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- 1. Multiple ChoiceMedicare, medicaid, and TRICARE are allPrivate insurance plansManaged care plansGovernment plansDirect payment methods
- 2. Multiple ChoiceMedicaidGovernment program that pays unemploymentFederal program that includes food stamps and payment to senior citizens the blind and disabledState public assistance program that helps pay health care costs for low income and disabled peopleGovernment programs that pay benefits to retired and disabled workers, their families, and the unemployed
- 3. Multiple ChoiceMedicareGovernment program that provides health care for senior citizensGovernment programs that pay benefits to retired and disabled workers, their families, and the unemployedEconomic side effect or byproducts that affect the uninvolved third partiesState and federal public assistance program that helps pay health care costs for low income and disabled people
- 4. Multiple ChoiceThe monthly amount paid to private insurance company for health insurance coverage.DeductiblePremiumCo-insuranceCo-pay
- 5. Multiple ChoiceThis is offered through an employer and involves funds to be put in and be withdrawn for medical expenses.Direct paymentFlexible Spending AccountHMO PlanHealth savings account
- 6. Multiple ChoiceMoney a person pays before the insurance policy provides benefits.DeductiblePremiumCo-payCo-insurance
- 7. Multiple ChoiceThis involves paying tax-free money until deductible is met, after which the insurance company pays.Direct paymentFlexible spending accountPOS planHealth savings account
- 8. Multiple ChoiceA flat fee paid to the service provider each time patient receives a health care serviceCo-insurancePremiumCo-payDeductible
- 9. Multiple ChoicePeople use this type of payment when their insurance doesn't cover all health care costs, when they don't have health insurance, or when they don't qualify for a government plan.Prospective paymentPayroll deductionDirect paymentCo-insurance
- 10. Multiple ChoiceTrue or False: Excess money is forfeited at the end of the year from a health savings account.TrueFalse
- 11. Multiple ChoiceHow much money did the passing of CHIRPA add to children's coverage?$43 billion$43 million$33 billion$33 million
- 12. Multiple ChoiceWhat is not a component of managed care?Consists of a specific group of primary care providersEncourage cost containmentProvide a profit for only insurance companiesProvide a lot of services
- 13. Multiple ChoiceWhich is not a government institution?State rehab facilitiesMilitary treatment facilitiesNursing homesVA hospitals
- 14. Multiple ChoiceWhen patients pay for their health care with their own moneyProspective PaymentCo-pay
Co-payDirect paymentPremium - 15. Multiple ChoiceProcess in which the insurer reviews decisions for physicians and other providers abut how much care to provide.Resource utilizationReferralUtilization reviewDRGs
- 16. Multiple ChoiceSystem in which HMOs and PPOs are offered to the patient.Government planDRGManaged CareProspective payment system
- 17. Multiple ChoicePaying the provider a fixed amount that's based on diagnosis & procedure rather than the actual cost of care.Direct PaymentCo-payProspective PaymentPremium
- 18. Multiple ChoiceThis plan allows patients to receive care from non-plan provider, but requires them to pay high out-of-pocket price if they do.HMOPPOPOSGovernment plan
- 19. Multiple ChoiceA 30-year old woman broke her arm and went to he emergency room for treatment. Her health insurance plan has a $1,500 deductible. What does this mean?She can deduct $1,500 from the hospital bill, but must pay the restThe hospital will only charge her $1,500She needs to pay $1,500 before her insurance paysInsurance company pays $1,500 and she pays the rest
- 20. Multiple ChoiceStudents who have health care coverage through their parents have the option to stay with the plan up to ______ years after high school graduation.4568
- 21. Multiple ChoiceWhat is an example of a measure designed to lower health care costsResource utilizationDRGTime managementUsing a EMR
- 22. Multiple ChoiceA store clerk has an individual health insurance plan with a $20 co-pay for in-network visits. She goes to her doctor, who is in-network twice during the year. What can she expect to pay for care for the year?$40 in co-payPremiums plus $40 in co-payHer premiums plus $40 in co-pay and an extra feeNone of the above
- 23. Multiple ChoiceWhich of the following is not a type of insurance plan?Health Maintenance OrganizationHealth Provider OragnizationPreferred provider organizationPoint of Service
- 24. Multiple ChoicePlan that offers care from only in-network providersHMOPPOPOSPrivate plan
- 25. Multiple ChoiceIf a person with a preexisitng condition starts a new job, his employer's health insurance company must provide him with coverage, but isn't obligated to cover costs associated with the condition.TrueFalse
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