{"id":19,"date":"2008-06-05T22:44:31","date_gmt":"2008-06-06T05:44:31","guid":{"rendered":"http:\/\/www.jinmei.org\/blog\/?p=19"},"modified":"2008-06-11T21:58:28","modified_gmt":"2008-06-12T04:58:28","slug":"%e9%ab%98%e3%81%8f%e3%81%a6%e8%a4%87%e9%9b%91%e3%81%aa%e5%8c%bb%e7%99%82%e8%b2%bb%e3%81%ae%e3%82%b7%e3%82%b9%e3%83%86%e3%83%a0","status":"publish","type":"post","link":"https:\/\/www.jinmei.org\/blog\/2008\/06\/05\/19","title":{"rendered":"\u9ad8\u304f\u3066\u8907\u96d1\u306a\u533b\u7642\u8cbb\u306e\u30b7\u30b9\u30c6\u30e0\u3092\u5b9f\u611f"},"content":{"rendered":"<p>5\u6708\u982d\u306b\u6b6f\u533b\u8005\u306b\u884c\u3063\u305f\u3089\u866b\u6b6f\u304c\u3042\u308b\u3068\u8a00\u308f\u308c\u3066\u6cbb\u7642\u3057\u3066\u3044\u305f\u306e\u3060\u304c\u3001\u305d\u306e\u6cbb\u7642\u8cbb\u3068\u4fdd\u967a\u9069\u7528\u306e\u660e\u7d30\u304c\u4fdd\u967a\u4f1a\u793e\u304b\u3089\u9001\u3089\u308c\u3066\u304d\u305f\u3002\u3053\u308c\u304c\u304b\u306a\u308a\u89e3\u8aad\u306e\u96e3\u3057\u3044\u5185\u5bb9\u3002<\/p>\n<ul class=\"thumbnail\">\n<li><a href=\"\/photo\/20080605\/dentalbill.jpg\"><img decoding=\"async\" src=\"\/photo\/20080605\/idx\/dentalbill.jpg\" alt=\"\" \/><\/a><\/li>\n<\/ul>\n<p><!--more--><br \/>\n\u8077\u5834\u306e\u6570\u540d\u306b\u805e\u3044\u305f\u7d50\u679c\u306e\u7406\u89e3\u306b\u3088\u308b\u3068\u3001\u3053\u3046\u3044\u3046\u3053\u3068\u306e\u3088\u3046\u3060\u3002<\/p>\n<ul>\n<li>(A)Submitted fee\u306f\u3001\u6b6f\u533b\u8005\u304c\u4fdd\u967a\u4f1a\u793e\u306b\u8acb\u6c42\u3057\u305f\u984d<\/li>\n<li>(B)Accepted fee\u306f\u3001\u305d\u306e\u6cbb\u7642\u5185\u5bb9\u306b\u5bfe\u3057\u3066\u88ab\u4fdd\u967a\u8005(=\u50d5)\u306e\u30d7\u30e9\u30f3\u306e\u7bc4\u56f2\u3067\u9069\u7528\u53ef\u80fd\u306a\u533b\u7642\u8cbb<\/li>\n<li>(C)Maximum Plan Allowance\u306f\u3001accepted fee\u306b\u76f8\u5f53\u3059\u308b\u6cbb\u7642\u5185\u5bb9\u306b\u5bfe\u3059\u308b\u300c\u5e73\u5747\u7684\u306a\u300d\u533b\u7642\u8cbb<\/li>\n<li>(D)Amount applied to deductible\u306f\u3001\u4fdd\u967a\u4f1a\u793e\u306e\u514d\u8cac\u984d(\u88ab\u4fdd\u967a\u8005\u306e\u81ea\u5df1\u8ca0\u62c5\u984d)<\/li>\n<li>(E)Percent&#8230;\u306f\u3001\u4fdd\u967a\u5bfe\u8c61\u3068\u306a\u308b\u984d\u306b\u5bfe\u3057\u3066\u3001\u3053\u306e\u30d7\u30e9\u30f3\u3067\u30ab\u30d0\u30fc\u3067\u304d\u308b\u5272\u5408<\/li>\n<li>(F)Deltadental pays = (C &#8211; D) * E.  \u4fdd\u967a\u4f1a\u793e\u304c\u6b6f\u533b\u8005\u306b\u6255\u3063\u305f\u91d1\u984d<\/li>\n<li>(G)Patient pays = B &#8211; F.