Question 1

President Bush has advanced a plan to place the burden of health insurance costs with the government. (Consumer-Driven Health Care)

Accepted Answer

A) True 
 B)False

Question 2

In consumer-driven health care plans,the third tier is the difference between the amount of money in the individual's pretax account and the insurance plan's deductible amount. (Consumer-Driven Health Care)

Accepted Answer

A) True 
 B)False

Question 3

These types of insurance plans provide protection against health care expenses in the form of cash benefits paid to the insured or directly to the provider after the services are rendered. (Fee-For-Service Plans)

Accepted Answer

A)  Point-of-service plans
B)  Managed care plans
C)  Fee-for-service plans
D)  Health savings accounts

Question 4

Comprehensive major medical plans usually apply a single deductible for all covered services. (Major Medical Insurance Plans: Supplemental and Comprehensive)

Accepted Answer

A) True 
 B)False

Question 5

Which of the following is not true for medical reimbursement plans? (Prescription Drug Benefits)

Accepted Answer

A)  Reimburses employees totally or partially
B)  Usually associated with self-funded or independent indemnity plans
C)  Deductibles must be met
D)  Coinsurance usually 70%

Question 6

These types of insurance plans are set up to cover things like dental care,vision care and prescription drugs (Specialized Insurance Benefits)

Accepted Answer

A)  Flexible savings plans
B)  Flexible services accounts
C)  Carve-out plans
D)  Health services accounts C

Question 7

Preadmission testing is offered under the in-patient hospitalization benefit of a fee-for-service. (Hospitalization Benefits)

Accepted Answer

A) True 
 B)False

Question 8

Individual health insurance coverage can also cover the employee's dependents. (Individual Versus Group Insurance Coverage)

Accepted Answer

A) True 
 B)False

Question 9

This prescription drug plan is usually associated with indemnity plans,pays benefits after the employee has met the deductible and tends to charge the most for filling the prescriptions. (Prescription Drug Benefits)

Accepted Answer

A)  Drug prescription plan
B)  Mail order prescription drug program
C)  Medical reimbursement plan
D)  Prescription card program

Question 10

The network model compensates physicians using a fee schedule. (Prepaid Group Practice Model)

Accepted Answer

A) True 
 B)False

Question 11

Discuss and compare multiple-payer versus single-payer systems the US. (Defining and Exploring Health Insurance Programs)

Accepted Answer

Main Points
● A multiple-payer system is...

Question 12

Company-sponsored insurance benefits appeared in the late 1800s for mining and railroad workers when companies hired doctors to provide medical services to employees. (Origins of Health Insurance Benefits)

Accepted Answer

A) True 
 B)False

Question 13

What are the three specific forms of prepaid group practices? (Prepaid Group Practice Model)

Accepted Answer

A)  Universal model HMOs, group model HMOs, staff model HMOs
B)  Group model HMOs, network model HMOs, universal model HMOs
C)  Staff model HMOs, group model HMOs, network model HMOs
D)  Network model HMOs universal model HMOs, staff model HMOs C

Question 14

This law sets minimum standards for the length of hospital stays for mothers and newborns. (Maternity Care)

Accepted Answer

A)  Family and Medical Leave Act
B)  Newborns' and Mothers' Health Protection Act
C)  Pregnancy Discrimination Act
D)  Newborns' and Mothers' Discrimination Act

Question 15

Discuss the various FASB rulings associated with retiree health insurance. (Retiree Health Care Benefits)

Accepted Answer

Main Points
● The Financial Accounting Standards Board (FASB)is a non profit company responsibility for improving standards of financial accounting and reporting in companies and implemented FASB 106 in 1990,implemented FASB 158 in 2005
● FASB 106
-Changed the method for how companies recognize the costs of non pension retirement benefits,including health insurance,on financial balance sheets
-Reduces the amount of net profit companies list on balance sheets by listing the costs of these benefits as an expense
-Benefits such as health care coverage establish an exchange between the employer and employee
-Post-retirement benefits are part of employee's compensation package
● In 2003,FASB 132 was instituted
-Requires companies to disclose substantial information about the economic value and costs of retiree health care programs
-Companies without sufficient current assets are unlikely to offer retiree benefits

