Chp. 2 Health Insurance Providers

Medicare is intended for all of the following groups, EXCEPT: A.) Those enrolled as a full-time student B.) Those receiving Social Security disability benefits for at least 24 months C.) Those afflicted with chronic kidney failure D.) Those 65 and older

A.) Those enrolled as a full-time student

Which of the following organizations would make reimbursement payments directly to the insured individual for covered medical expenditures? A.) Administrative-services-only plan B.) Commercial insurer C.) Preferred provider organization D.) Health maintenance organization

B.) Commercial insurer

Which of the following does Social Security NOT provide benefits for? A.) Survivorship B.) Dismemberment C.) Disability D.) Retirement

B.) Dismemberment

A medical care provider which typically delivers health services at its own local medical facility is known as a:

Health Maintenance Organization

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

Health Maintenance Organizations (HMO's)

What is Medicare?

is a hospital and medical expense insurance program

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? A.) PPO B.) HMO C.) MEWA D.) POS

B.) HMO

Which of the following statements is true about most Blue Cross/Blue Shield organizations? A.) They are the same as private insurance companies B.) They are federally sponsored C.) They are nonprofit organizations D.) They are owned by hospitals and physicians

C.) They are nonprofit organizations

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

What does Medicare Parts A and B cover?

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