PHT-102 Final Exam| Ques ons and answers | Updated
RATED A+ | NEW
All of the following condi ons are "exclusions" on insurance policies...EXCEPT
A. cancer
B. a empted suicide
C. pregnancy
D. heart a ack
D. heart a ack
All of the following insurance programs are sponsored by the federal government...EXCEPT
A. TRICARE
B. Medicaid
C. Workers' Compensa on
D. CHAMPVA
C. Workers' Compensa on
An individual contract for health insurance ___________
is also called personal insurance
An insurance plan that covers a group of employees usually has?
lower premiums
A plan in which the member may seek care outside the network is called?
point-of-service
Which insurance is NOT a government-sponsored health plan?
Kaiser Founda on Health Plans
If a pa ent has both Medicare and Medicaid, charges must be filed with...
Medicare first and then Medicaid
If a pa ent has two insurance plans, and the primary insurance carrier pays 80%, what is the
most that the secondary will pay?
20%
, Medicare
federal health insurance program created as part of the SSA
CHAMPVA
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 disabili es
Medicaid
federal/state medical assistance program to provide health insurance for specific popula ons
CHAMPUS
replaced by TRICARE, a benefit for families of military personnel and re rees from the
uniformed services
TRICARE
comprehensive health benefits program offering three types of plans for dependents of men
and women in the military
Medicare Part B coverage
is op onal
Medicare Part B covers...
outpa ent services
Medicare Part B ALSO covers...
durable medical equipment
Medicare plus Choice Plan is also known as
Medicare Part C
Most outpa ent IV therapies require a?
preauthoriza on
Pa ents who can receive medical benefits under Medicare include...
ci zens 65 years of age and older
Providers are required by law to file which of the following for all eligible Medicare pa ents?
CMS-1500
RATED A+ | NEW
All of the following condi ons are "exclusions" on insurance policies...EXCEPT
A. cancer
B. a empted suicide
C. pregnancy
D. heart a ack
D. heart a ack
All of the following insurance programs are sponsored by the federal government...EXCEPT
A. TRICARE
B. Medicaid
C. Workers' Compensa on
D. CHAMPVA
C. Workers' Compensa on
An individual contract for health insurance ___________
is also called personal insurance
An insurance plan that covers a group of employees usually has?
lower premiums
A plan in which the member may seek care outside the network is called?
point-of-service
Which insurance is NOT a government-sponsored health plan?
Kaiser Founda on Health Plans
If a pa ent has both Medicare and Medicaid, charges must be filed with...
Medicare first and then Medicaid
If a pa ent has two insurance plans, and the primary insurance carrier pays 80%, what is the
most that the secondary will pay?
20%
, Medicare
federal health insurance program created as part of the SSA
CHAMPVA
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 disabili es
Medicaid
federal/state medical assistance program to provide health insurance for specific popula ons
CHAMPUS
replaced by TRICARE, a benefit for families of military personnel and re rees from the
uniformed services
TRICARE
comprehensive health benefits program offering three types of plans for dependents of men
and women in the military
Medicare Part B coverage
is op onal
Medicare Part B covers...
outpa ent services
Medicare Part B ALSO covers...
durable medical equipment
Medicare plus Choice Plan is also known as
Medicare Part C
Most outpa ent IV therapies require a?
preauthoriza on
Pa ents who can receive medical benefits under Medicare include...
ci zens 65 years of age and older
Providers are required by law to file which of the following for all eligible Medicare pa ents?
CMS-1500
