Chapter exam- health providers

What is Medicare?

A hospital and medical expense insurance program

Which if the following does social security NOT provide benefits for?

Dismemberment

Which of the following actions is required by an insured who leaves the primary area of medical coverage and seeks medical care?

Obtain prior approval from the insurer for the medical service

Under what system do a group of doctors and hospitals in a designated area contract with an insurer to provide services at a prearranged cost to the insured?

PPO

Medicare Part A and Part B do NOT pay for

dental work

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

HMO

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

What does medicare parts A and B cover?

Part A covers hospitalization; Part B covers doctor's services

Medicare is intended for all of the following groups EXCEPT

Those enrolled as a full-time student

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

Health Maintenance Organizations (HMO's)