Exam (elaborations)
Health Insurance Providers – Qs And As (100% Correct)
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Health Insurance Providers – Qs And As (100% Correct)
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Health Insurance Providers – Qs And As (100%Correct)
What is Medicare Part B also known as?
Medicare supplement
Supplementary medical insurance
Comprehensive insurance
Medicaid Correct Ans - Supplementary medical insurance
Medicaid is a government-funded program designed to provide health care
to
all individuals over the age of 65
all individuals who carry Medicare supplemental insurance
anyone who does not have a proper caregiver
poor people Correct Ans - poor people
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 covered
Care is not covered
Care is only covered in a government facility
Care is only covered if primary care physician gives a referral Correct
Ans - Care is covered
An individual can enroll in a Part C Medicare Advantage Plan at what time?
When becoming eligible for Medicaid
At age of retirement
Age 59 1/2
When becoming eligible for Medicare Correct Ans - When
becoming eligible for Medicare
How is Medicare Part B funded?
Employer taxes
Payroll taxes
User premiums
General tax revenue and user premiums Correct Ans - General tax
revenue and user premiums
, An accident and health policy that provides reimbursement benefits makes
them payable to the
provider
facility providing service
insured
insured's spouse Correct Ans - insured
An HMO that involves a partnership of physicians and other providers who
practice out of a central facility is called a(n)
group HMO
federal HMO
central HMO
managed HMO Correct Ans - Group HMO
The open enrollment period for Medicare Part B is
January 1 through March 31
January 1 through April 30
January 1 through May 31
January 1 through June 30 Correct Ans - Jan 1- March 31
Paul is an employee who caught a disease unique to the trade in which he
was exposed to. Paul has a(n)
genetic predisposition
worksite malady
contagious disease
occupational disease Correct Ans - occupational disease
How does one become eligible for Part D: Prescription Drug coverage?
Must meet certain underwriting guidelines
Must have a valid prescription
Must have Medicare coverage
Must have Medicaid coverage Correct Ans - Must have Medicare
coverage
Medicare provides coverage for each of the following EXCEPT
hospital room and board
doctor and surgeon services
prescription drugs
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