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Exam (elaborations)

Health Insurance Providers – Questions & Answers

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Health Insurance Providers – Questions & Answers

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  • January 10, 2024
  • 3
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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Health Insurance Providers – Questions & Answers

The health insurance program which is administered by each state and
funded by both the federal and state governments is called Correct Ans
- Medicaid.

Which of the following does Social Security NOT provide benefits for?
Correct Ans - dismemberment

What is medicare Correct Ans - is a hospital and medical expense
insurance program

The individual who provides general medical care for a patient as well as
the referral for specialized care is known as a Correct Ans -
Primary Care Physician.

Which of the following BEST describes how a Preferred Provider
Organization (PPO) is less restrictive than a Health Maintenance
Organization (HMO)? Correct Ans - PPO's normally provide a wider
choice of physicians and hospitals.

Which of the following types of organizations are prepaid group health
plans, where members pay in advance for the services of participating
physicians and hospitals that have agreements? Correct Ans - A
Health Maintenance Organization (HMO) is a prepaid group health plan,
where members pay in advance for the services of participating physicians
and hospitals that have agreements.

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? Correct Ans - PPO

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? Correct Ans -
Her group health plan

Which of these is considered a true statement regarding Medicaid?
Correct Ans - Funded by both state and federal governments

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