Health Insurance Basics Quiz

Questions and Answers

What is Medicare Part B also known as?

Comprehensive insurance

Medicare supplement

Medicaid

Supplementary medical insurance (correct)

Medicaid is a government-funded program designed to provide health care to:

Poor people (correct)

Anyone who does not have a proper caregiver

All individuals over the age of 65

All individuals who carry Medicare supplemental insurance

Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. Which of the following is the likely result?

Care is only covered in a government facility

Care is not covered

Care is covered (correct)

Care is only covered if primary care physician gives a referral

An individual can enroll in a Part C Medicare Advantage Plan at what time?

When becoming eligible for Medicare Signup and view all the answers

How is Medicare Part B funded?

General tax revenue and user premiums Signup and view all the answers

An accident and health policy that provides reimbursement benefits makes them payable to the:

Insured Signup and view all the answers

An HMO that involves a partnership of physicians and other providers who practice out of a central facility is called a(n):

Group HMO Signup and view all the answers

The open enrollment period for Medicare Part B is:

January 1 through March 31 Signup and view all the answers

Paul is an employee who caught a disease unique to the trade in which he was exposed to. Paul has a(n):

Occupational disease Signup and view all the answers

How does one become eligible for Part D: Prescription Drug coverage?

Must have Medicare coverage Signup and view all the answers

Medicare provides coverage for each of the following EXCEPT:

Custodial care Signup and view all the answers

Donna and Mary were racing bicycles in a store parking lot while being cheered on by fellow employees. Mary ran into John, another employee, who happened to be taking out the garbage. Both Mary and John are injured. Who would most likely be covered under Workers' Compensation?

John Signup and view all the answers

The Federal Employees Benefit Program consists of two types of health plans for federal civilian employees. The two plans are fee-for-service and:

Prepaid Signup and view all the answers

Which of the following is a legal entity created for the sole purpose of providing affordable group health coverage to its participants?

Multiple Employer Welfare Arrangement (MEWA) Signup and view all the answers

An individual covered under a Blue Cross Blue Shield plan is called a(n):

Subscriber Signup and view all the answers

Which of the following is Medicare Part B also known as?

Medical insurance Signup and view all the answers

A 70-year-old insured individual has suffered from kidney failure for the past 24 months. She is covered by her spouse's large-group employer plan. How will Medicare be utilized in this situation?

Will be the secondary insurer and pay for claims not fully covered by the group plan Signup and view all the answers

Which of the following is NOT taken into consideration when determining eligibility for Medicare benefits?

Income Signup and view all the answers

Study Notes

Medicare and Medicaid

Medicare Part B is also known as Supplementary Medical Insurance.
Medicaid is designed to provide healthcare for low-income individuals.

Health Insurance Plans

Preferred Provider Organization (PPO) subscribers can receive care from out-of-network providers, and their care is typically covered.
Part C Medicare Advantage Plan enrollment occurs when an individual becomes eligible for Medicare.

Medicare Funding and Benefits

Medicare Part B is funded through general tax revenues and user premiums.
Medicare provides coverage for hospital services, doctor services, and surgery, but does not cover custodial care.

Workers' Compensation

In an incident involving workplace injuries, John, who was unwittingly affected while taking out the garbage, would likely be covered under Workers' Compensation.

Federal Employee Benefits

The Federal Employees Benefit Program offers two health plan types: fee-for-service and prepaid plans.

Health Coverage Entities

Multiple Employer Welfare Arrangements (MEWAs) provide affordable group health coverage to participants.
A subscriber is an individual covered under a Blue Cross Blue Shield plan.

Medicare Coverage Details

Medicare Part B is also known as medical insurance, providing essential health services.
In cases of kidney failure, Medicare acts as the secondary insurer when the individual is covered by a spouse's employer plan.

Eligibility for Medicare

Chronic kidney disease, age, and Social Security disability impact Medicare eligibility, but income does not factor into the assessment.

Additional Notes

A closed network health plan typically requires copayments for physician visits, and using physicians outside the network incurs additional costs or may not be covered.

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Description

Test your knowledge about Medicare, Medicaid, and various health insurance plans. This quiz covers topics such as Medicare funding, Workers' Compensation, and Federal Employee Benefits. Gain insights into the complexities of health insurance and understand its implications for individuals and families.