18 Questions
Which part of Medicare includes an annual out-of-pocket expense limit?
Part C
What type of care is covered under Part A?
Home health care
Which part of Medicare is required to be enrolled in before signing up for Part C?
Parts A and B
What type of services are covered under Part B?
Outpatient hospital charges
What is the primary difference between Part C and Parts A and B?
Part C has an annual out-of-pocket expense limit
Which part of Medicare covers self-administered prescription drugs?
Part D
What is the main difference between in-network and out-of-network health insurance?
The signed agreement with the health insurance carrier to accept a discounted rate
What is the purpose of preventive care services, such as screenings and vaccinations?
To prevent diseases and other health problems
What is the maximum amount you have to pay for covered services in a plan year?
Maximum Out of Pocket
What is the purpose of a copayment?
To pay for a portion of the cost of a medical service after the deductible is met
What happens when you've reached your Maximum Out of Pocket for the plan year?
Your health plan pays 100% of the costs of covered benefits
What is the benefit of using an in-network healthcare provider?
You pay a discounted rate for services
What is a characteristic of a Point of Service (POS) plan?
Allowing enrollees to decide whether to stay in the network at each point of service
What is a common restriction of HMO plans?
Limiting coverage to care from doctors who work for or contract with the HMO
Which type of plan typically offers the most flexibility in choosing healthcare providers?
POS
What is a common feature of PPO plans?
Allowing enrollees to seek care outside the network at a higher cost
What is a difference between HMO and PPO plans?
HMO plans do not cover out-of-network care except in an emergency, while PPO plans do
Which type of plan is often associated with integrated care and a focus on prevention and wellness?
HMO
Review principles of health science, health insurance plans, and healthcare systems, including PPO and POS plans.
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