Chapter 2: Health Insurance Providers
which of these is considered a true statement regarding medicaid
funded by both state and federal governments
What is maximum social security disability benefit amount an insured can recieve
100% of the PIA
Medicaid was designed to assist individuals who are
Below a specific income limit
who reimburses the insured for covered medical expenses
Commercial
which of the following does social security NOT provide benefits for
Dismemberment
A medical care provider which typically delivers health services at its own local medical facility is known as a
HMO
J is a subscriber to a plan which contracts with doctors and hospitals to provide medical benefits at a preset price. What type of plan does J belong to?
HMO
which of the following types of organizations are prepaid group health plans, where members pay in advance for the services of partipating physicians and hospitals that have agreements
HMO
which type of provide is known for stressing preventative medical care and routine physical examinations
HMO
Which of the following best describes how PPO is less restrictive then HMO
More physicians to choose from
Under what system do a group of doctor and hospitals in a designated area contract with an insurer to provide services at a prearranged cost to insured
PPO
which of these statements is incorrect regarding a preferred provider organization
PPOs are not a type of managed care systems
what does medicare pat a and part b cover
Part A covers hospitalization Part B covers doctors services
the % of an individuals PIA determines the benefits paid in which of the following benefits
Social Security disability income
which of the following statements is true about most blue cross/blueshield organizations
They are non profit organizations
what is medicare
a hospital and medical expense insurance program
the situation in which a group of physicians are salaried employees and conduct business in an HMO facility is called
closed panel
which of the following organizations would make reimbursement payments directly to the insured individual for covered medical expenditures
commercial insurer
Medicare Part A and Part B do NOT pay for
dental work
a 66 year-old is covered under a group health plan while employed with a business that has 40 employees. if she injures herself while walking in the park, what coverage would be considered primary
her group health plan
the health insurance program which is administered by each state and funded by Both the federal and state governments is called
medicaid
the individual who provides general medical care for a patient as well as the referral for specialized care is known as a
primary care physican
medicare is intended for all of the following groups, except
those enrolled as a full time student