A health plan that pays established amounts for listed injuries or procedures is called a

• A. schedule of benefits
• B. benefit schedule
• C. fee schedule
• D. benefit cap

Answer: (B)

Benefit schedule means a health plan pays a fixed amount for each listed injury or procedure. The plan uses a pre‑set table that assigns a specific monetary amount to each item, so when a claim is filed, payment is drawn from that schedule rather than the actual charge, up to the policy limits. This arrangement provides predictable, standardized benefits and helps control costs by fixing what will be paid for particular items. The other terms describe related ideas but not this fixed-per-item payment approach: a schedule of benefits refers to the list itself, a fee schedule focuses on what providers can be paid for services, and a benefit cap is a limit on total benefits.