ Free Dumps For AHIP- AHM-540

Question ID 21652	Helena Ray, a member of the Harbrace Health Plan, suffers from migraine headaches. To treat Ms. Rays condition, her physician has prescribed Upzil, a medication that has Food and Drug Administration (FDA) approval only for the treatment of depression. Upzil has not been tested for safety or effectiveness in the treatment of migraine headache. Although Harbraces medical policy for migraine headache does not include coverage of Upzil, Harbrace has agreed to provide extra-contractual coverage of Upzil for Ms. Ray. In this situation, the prescribing of Upzil for Ms. Rays headaches is an example of
Option A	a cosmetic service
Option B	an investigational service
Option C	an off-label use
Option D	a quality-of-life service
Correct Answer	C

Explanation

Question ID 21653	One way that health plans can make their benefits more appealing to employers and employees is to offer coverage for specialty services. It is correct to say that specialty services typically
Option A	involve the same types of providers and delivery systems as do standard medical services
Option B	are a subset of a health plan’s standard medical-surgical services
Option C	are not monitored by health plans for quality or utilization
Option D	require specialized knowledge for service delivery and management
Correct Answer	D

Explanation

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