(Health) 2 - Health Insurance Providers

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

Health Maintenance Organizations (HMO's)

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

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 of the following statements is true about most Blue Cross/Blue Shield organizations?

They are nonprofit organizations

Which of the following reimburses its insureds for covered medical expenses?

Commercial insurers

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

Health Maintenance Organization

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

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

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

closed panel

Medicare Part A and Part B do NOT pay for

dental work