\n<\/ul>\n<p>\u307e\u305a\u3001(A)\u3068(B)\u306e\u9055\u3044\u304b\u3089\u3057\u3066\u7406\u89e3\u3067\u304d\u305a\u3002\u3053\u3053\u306f\u666e\u901a\u306f\u540c\u984d\u306b\u306a\u308b\u3082\u306e\u3089\u3057\u3044\u3002\u4eca\u56de\u306e\u5834\u5408\u3001Note (427)\u306b\u3042\u308b\u3088\u3046\u306b\u3001\u5408\u6210\u6a39\u8102\u3068\u304b\u5408\u91d1\u306b\u3088\u308b\u8a70\u3081\u7269\u3092\u4f7f\u3063\u305f\u6cbb\u7642\u304c\u52a0\u5165\u4e2d\u306e\u30d7\u30e9\u30f3\u3067\u30ab\u30d0\u30fc\u3055\u308c\u3066\u3044\u306a\u3044\u305f\u3081\u3001\u305d\u308c\u306b\u8fd1\u3044\u6cbb\u7642\u9805\u76ee\u3092\u4fdd\u967a\u4f1a\u793e\u304c\u63a2\u3057\u3066\u305d\u308c\u3092\u9069\u7528\u3057\u305f\u7d50\u679c\u3001\u3068\u3044\u3046\u3053\u3068\u3089\u3057\u3044\u3002<\/p>\n<p>\u3055\u3089\u306b(B)\u3068(C)\u306e\u9055\u3044\u3082\u8b0e\u3002(C)\u306f\u8981\u3059\u308b\u306b\u4fdd\u967a\u4f1a\u793e\u304b\u3089\u898b\u3066\u8a72\u5f53\u3059\u308b\u6cbb\u7642\u8cbb\u3068\u3057\u3066\u59a5\u5f53\u306a\u984d\u3001\u3068\u3044\u3046\u3053\u3068\u306e\u3088\u3046\u3060\u304c\u3001\u3053\u308c\u306fOhio\u3067\u306e\u6cbb\u7642\u8cbb\u3092\u30d9\u30fc\u30b9\u306b\u8a08\u7b97\u3055\u308c\u3066\u3044\u308b\u3089\u3057\u3044\u3002California\u306e\u5834\u5408\u3001\u540c\u3058\u3088\u3046\u306a\u6cbb\u7642\u3067\u3082Ohio\u3088\u308a\u304b\u306a\u308a\u5272\u9ad8\u306b\u306a\u308b\u306e\u304c\u666e\u901a\u306e\u3088\u3046\u3067\u3001\u7d50\u679c\u7684\u306b(B)\u306f(C)\u3088\u308a\u3082\u304b\u306a\u308a\u9ad8\u304f\u306a\u308b\u306e\u304c\u4e00\u822c\u7684\u3068\u3044\u3046\u3053\u3068\u306e\u3088\u3046\u3060\u3002\u5f8c\u306e\u8a08\u7b97\u304b\u3089\u3082\u308f\u304b\u308b\u3088\u3046\u306b\u3001\u4fdd\u967a\u306e\u5bfe\u8c61\u3068\u306a\u308b\u91d1\u984d\u306f(C)\u306a\u306e\u3067\u3001\u7d50\u5c40(A)\u3068(B)\u306b\u5dee\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u3068\u3044\u3063\u305f\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u95a2\u4fc2\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308b\u3002<\/p>\n<p>(D)\u306f\u3088\u304f\u3042\u308b\u514d\u8cac\u984d\u3002\u52a0\u5165\u4e2d\u306e\u30d7\u30e9\u30f3\u3067\u306f\u5e74\u9593\u306e\u6b6f\u79d1\u6cbb\u7642\u8cbb\u306e\u3046\u3061\u6700\u521d\u306e$50\u307e\u3067\u306f\u81ea\u5206\u6301\u3061(deductible)\u3001\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u30012\u3064\u3042\u308b\u6cbb\u7642\u5185\u5bb9\u306e\u3046\u3061\u524d\u8005\u3060\u3051\u306b\u9069\u7528\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n<blockquote><p>\n  \u3053\u3053\u306f\u3001\u3088\u308a\u6b63\u78ba\u306b\u306f&#8221;You must pay the first $50 of Covered Services for each Enrollee in your family in each calendar