health providers

The health insurance program which is administered by each state and funded by both the federal and state governments is called -Long-term care -Medicaid - Medicare Supplemental Program -Medicare

Medicaid

Which of the following BEST describes how a Preferred Provider Organization (PPO) is less restrictive than a Health Maintenance Organization (HMO)? Typically not subject to deductibles Not regulated by the federal government More benefits available More physicians to choose from

More physicians to choose from

Which of the following reimburses its insureds for covered medical expenses? -Health maintenance organizations - Preferred provider organizations -Commercial insurers - Service providers

Commercial insurers

A medical care provider which typically delivers health services at its own local medical facility is known as a -Health Maintenance Organization -Regional Provider -Multiple Employer Trust - Preferred Provider Organization

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? -Multiple Employer Welfare Arrangement -Multiple Employer Trust -Health Maintenance Organization -Co-op Arrangement

Health Maintenance Organization

Which type of provider is known for stressing preventative medical care? -Multiple Employer Welfare Arrangements (MEWA) -Major medical provider -Health Maintenance Organizations (HMO's) -Preferred Provider Organizations (PPO's)

Health Maintenance Organizations (HMO's)

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? Medicaid Long-term care Medicare Her group health plan

Her group health plan

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? HMO PPO EPO PLHSO

PPO

Which of these statements is INCORRECT regarding a Preferred Provider Organization (PPO)? -PPO's normally have more providers to chose from as compared to an HMO - Prices are negotiated in advance for PPO providers - In-network PPO providers offer members better coverage of incurred expenses - PPO's are NOT a type of managed care systems

PPO's are NOT a type of managed care systems

Medicare -is a disability program - is a hospital and medical expense insurance program -offers assistance in making health insurance premiums -Part D provides payment for surgeon expenses

is a hospital and medical expense insurance program