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Insurance Review Test
Test Description: Understanding the idea of insurance
Instructions: Answer all questions to get your test result.
1) Companies that administer drug benefit programs are called:
A
PBMs
B
PPOs
C
employers
D
HMOs
2) The portion of the cost the patient is responsible for paying for a covered service.
A
Third Party
B
Prior Authorization
C
Copay
D
Cost
3) Process in which plans require doctors to provide detail information about the patient’s condition before a claim is approved:
A
Coinsurance
B
Prior authorization
C
PPO
D
Copay
4) The amount of money that must be paid every month to the insurance company in order to be insured.
A
Coinsurance
B
Copayments
C
Premium
D
Deductible
5) Federally funded health insurance for people age 65 or older.
A
Commercial
B
Medicare
C
PMO
D
Medicaid
6) All of these are parts of Medicare except for...
A
Medicaid
B
Part A
C
Part C
D
Part B
7) Every person will have all Medicare parts
A
True
B
I don't know
C
What parts?
D
False
8) The Medicare donut hole refers to...
A
A private policy that can be purchased to supplement Medicare benefits
B
A snack that would be great to have right now
C
A contribution to Medicare by the community to cover bills
D
A gap in Medicare prescription drug coverage (Part D)
9) The Medicare gap is set to be closed by the year
A
2016
B
2020
C
2018
D
2013
10) In Medicare pre-existing conditions must be covered, including pregnancy
A
What is a pre-existing condition?
B
Not sure
C
True
D
False
*select an answer for all questions
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