year&#8221;\u3068\u3042\u308b\u3002\u3053\u308c\u306f\u3001\u6cbb\u7642\u306e\u7a2e\u985e\u304c\u9055\u3046\u3068\u305d\u306e\u5ea6\u306b$50\u305a\u3064\u6255\u308f\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u304b\uff1f\n<\/p><\/blockquote>\n<p>\u5f8c\u534a\u306e\u9805\u76ee\u3082\u540c\u69d8\u3067\u3001(A)\u3068(B)\u306b\u9055\u3044\u304c\u3042\u308b\u3053\u3068\u304b\u3089\u3001\u7d50\u5c40(A)\u306e\u5408\u8a08\u984d &#8211; (F)\u306e\u5408\u8a08\u984d = $297.20\u3092\u6b6f\u533b\u8005\u5074\u306b\u6255\u3046\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308b\u3088\u3046\u3060(\u5225\u9014\u6b6f\u533b\u8005\u304b\u3089\u8acb\u6c42\u66f8\u304c\u6765\u308b\u3068\u601d\u308f\u308c\u308b)\u3002\u306a\u304a\u3001(A)\u3068(B)\u306b\u5dee\u304c\u3042\u308b\u305f\u3081\u3001\u3053\u306e\u984d\u306f(G)\u306e\u5408\u8a08\u3088\u308a\u3082\u5927\u304d\u3044\u3053\u3068\u306b\u6ce8\u610f\u3002<\/p>\n<p>\u3044\u308d\u3044\u308d\u6587\u53e5\u3092\u4ed8\u3051\u305f\u304f\u306a\u308b\u500b\u6240\u306f\u3042\u308b\u304c\u3001\u306a\u3093\u3068\u3044\u3063\u3066\u3082\u6839\u5143\u7684\u306a\u554f\u984c\u306f\u3001\u4fdd\u967a\u4f1a\u793e\u304b\u3089\u306e\u8acb\u6c42\u304c\u3042\u308b\u307e\u3067\u3044\u304f\u3089\u6255\u3048\u3070\u3044\u3044\u306e\u304b\u308f\u304b\u3089\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3060\u308d\u3046\u3002\u5148\u9032\u56fd\u306e\u4e2d\u3067\u3082\u6700\u4e0a\u30af\u30e9\u30b9\u3068\u3044\u308f\u308c\u308b\u65e5\u672c\u306e\u533b\u7642(\u8cbb)\u30b7\u30b9\u30c6\u30e0\u306b\u6163\u308c\u3066\u3044\u305f\u4eba\u9593\u306b\u3068\u3063\u3066\u306f\u3068\u3066\u3082\u8003\u3048\u3089\u308c\u306a\u3044\u8a71\u3060\u3002<\/p>\n<p>\u5f8c\u306b\u306a\u3063\u3066\u4fdd\u967a\u304c(\u5341\u5206\u306b)\u304a\u308a\u305a\u306b\u9ad8\u984d\u306e\u8cbb\u7528\u3092\u6255\u3046\u3053\u3068\u306b\u306a\u308b\u306e\u3092\u9632\u3050\u305f\u3081\u306b&#8221;predetermination&#8221;\u3068\u3044\u3046\u30b7\u30b9\u30c6\u30e0\u304c\u3042\u308a\u3001\u3042\u3089\u304b\u3058\u3081\u3069\u306e\u7a0b\u5ea6\u304c\u4fdd\u967a\u3067\u30ab\u30d0\u30fc\u3055\u308c\u308b\u304b\u306e\u898b\u7a4d\u3082\u308a\u3092\u53d6\u3063\u3066\u304b\u3089\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u3081\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u3088\u3046\u3060\u304c\u3001\u305d\u3093\u306a\u5197\u9577\u306a\u3053\u3068\u3092\u3057\u3066\u3044\u308b\u304b\u3089\u7d50\u5c40\u305d\u306e\u5206\u306e\u30b3\u30b9\u30c8\u304c\u6cbb\u7642\u8cbb\u306b\u3082\u4e0a\u4e57\u305b\u3055\u308c\u3066\u60a3\u8005\u306e\u8ca0\u62c5\u304c\u91cd\u304f\