HCD 330 EXAM 1 QUESTIONS AND
ANSWERS ALL CORRECT
Which of the following statements represents a minimum essential health benefit (EHB)
that insurance plans in the Health Insurance Marketplaces (established by the
Affordable Care Act) must provide?
a) Maternity and newborn care
b) Over-the-counter medications
c) Elective surgeries (e.g. plastic surgery)
d) Death benefits - Answer- a
Which of the following statements best defines the term "ambulatory care?"
a) Outpatient care people get without being admitted to the hospital
b) Care people get when they are admitted to the hospital
c) Rehabilitation services that people get after a surgery
d) Mental health and substance use care - Answer- a
Which of the following experiences is considered a life qualifying event that allows
people to enroll in insurance coverage after missing the yearly enrollment deadline?
a) Job change
b) Death of a child
c) Diagnosis of a serious illness
d) Work injury - Answer- a
What is the purpose of Summary of Benefits and Coverage (SBC) established by the
Affordable Care Act?
a) Provides a list of the services offered by Medicare.
b) Helps employers to determine whether they want to participate in the Health
Insurance Marketplace.
c) Allows a comparison of benefits offered by different insurance companies
d) Facilitates a comparison of medical costs for services provided in different hospitals -
Answer- c
What is the "donut hole" coverage gap for Medicare Part D beneficiaries?
a) Preventive services not covered for beneficiaries with high incomes
b) Prescription costs not covered for beneficiaries with high incomes
, c) A coverage gap that occurs after a beneficiary has spent a designated amount for
covered drugs, after which the beneficiary alone must pay a substantial portion of drug
costs
d) A coverage gap that occurs after a beneficiary has spent a designated amount for
preventive services, after which the beneficiary alone must pay a substantial portion of
medical costs - Answer- c
Which of the following statements best describes a group of people that qualifies for the
federal Medicaid health insurance program?
a) Those whose incomes are below the federal poverty level (<133% for states in the
Medicaid Expansion program).
b) Those ages 18 to 64 who have been unemployed > 4 weeks
c) All individuals < 18 years of age
d) All individuals 65 years and older - Answer- a
Which of the following is one criterion on which eligibility for the federal Medicaid health
insurance is based?
a) Income
b) Need for prescription medications
c) Employment status
d) Need for preventive services - Answer- a
What is the Community First Choice program?
a) A private health insurance benefit that allows consumers to receive care at home or
at community health centers rather than going to a hospital or other facility
b) A Medicaid benefit that allows consumers to receive care at home or at community
health centers rather than going to a hospital or other facility
c) A private program that supports the development and testing of innovative healthcare
delivery models in communities
d) A Medicaid program that supports the development and testing of innovative
healthcare delivery models in communities - Answer- b
Which of the following is one of the goals of the Elder Justice Act?
a) Prevent abuse of elderly patients
b) Provide hospice care for elderly patients
c) Provide prescriptions for elderly patients
d) Prevent medical errors in elderly patients - Answer- a
As a result of the Medicare and Medicaid programs, which of the following entities is/are
the largest stakeholder(s) in the U.S. healthcare system?
a) Private insurance companies
ANSWERS ALL CORRECT
Which of the following statements represents a minimum essential health benefit (EHB)
that insurance plans in the Health Insurance Marketplaces (established by the
Affordable Care Act) must provide?
a) Maternity and newborn care
b) Over-the-counter medications
c) Elective surgeries (e.g. plastic surgery)
d) Death benefits - Answer- a
Which of the following statements best defines the term "ambulatory care?"
a) Outpatient care people get without being admitted to the hospital
b) Care people get when they are admitted to the hospital
c) Rehabilitation services that people get after a surgery
d) Mental health and substance use care - Answer- a
Which of the following experiences is considered a life qualifying event that allows
people to enroll in insurance coverage after missing the yearly enrollment deadline?
a) Job change
b) Death of a child
c) Diagnosis of a serious illness
d) Work injury - Answer- a
What is the purpose of Summary of Benefits and Coverage (SBC) established by the
Affordable Care Act?
a) Provides a list of the services offered by Medicare.
b) Helps employers to determine whether they want to participate in the Health
Insurance Marketplace.
c) Allows a comparison of benefits offered by different insurance companies
d) Facilitates a comparison of medical costs for services provided in different hospitals -
Answer- c
What is the "donut hole" coverage gap for Medicare Part D beneficiaries?
a) Preventive services not covered for beneficiaries with high incomes
b) Prescription costs not covered for beneficiaries with high incomes
, c) A coverage gap that occurs after a beneficiary has spent a designated amount for
covered drugs, after which the beneficiary alone must pay a substantial portion of drug
costs
d) A coverage gap that occurs after a beneficiary has spent a designated amount for
preventive services, after which the beneficiary alone must pay a substantial portion of
medical costs - Answer- c
Which of the following statements best describes a group of people that qualifies for the
federal Medicaid health insurance program?
a) Those whose incomes are below the federal poverty level (<133% for states in the
Medicaid Expansion program).
b) Those ages 18 to 64 who have been unemployed > 4 weeks
c) All individuals < 18 years of age
d) All individuals 65 years and older - Answer- a
Which of the following is one criterion on which eligibility for the federal Medicaid health
insurance is based?
a) Income
b) Need for prescription medications
c) Employment status
d) Need for preventive services - Answer- a
What is the Community First Choice program?
a) A private health insurance benefit that allows consumers to receive care at home or
at community health centers rather than going to a hospital or other facility
b) A Medicaid benefit that allows consumers to receive care at home or at community
health centers rather than going to a hospital or other facility
c) A private program that supports the development and testing of innovative healthcare
delivery models in communities
d) A Medicaid program that supports the development and testing of innovative
healthcare delivery models in communities - Answer- b
Which of the following is one of the goals of the Elder Justice Act?
a) Prevent abuse of elderly patients
b) Provide hospice care for elderly patients
c) Provide prescriptions for elderly patients
d) Prevent medical errors in elderly patients - Answer- a
As a result of the Medicare and Medicaid programs, which of the following entities is/are
the largest stakeholder(s) in the U.S. healthcare system?
a) Private insurance companies
