Chapter 2: Health Providers

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

More physicians to choose from

Medicare Part A and Part B do NOT pay for:

dental work

What is the maximum Social Security Disability benefit amount an insured can receive?

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

What is Medicare?

A hospital and medical expense insurance program

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

Commercial insurer

Which of the following reimburses it's insureds for covered medical expenses?

Commercial insurers

Which of these is considered a true statement regarding Medicaid?

Funded by both state and federal governments

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

HMO

Which type of provider is known for stressing preventative medical care and routine physical examinations?

Health Maintenance Organizations (HMO's)

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


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