2 - Health Insurance Providers (Test only has 10 Questions)

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

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

Which of these statements is INCORRECT regarding a Preferred Provider Organization (PPO)?

PPO's are NOT a type of managed care systems

Medicare

is a hospital and medical expense insurance program

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

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

J is a subscriber to a plan which contracts with doctors and hospitals to provide medical benefits at a predetermined price. What type of plan does J belong to?

Health Maintenance Organization

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 Physician

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

Social Security Disability Income

The situation in which a group of physicians are salaried employees and conduct business in an HMO facility is called a(n)

closed panel