Question 16

These are the three main types of dental plans. (Types of Dental Plans)

Accepted Answer

A)  Dental fee-for-service, dental savings accounts, dental maintenance organizations
B)  Dental savings accounts, dental maintenance organizations, dental service plans
C)  Dental preferred provider organizations, dental maintenance organizations, dental service corporations
D)  Dental fee-for-service, dental service corporations, dental maintenance organizations

Question 17

Discuss consumer driven health care plans briefly. (Consumer-Driven Health Care)

Accepted Answer

Main Points
● Refers to the objective of...

Question 18

Fee-for-service plans generally offer hospital expense,surgical expense and physician expense benefits. (Types of Medical Expense Benefits)

Accepted Answer

A) True 
 B)False

Question 19

Which of the following does not fall within the scope of the role of a primary care physician? (Exhibit 5.6,Role of Primary Care Physicians)

Accepted Answer

A)  Making initial diagnosis and evaluation of patient's condition
B)  Identifying applicable treatment protocols and practice guidelines
C)  Providing specialist diagnosis
D)  Deciding what treatment is warranted

Question 20

Some of the major impacts of the PPACA provisions include changes to health plan provisions such as the elimination of lifetime dollar limits on insurance coverage and designating a set of essential benefits. (Patient Protection and Affordable Care Act of 2010)

Accepted Answer

A) True 
 B)False

Exam 5: Employer-Sponsored Health Insurance Programs

President Bush has advanced a plan to place the burden of health insurance costs with the government. (Consumer-Driven Health Care)

Correct Answer
verified

In consumer-driven health care plans,the third tier is the difference between the amount of money in the individual's pretax account and the insurance plan's deductible amount. (Consumer-Driven Health Care)

Correct Answer
verified

These types of insurance plans provide protection against health care expenses in the form of cash benefits paid to the insured or directly to the provider after the services are rendered. (Fee-For-Service Plans)

Correct Answer
verified

Comprehensive major medical plans usually apply a single deductible for all covered services. (Major Medical Insurance Plans: Supplemental and Comprehensive)

Correct Answer
verified

Which of the following is not true for medical reimbursement plans? (Prescription Drug Benefits)

Correct Answer
verified

These types of insurance plans are set up to cover things like dental care,vision care and prescription drugs (Specialized Insurance Benefits)

Correct Answer
verified
C

Preadmission testing is offered under the in-patient hospitalization benefit of a fee-for-service. (Hospitalization Benefits)

Correct Answer
verified

Individual health insurance coverage can also cover the employee's dependents. (Individual Versus Group Insurance Coverage)

Correct Answer
verified

This prescription drug plan is usually associated with indemnity plans,pays benefits after the employee has met the deductible and tends to charge the most for filling the prescriptions. (Prescription Drug Benefits)

Correct Answer
verified

The network model compensates physicians using a fee schedule. (Prepaid Group Practice Model)

Correct Answer
verified

Discuss and compare multiple-payer versus single-payer systems the US. (Defining and Exploring Health Insurance Programs)

Correct Answer
verified
Main Points
● A multiple-payer system is...
View Answer

Company-sponsored insurance benefits appeared in the late 1800s for mining and railroad workers when companies hired doctors to provide medical services to employees. (Origins of Health Insurance Benefits)

Correct Answer
verified

What are the three specific forms of prepaid group practices? (Prepaid Group Practice Model)

Correct Answer
verified
C

This law sets minimum standards for the length of hospital stays for mothers and newborns. (Maternity Care)

Correct Answer
verified

Discuss the various FASB rulings associated with retiree health insurance. (Retiree Health Care Benefits)

These are the three main types of dental plans. (Types of Dental Plans)

Correct Answer
verified

Discuss consumer driven health care plans briefly. (Consumer-Driven Health Care)

