CH 2 Health Insurance Providers

Medicaid was designed to assist individuals who are

below a specific income limit

The individual who provides general medical care for a patient as well as the referral for specialized care is known as a

Primary Care Physician

Which of the following BEST describes how a Preferred Provider Organization (PPO) is less restrictive than a Health Maintenance Organization (HMO)?

More physicians to choose from

Which of these statements is INCORRECT regarding a Preferred Provider Organization (PPO)?

PPO's are NOT a type of managed care systems

Which of the following organizations would make reimbursement payments directly to the insured individual for covered medical expenditures?

Commercial insurer

J is a subscriber to a plan which contracts with doctors and hospitals to provide medical benefits at a predetermined price. What type of plan does J belong to?

Health Maintenance Organization

Which type of provider is known for stressing preventative medical care?

Health Maintenance Organizations (HMO's)

The health insurance program which is administered by each state and funded by both the federal and state governments is called

Medicaid

Medicare is intended for all of the following groups, EXCEPT

Those enrolled as a full-time student

Medicare Part A and Part B do NOT pay for

dental work