Filters
Question type

Study Flashcards

Name the two basic types of health insurance plans today,and list the three primary ways these two types of plans differ in their basic approach to paying healthcare benefits.

Correct Answer

verifed

verified

Fee-for-service (indemnity)
Ma...

View Answer

A network of doctors and hospitals that shares responsibility for managing healthcare needs of a minimum of 5000 Medicare beneficiaries for at least 3 years.


A) Accountable Care Organization
B) Health Insurance Exchange
C) Health Savings Plan
D) Health Maintenance Organization

Correct Answer

verifed

verified

The amount the insured must pay before insurance coverage begins is referred to as the ________________.

Correct Answer

verifed

verified

After the yearly deductible is met,the patient typically shares the bill with the insurance company in an arrangement called ____________________.

Correct Answer

verifed

verified

A special tax shelter set up for the purpose of paying medical bills.

Correct Answer

verifed

verified

MSA (or HS...

View Answer

Medicaid is administered solely by the federal government.

Correct Answer

verifed

verified

Medical illnesses or injuries that a patient has before the purchase of a health insurance policy are called:


A) riders.
B) exemptions.
C) policy precursors.
D) preexisting conditions.

Correct Answer

verifed

verified

Health insurance payments are sometimes based on what is referred to as:


A) UCR rates.
B) individual state rates.
C) average national rates.
D) international rates.

Correct Answer

verifed

verified

A periodic fee that is paid to an insurer for healthcare coverage.

Correct Answer

verifed

verified

A law that provides continuation of group health coverage when an individual leaves his or her place of work.

Correct Answer

verifed

verified

The type of insurance that covers a broad range of services,including nursing home care,assisted living facilities,certain types of home healthcare,and adult day care.


A) Accountable Care Organization
B) Health insurance exchange
C) Health savings account
D) Long-term care insurance

Correct Answer

verifed

verified

A health insurance model intended to create a more organized and competitive market by offering consumers plan choices with common rules as to how the plan is offered,its cost,etc.defines a/an:


A) Accountable Care Organization.
B) health insurance exchange.
C) health savings account.
D) managed care organization.

Correct Answer

verifed

verified

The dollar amount that a patient must pay each year before his or her insurance benefits begin is called a/an:


A) dividend.
B) copayment.
C) deductible.
D) reimbursement.

Correct Answer

verifed

verified

HRAs,also known as "health reimbursement accounts," are a type of healthcare plan that reimburses employees for certain qualifying medical expenses.

Correct Answer

verifed

verified

Medicare supplement policies are frequently called Medigap policies.

Correct Answer

verifed

verified

UCR fees for commercial insurers are established by the federal government.

Correct Answer

verifed

verified

The part of a provider's charge that the insurance carrier will allow as a covered expense.

Correct Answer

verifed

verified

Most third-party payers do not pay for medical services that are:


A) diagnostic in nature.
B) considered outdated.
C) not medically necessary.
D) provided in another state.

Correct Answer

verifed

verified

Under a health reimbursement arrangement (HRA),employees must provide the funds for all medical expenses incurred.

Correct Answer

verifed

verified

The level of health plan which is most like the former "basic" coverage is called the:


A) bronze plan.
B) silver plan.
C) gold plan.
D) platinum plan.

Correct Answer

verifed

verified

Showing 21 - 40 of 48

Related Exams

Show Answer