Ch 2 Health Insurance Providers

Which of the following best describes how a Preferred Provider Organization (PPO) is less restrictive than a Health Maintenance Organization (HMO)? -Typically no subject to deductibles -not regulated by the federal government -more benefits available -more physicians to choose from

More physicians to choose from

The health insurance program which is administered by each state and funded by both the federal and state governments is called -Long-term care -Medicaid -Medicare Supplemental Program -Medicare

Medicaid

The percentage of an individual's Primary Insurance Amount (PIA) determines the benefits paid in which of the following programs? -Social Security Disability Income -Medicare Supplements -Medicaid -COBRA

Social Security Disability Income

What is the maximum Social Security Disability benefit amount an insured can receive? -50% of the insured's Primary Insurance Amount (PIA) -75% of the insured's Primary Insurance Amount (PIA) -100% of the insured's Primary Insurance Amount (PIA) -100% of the insured's Primary Insurance Amount (PIA) minus any moves received from a retirement plan

100% of the insured's Primary Insurance Amount (PIA)

Medicaid was designed to assist individuals who are -federal employees -disabled -in poor health -below a specific income limit

Below a specific income limit

Which of the following types of organizations are prepaid group health plans, where members pay in advance for the services of participating physicians and hospitals that have agreements? -PPO -HMO -MEWA -POS

HMO

A medical care provider which typically delivers health services at its own local medical facility is known as a -Health Maintenance Organizations -Regional Provider -Multiple Employer Trust -Preferred Provider Organizaiton

Health Maintenance Organizations

Which type of provider is known for stressing preventative medical care? -Multiple Employer Welfare Arrangements (MEWA) -Major medical provider -Health Maintenance Organizations (HMO's) -Preferred Provider Organizations (PPO'a)

Health Maintenance Organizations (HMO's)

Medicare -is a disability program -is a hospital and medical expense insurance program -offers assistance in making health insurance premiums -part D provides payment for surgeon expenses

Is a hospital and medical expense insurance program

The individual who provides general medical care for a patient as well as the referral for specialized care is known as a -physician's assistant -Primary Care Physician -Secondary Care Physician -Third Party Administrator

Primary Care Physician