Chapter 2 - Health Insurance Providers

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

Medicaid

The percentage of an individual's Primary Insurance Amount (PIA) determines the benefits paid in which of the following programs?

Social Security Disability Income

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

Health Maintenance Organizations (HMO's)

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 Health Maintenance Organization (HMO)

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 its insureds for covered medical expenses?

Commercial insurers

Which of the following does Social Security NOT provide benefits for?

Dismemberment

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

Medicare is intended for all of the following groups, EXCEPT:

Those enrolled as a full-time student

Medicaid was designed to assist individuals who are:

below a specific income limit


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