Questions and Answers
The health insurance program which is administered by each state and funded by both the federal and state governments is called?
Medicaid
Medicaid was designed to assist individuals who are?
below a specific income limit
Medicare is intended for all of the following groups, EXCEPT?
Those enrolled as a full-time student
Which of the following BEST describes how a Preferred Provider Organization (PPO) is less restrictive than a Health Maintenance Organization (HMO)?
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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?
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The individual who provides general medical care for a patient as well as the referral for specialized care is known as a?
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Which type of provider is known for stressing preventative medical care?
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Which of these statements is INCORRECT regarding a Preferred Provider Organization (PPO)?
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Which of the following organizations would make reimbursement payments directly to the insured individual for covered medical expenditures?
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Medicare Part A and Part B do NOT pay for?
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Study Notes
Health Insurance Programs
- Medicaid: A health insurance program administered by states, funded by federal and state governments, designed for low-income individuals.
- Medicaid Eligibility: Specifically assists individuals below a certain income threshold.
Medicare Overview
- Medicare: Federal program providing health coverage primarily for seniors and specific groups.
- Exclusion: Not intended for individuals enrolled as full-time students.
Types of Health Insurance Plans
- Preferred Provider Organization (PPO): Offers flexibility with a broader range of physician options compared to Health Maintenance Organizations (HMOs).
- Health Maintenance Organization (HMO): Requires members to select a primary care physician (PCP) and emphasizes preventive medical care.
Primary Care
- Primary Care Physician: Generalist who provides medical care and referrals to specialists.
Managed Care Systems
- PPOs and Managed Care: Incorrectly categorized as not being managed care systems; PPOs are indeed a type of managed care offering greater flexibility than HMOs.
Insurance Payment Types
- Commercial Insurer: Directly reimburses insured individuals for covered medical expenses, differing from plans that pay providers directly.
Medicare Coverage Limitations
- Exclusions of Coverage: Medicare Parts A and B do not cover dental work, highlighting the importance of understanding specific plan benefits.
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Description
Test your knowledge on health insurance providers with this quiz focused on Chapter 2. Explore key concepts such as Medicaid, Medicare, and the populations they serve. Perfect for students studying health insurance and policy.