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u6c17\u304c\u3059\u308b\u3002\u51e6\u65b9\u7b8b\u3092\u6301\u3063\u3066\u85ac\u5c40\u306b\u884c\u3063\u3066\u3082\u3001\u85ac\u304c\u51fa\u3066\u304f\u308b\u307e\u3067\u306b10\u5206\u4ee5\u4e0a\u5f85\u305f\u3055\u308c\u308b\u306e\u304c\u666e\u901a\u3060\u304c\u3001\u3053\u308c\u306b\u3082\u3001\u4fdd\u967a\u3067\u3069\u306e\u7a0b\u5ea6\u30ab\u30d0\u30fc\u3055\u308c\u308b\u304b\u306a\u3069\u3092\u3044\u3061\u3044\u3061\u554f\u3044\u5408\u308f\u305b\u305f\u308a\u3057\u3066\u3044\u308b\u5206\u306e\u6642\u9593\u304c\u52b9\u3044\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u3046\u3002<\/p>\n<p>\u30a2\u30e1\u30ea\u30ab\u306e\u533b\u7642\u306e\u7834\u7dbb\u3076\u308a\u306b\u3088\u3063\u3066\u3001\u533b\u7642(\u8cbb\u30fb\u4fdd\u967a)\u3092\u6c11\u55b6\u5316\u3059\u308b\u3053\u3068\u304c\u3044\u304b\u306b\u793e\u4f1a\u7684\u5229\u76ca\u3092\u5bb3\u3059\u308b\u304b(\u4fdd\u967a\u4f1a\u793e\u3068\u88fd\u85ac\u4f1a\u793e\u3060\u3051\u304c\u5132\u304b\u308a\u3001\u533b\u7642\u8cbb\u306f\u3080\u3057\u308d\u9ad8\u9a30\u3057\u3066\u60a3\u8005\u306f\u82e6\u3057\u3080)\u304c\u8a3c\u660e\u3055\u308c\u305f\u3001\u3068\u3044\u3046\u8a71\u306f\u3088\u304f\u805e\u304f\u3053\u3068\u3060\u304c\u3001\u3084\u306f\u308a\u8eab\u92ad\u3092\u5207\u3063\u3066\u4f53\u9a13\u3059\u308b\u3068\u5b9f\u611f\u3068\u3057\u3066\u305d\u308c\u304c\u3088\u304f\u308f\u304b\u308b\u3002<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u305d\u308c\u3068\u30ea\u30f3\u30af\u3057\u3066\u3044\u308b\u3053\u3068\u3060\u3068\u601d\u3046\u304c\u3001\u6cbb\u7642\u8cbb\u306e\u9ad8\u3055\u306b\u3082\u6539\u3081\u3066\u9a5a\u304f\u3002\u3061\u3087\u3063\u3068\u3057\u305f\u866b\u6b6f2\u500b\u6240\u3092\u6cbb\u3057\u3066\u3001\u3057\u304b\u3082\u4fdd\u967a\u304c\u52b9\u3044\u30663\u4e07\u5186\u4ee5\u4e0a\u304b\u304b\u308b\u3068\u306f\u3002\u65e5\u672c\u3067\u7121\u4fdd\u967a\u3067\u53d7\u3051\u3066\u3082\u3053\u308c\u3088\u308a\u5b89\u304b\u3063\u305f\u308a\u3059\u308b\u3093\u3058\u3083\u306a\u3044\u3060\u308d\u3046\u304b\u3002\u30a2\u30e1\u30ea\u30ab\u306e\u6b6f\u79d1\u533b\u306f\u30ec\u30d9\u30eb\u304c\u9ad8\u3044\u3068\u304b\u3044\u3046\u8a71\u3082\u805e\u304f\u3051\u3069\u3001\u5c11\u6570\u4f8b\u306a\u304c\u3089\u4e21\u65b9\u306e\u56fd\u3067\u6cbb\u7642\u3092\u53d7\u3051\u305f\u7d4c\u9a13\u304b\u3089\u3044\u3063\u3066\u3001\u5c11\u306a\u304f\u3068\u3082\u6700\u8fd1\u306b\u3064\u3044\u3066\u3044\u3048\u3070\u3001\u65e5\u672c\u306e\u3061\u3083\u3093\u3068\u3057\u305f\u6b6f\u533b\u8005\u306a\u3089\u6280\u8853\u30fb\u77e5\u8b58\u30fb\u8a2d\u5099\u306a\u3069\u306e\u3059\u3079\u3066\u306e\u9762\u3067\u540c\u7b49\u4ee5\u4e0a\u3060\u308d\u3046\u3068\u601d\u3046\u3002<\/p>\n<p>\u5b9f\u969b\u3001\u65e5\u672c\u4eba\u306e\u67d0\u77e5\u308a\u5408\u3044\u306f\u3001\u30a2\u30e1\u30ea\u30ab\u3067\u306f\u6b6f\u533b\u8005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hamachi-kama + nimono&#8221;, $10. \u624b\u66f8\u304d\u30e1\u30cb\u30e5\u30fc\u306e\u30db\u30ef\u30a4\u30c8\u30dc\u30fc\u30c9\u306b&#8221;Hamachi-kama&#8221;\u3068\u304b&#8221;Nimono&#8221;\u3068\u304b\u30ed\u30fc\u30de\u5b57\u3067\u66f8\u3044\u3066\u3042\u308b\u306e\u3060\u304c\u3001\u65e5\u672c\u8a9e\u3092\u77e5\u3089\u306a\u3044\u4eba\u304c\u898b\u3066\u5185\u5bb9\u304c\u308f\u304b\u308b\u3093\u3060\u308d\u3046\u304b\u2026\u3002<\/p>\n<ul class=\"thumbnail\">\n<li><a href=\"\/photo\/20080605\/_6053895.JPG\"><img decoding=\"async\" src=\"\/photo\/20080605\/idx\/_6053895.JPG\" alt=\"\" \/><\/a><\/li>\n<li><a href=\"\/photo\/20080605\/_6053896.JPG\"><img decoding=\"async\" src=\"\/photo\/20080605\/idx\/_6053896.JPG\" alt=\"\" \/><\/a><\/li>\n<li><a href=\"\/photo\/20080605\/_6053897.JPG\"><img decoding=\"async\" src=\"\/photo\/20080605\/idx\/_6053897.JPG\" alt=\"\" \/><\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>5\u6708\u982d\u306b\u6b6f\u533b\u8005\u306b\u884c\u3063\u305f\u3089\u866b\u6b6f\u304c\u3042\u308b\u3068\u8a00\u308f\u308c\u3066\u6cbb\u7642\u3057\u3066\u3044\u305f\u306e\u3060\u304c\u3001\u305d\u306e\u6cbb\u7642\u8cbb\u3068\u4fdd\u967a\u9069\u7528\u306e\u660e\u7d30\u304c\u4fdd\u967a\u4f1a\u793e\u304b\u3089\u9001\u3089\u308c\u3066\u304d\u305f\u3002\u3053\u308c\u304c\u304b\u306a\u308a\u89e3\u8aad\u306e\u96e3\u3057\u3044\u5185\u5bb9\u3002<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10],"class_list":["post-19","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.jinmei.org\/blog\/wp-json\/wp\/v2\/posts\/19","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jinmei.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.jinmei.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.jinmei.org\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jinmei.org\/blog\/wp-json\/wp\/v2\/comments?post=19"}],"version-history":[{"count":0,"href":"https:\/\/www.jinmei.org\/blog\/wp-json\/wp\/v2\/posts\/19\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.jinmei.org\/blog\/wp-json\/wp\/v2\/media?parent=19"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.jinmei.org\/blog\/wp-json\/wp\/v2\/categories?post=19"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.jinmei.org\/blog\/wp-json\/wp\/v2\/tags?post=19"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}