PHT-102 FINAL EXAM - QUESTIONS AND ANSWERS |
WITH COMPLETE SOLUTIONS.
All of the following conditions are "exclusions" on insurance policies...EXCEPT
A. cancer
B. attempted suicide
C. pregnancy
D. heart attack Answer - D. heart attack
All of the following insurance programs are sponsored by the federal
government...EXCEPT
A. TRICARE
B. Medicaid
C. Workers' Compensation
D. CHAMPVA Answer - C. Workers' Compensation
An individual contract for health insurance ___________ Answer - is also
called personal insurance
An insurance plan that covers a group of employees usually has? Answer -
lower premiums
A plan in which the member may seek care outside the network is called?
Answer - point-of-service
, Which insurance is NOT a government-sponsored health plan? Answer - Kaiser
Foundation Health Plans
If a patient has both Medicare and Medicaid, charges must be filed with...
Answer - Medicare first and then Medicaid
If a patient has two insurance plans, and the primary insurance carrier pays
80%, what is the most that the secondary will pay? Answer - 20%
Medicare Answer - federal health insurance program created as part of the
SSA
CHAMPVA Answer - Civilian Health and Medical Program of the Department of
Veterans Affairs, a program to cover medical expenses of dependents of
veterans with permanent service connected disabilities
Medicaid Answer - federal/state medical assistance program to provide health
insurance for specific populations
CHAMPUS Answer - replaced by TRICARE, a benefit for families of military
personnel and retirees from the uniformed services
TRICARE Answer - comprehensive health benefits program offering three types
of plans for dependents of men and women in the military
Medicare Part B coverage Answer - is optional
Medicare Part B covers... Answer - outpatient services
WITH COMPLETE SOLUTIONS.
All of the following conditions are "exclusions" on insurance policies...EXCEPT
A. cancer
B. attempted suicide
C. pregnancy
D. heart attack Answer - D. heart attack
All of the following insurance programs are sponsored by the federal
government...EXCEPT
A. TRICARE
B. Medicaid
C. Workers' Compensation
D. CHAMPVA Answer - C. Workers' Compensation
An individual contract for health insurance ___________ Answer - is also
called personal insurance
An insurance plan that covers a group of employees usually has? Answer -
lower premiums
A plan in which the member may seek care outside the network is called?
Answer - point-of-service
, Which insurance is NOT a government-sponsored health plan? Answer - Kaiser
Foundation Health Plans
If a patient has both Medicare and Medicaid, charges must be filed with...
Answer - Medicare first and then Medicaid
If a patient has two insurance plans, and the primary insurance carrier pays
80%, what is the most that the secondary will pay? Answer - 20%
Medicare Answer - federal health insurance program created as part of the
SSA
CHAMPVA Answer - Civilian Health and Medical Program of the Department of
Veterans Affairs, a program to cover medical expenses of dependents of
veterans with permanent service connected disabilities
Medicaid Answer - federal/state medical assistance program to provide health
insurance for specific populations
CHAMPUS Answer - replaced by TRICARE, a benefit for families of military
personnel and retirees from the uniformed services
TRICARE Answer - comprehensive health benefits program offering three types
of plans for dependents of men and women in the military
Medicare Part B coverage Answer - is optional
Medicare Part B covers... Answer - outpatient services
