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
, PHT-102 FINAL EXAM - QUESTIONS AND ANSWERS | WITH
COMPLETE SOLUTIONS.
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
Medicare Part B ALSO covers... - (answer)durable medical equipment
Medicare plus Choice Plan is also known as - (answer)Medicare Part C
Most outpatient IV therapies require a? - (answer)preauthorization
Patients who can receive medical benefits under Medicare include... - (answer)citizens 65 years of age
and older
Providers are required by law to file which of the following for all eligible Medicare patients? -
(answer)CMS-1500
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
, PHT-102 FINAL EXAM - QUESTIONS AND ANSWERS | WITH
COMPLETE SOLUTIONS.
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
Medicare Part B ALSO covers... - (answer)durable medical equipment
Medicare plus Choice Plan is also known as - (answer)Medicare Part C
Most outpatient IV therapies require a? - (answer)preauthorization
Patients who can receive medical benefits under Medicare include... - (answer)citizens 65 years of age
and older
Providers are required by law to file which of the following for all eligible Medicare patients? -
(answer)CMS-1500
