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CH 14: HEALTH INSURANCE
Test Description: This is Ch 14 test
Instructions: Answer all questions to get your test result.
1) Blue Cross was originally set up to pay for:
A
hospital expenses
B
preventive health care
C
prescription medication
D
physicians' services
2) In a(n) _________ plan, patients are able to see specialists without having to obtain referrals from another physician.
A
preferred provider organization (PPO)
B
indemnity-type insurance
C
health maintenance organization (HMO)
D
independent practice association (IPA)
3) Because a primary care physician (PCP) in an HMO makes referrals and approves addtional care if needed, he or she is known as the:
A
care manager
B
patient advocate
C
specialist
D
gatekeeper
4) Which type of HMO is composed of providers who practice in their own individual offices and retain their own staff and operations?
A
staff model
B
PPO
C
independent practice association
D
group model
5) Part ____ of Medicare is for payment of medical expenses such as office visitis and X-rays and laboratory services.
A
Part B
B
Part C
C
Part A
D
Part D
6) Part ____ of Medicare was created to provide coverage for both generic and brand name drugs
A
Part A
B
Part D
C
Part B
D
Part C
7) The only practitioners that can currently bill Medicare with the hard copy CMS-1500 are businesses with:
A
less than 10 full-time employees, including physicians
B
more than 20 full-time employees, excluding physicians
C
less than 10 full-time employees, excluding physicians
D
more than 20 full-time employees, including physicians
8) Medicare pays _____ of the approved medical bill amount once the deductible is satisfied
A
60
B
70
C
80
D
20
9) Medicaid cards are issued to recipients on a(n) ______ basis.
A
annual
B
monthly
C
biannual
D
as-needed
10) Physicians who treat patients under worker's compensation plans are usually required to resgister with the state Worker's Compensation Board:
A
on an annual basis
B
every 5 years
C
only once, unless they move or change the name of the medical practice
D
anytime they need to file a claim
*select an answer for all questions
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