Correct Answer
verified
Main Points
● Refers to the objective of...
View Answer

Fee-for-service plans generally offer hospital expense,surgical expense and physician expense benefits. (Types of Medical Expense Benefits)

Correct Answer
verified

Which of the following does not fall within the scope of the role of a primary care physician? (Exhibit 5.6,Role of Primary Care Physicians)

Correct Answer
verified

Some of the major impacts of the PPACA provisions include changes to health plan provisions such as the elimination of lifetime dollar limits on insurance coverage and designating a set of essential benefits. (Patient Protection and Affordable Care Act of 2010)

Correct Answer
verified

Exam 5: Employer-Sponsored Health Insurance Programs

President Bush has advanced a plan to place the burden of health insurance costs with the government. (Consumer-Driven Health Care)

Correct AnswerverifiedShow Answer

In consumer-driven health care plans,the third tier is the difference between the amount of money in the individual's pretax account and the insurance plan's deductible amount. (Consumer-Driven Health Care)

Correct AnswerverifiedShow Answer

These types of insurance plans provide protection against health care expenses in the form of cash benefits paid to the insured or directly to the provider after the services are rendered. (Fee-For-Service Plans)

Correct AnswerverifiedShow Answer

Comprehensive major medical plans usually apply a single deductible for all covered services. (Major Medical Insurance Plans: Supplemental and Comprehensive)

Correct AnswerverifiedShow Answer

Which of the following is not true for medical reimbursement plans? (Prescription Drug Benefits)

Correct AnswerverifiedShow Answer

These types of insurance plans are set up to cover things like dental care,vision care and prescription drugs (Specialized Insurance Benefits)

Correct AnswerverifiedC

Preadmission testing is offered under the in-patient hospitalization benefit of a fee-for-service. (Hospitalization Benefits)

Correct AnswerverifiedShow Answer

Individual health insurance coverage can also cover the employee's dependents. (Individual Versus Group Insurance Coverage)

Correct AnswerverifiedShow Answer

This prescription drug plan is usually associated with indemnity plans,pays benefits after the employee has met the deductible and tends to charge the most for filling the prescriptions. (Prescription Drug Benefits)

Correct AnswerverifiedShow Answer

The network model compensates physicians using a fee schedule. (Prepaid Group Practice Model)

Correct AnswerverifiedShow Answer

Discuss and compare multiple-payer versus single-payer systems the US. (Defining and Exploring Health Insurance Programs)

Correct AnswerverifiedMain Points● A multiple-payer system is...View AnswerShow Answer

Company-sponsored insurance benefits appeared in the late 1800s for mining and railroad workers when companies hired doctors to provide medical services to employees. (Origins of Health Insurance Benefits)

Correct AnswerverifiedShow Answer

What are the three specific forms of prepaid group practices? (Prepaid Group Practice Model)

Correct AnswerverifiedC

This law sets minimum standards for the length of hospital stays for mothers and newborns. (Maternity Care)

Correct AnswerverifiedShow Answer

Discuss the various FASB rulings associated with retiree health insurance. (Retiree Health Care Benefits)

These are the three main types of dental plans. (Types of Dental Plans)

Correct AnswerverifiedShow Answer

Discuss consumer driven health care plans briefly. (Consumer-Driven Health Care)

Correct AnswerverifiedMain Points● Refers to the objective of...View AnswerShow Answer

Fee-for-service plans generally offer hospital expense,surgical expense and physician expense benefits. (Types of Medical Expense Benefits)

Correct AnswerverifiedShow Answer

Which of the following does not fall within the scope of the role of a primary care physician? (Exhibit 5.6,Role of Primary Care Physicians)

Correct AnswerverifiedShow Answer

Some of the major impacts of the PPACA provisions include changes to health plan provisions such as the elimination of lifetime dollar limits on insurance coverage and designating a set of essential benefits. (Patient Protection and Affordable Care Act of 2010)

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
Main Points
● A multiple-payer system is...
View Answer

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
Main Points
● Refers to the objective of...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified