Tentamen (uitwerkingen)
100% Accurate AHIP Final Exam Solutions for 2024/2025
- Vak
- Instelling
100% Accurate AHIP Final Exam Solutions for 2024/2025
[Meer zien]Voorbeeld 4 van de 10 pagina's
Voorbeeld 4 van de 10 pagina's
In winkelwagen
In winkelwagen
3 beoordelingen
Door: alex71 • 7 maanden geleden
Door: TheAlphanurse • 8 maanden geleden
GREAT DOC!! DETAILED ANSWERS. VALUE FOR MONEY HONESTLY. GOOD WORK
Door: getAs • 8 maanden geleden
GREAT DOCUMENT. VERIFIED EXAM QUESTIONS. GREAT VALUE FOR MONEY
Verkoper
Volgen
stuuviaa
Ontvangen beoordelingen
Voorbeeld van de inhoud
1. Which of the following is the primary purpose of the AffordableCare Act (ACA)?
A) To expand Medicaid eligibility across all states
B) To increase healthcare costs for high-income individuals
C) To provide affordable healthcare coverage for individuals and families
D) To eliminate private insurance companies
Answer: C) To provide affordable healthcare coverage for individuals
and families
Rationale: The ACA's primary goal is to make healthcare more
affordable for individuals and families, primarily by expanding Medicaid,
creating health insurance exchanges, and providing subsidies to those
who qualify.
2. What is the term for the amount a policyholder must pay before
their health insurance begins to cover expenses?
A) Premium
B) Deductible
C) Co-payment
D) Coinsurance
Answer: B) Deductible
Rationale: The deductible is the amount a policyholder must pay out-of-
pocket for healthcare services before the insurance company starts to
pay for covered services.
3. Which of the following health insurance programs is primarily
designed to provide coverage for individuals over 65 and some
younger individuals with disabilities?
,A) Medicaid
B) Medicare
C) CHIP
D) TRICARE
Answer: B) Medicare
Rationale: Medicare is a federal program that provides health coverage
for people aged 65 and older, and certain younger individuals with
disabilities.
4. A health insurance policy that requires members to get referrals
from a primary care physician (PCP) before seeing a specialist is
known as:
A) Health Maintenance Organization (HMO)
B) Preferred Provider Organization (PPO)
C) Point of Service (POS)
D) High Deductible Health Plan (HDHP)
Answer: A) Health Maintenance Organization (HMO)
Rationale: HMOs typically require members to select a primary care
physician who coordinates their care, and members must obtain
referrals to see specialists.
5. Under the Affordable Care Act (ACA), which of the following is NOT
a requirement for a health insurance plan to be considered "minimum
essential coverage"?
A) Coverage for maternity and newborn care
B) Coverage for adult dental and vision care
,C) Coverage for prescription drugs
D) Coverage for mental health and substance use disorder services
Answer: B) Coverage for adult dental and vision care
Rationale: While adult dental and vision care are important health
services, they are not mandatory for health insurance plans to be
considered "minimum essential coverage" under the ACA.
6. In which of the following situations would a person be eligible for
Medicaid?
A) A 65-year-old with an income above 138% of the federal poverty
level
B) A 25-year-old woman pregnant with twins
C) A 45-year-old employed full-time with a large employer’s insurance
plan
D) A 33-year-old with a disability but high income
Answer: B) A 25-year-old woman pregnant with twins
Rationale: Medicaid eligibility can extend to low-income individuals,
pregnant women, children, elderly individuals, and those with
disabilities. Pregnant women in low-income brackets are often eligible
for Medicaid, regardless of their age.
7. A health insurance plan with a network of preferred providers, but
which allows coverage for out-of-network providers at a higher cost, is
known as:
A) HMO
B) PPO
, C) POS
D) EPO
Answer: B) PPO
Rationale: A Preferred Provider Organization (PPO) allows policyholders
to see out-of-network providers, but with higher out-of-pocket costs. In-
network care typically has lower co-pays and coinsurance.
8. What is the "Medicare Part D" primarily designed to provide?
A) Hospital insurance
B) Prescription drug coverage
C) Vision and dental coverage
D) Long-term care coverage
Answer: B) Prescription drug coverage
Rationale: Medicare Part D provides prescription drug coverage to
Medicare beneficiaries, helping to cover the cost of prescription
medications.
9. Which of the following is a key feature of a "High Deductible Health
Plan" (HDHP)?
A) Low monthly premiums with high deductibles
B) Low out-of-pocket maximums and low deductibles
C) Coverage for vision and dental care
D) A fixed amount for all medical services
Answer: A) Low monthly premiums with high deductibles
Rationale: HDHPs generally have lower premiums but require
policyholders to pay higher deductibles before the insurance plan starts
Dit zijn jouw voordelen als je samenvattingen koopt bij Stuvia:
Bewezen kwaliteit door reviews
Studenten hebben al meer dan 850.000 samenvattingen beoordeeld. Zo weet jij zeker dat je de beste keuze maakt!
In een paar klikken geregeld
Geen gedoe — betaal gewoon eenmalig met iDeal, Bancontact of creditcard en je bent klaar. Geen abonnement nodig.
Focus op de essentie
Studenten maken samenvattingen voor studenten. Dat betekent: actuele inhoud waar jij écht wat aan hebt. Geen overbodige details!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper stuuviaa. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €17,18. Je zit daarna nergens aan vast.
Is Stuvia te vertrouwen?
4,6 sterren op Google & Trustpilot (+1000 reviews)
Afgelopen 30 dagen zijn er 70089 samenvattingen verkocht
Opgericht in 2010, al 15 jaar dé plek om samenvattingen te kopen
Laatst bekeken door jou
Samenvatting ·
Samenvatting algemene psychologie denken en intelligentie
Tentamen (uitwerkingen) ·
Sophia Introduction to Sociology Unit 1 Challenge 1
Overig ·
B1-K1-W8 reageert op onvoorziene en crisissituaties
