Ch. 1 ATI Nclex Healthcare delivery systems
Questions and Answers| Latest Update
Medicare Correct Ans-For clients > 65 y/o or patients with permanent disabilities
Medicare Part A Correct Ans-Hospital Insurance
Medicare Part B Correct Ans-Medical Insurance
Medicare Part C is also known as Correct Ans-Medicare Advantage plan
Medicare Part D Correct Ans-Prescription drug coverage
Medicaid Correct Ans-Federal and state program that provides medical benefits for low-
income persons, individual states determine eligibility requirements
Affordable Care Act of 2010 Correct Ans-Obamacare
What are some factors of the Affordable Care Act? Correct Ans-1. Increases access to health
care for all individuals and instituting and individual mandate for health insurance.
2. Deceasing health care costs.
3. Providing opportunities for uninsured to become insured at an affordable cost.
, Stare Children's Health Insurance program Correct Ans-Coverage of insurance for uninsured
children up to age 19 at low cost to parents.
Private Plans Correct Ans-Traditional insurance reimbursement for services on fee-for-service
basis.
Examples of private plans Correct Ans-1. MCO- pcp oversee comprehensive care for enrolled
clients and focus on prevention and health promotion.
2. PPO-clients choose from a list of participating providers and hospitals. Selecting an out of
network provider increases the OOP costs.
3. EPO- clients also choose from the participating providers and hospitals within a
contraindicating organization with no out of network coverage
4. Long term care insurance- used as a supplement for long term care expenses Medicare does
not cover.
What are the levels of healthcare? Correct Ans-1. Preventative health care
2. Primary health Care
3. Secondary health care
4. Tertiary health care
5. Restorative health care
6. Continuing healthcare
Preventative healthcare Correct Ans-Education clients to reduce and control risk factors for
disease.
Questions and Answers| Latest Update
Medicare Correct Ans-For clients > 65 y/o or patients with permanent disabilities
Medicare Part A Correct Ans-Hospital Insurance
Medicare Part B Correct Ans-Medical Insurance
Medicare Part C is also known as Correct Ans-Medicare Advantage plan
Medicare Part D Correct Ans-Prescription drug coverage
Medicaid Correct Ans-Federal and state program that provides medical benefits for low-
income persons, individual states determine eligibility requirements
Affordable Care Act of 2010 Correct Ans-Obamacare
What are some factors of the Affordable Care Act? Correct Ans-1. Increases access to health
care for all individuals and instituting and individual mandate for health insurance.
2. Deceasing health care costs.
3. Providing opportunities for uninsured to become insured at an affordable cost.
, Stare Children's Health Insurance program Correct Ans-Coverage of insurance for uninsured
children up to age 19 at low cost to parents.
Private Plans Correct Ans-Traditional insurance reimbursement for services on fee-for-service
basis.
Examples of private plans Correct Ans-1. MCO- pcp oversee comprehensive care for enrolled
clients and focus on prevention and health promotion.
2. PPO-clients choose from a list of participating providers and hospitals. Selecting an out of
network provider increases the OOP costs.
3. EPO- clients also choose from the participating providers and hospitals within a
contraindicating organization with no out of network coverage
4. Long term care insurance- used as a supplement for long term care expenses Medicare does
not cover.
What are the levels of healthcare? Correct Ans-1. Preventative health care
2. Primary health Care
3. Secondary health care
4. Tertiary health care
5. Restorative health care
6. Continuing healthcare
Preventative healthcare Correct Ans-Education clients to reduce and control risk factors for
disease.
