Insurance Review Test: Question Preview (ID: 30593)

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Companies that administer drug benefit programs are called:
a) HMOs
b) PPOs
c) PBMs
d) employers

The portion of the cost the patient is responsible for paying for a covered service.
a) Copay
b) Third Party
c) Cost
d) Prior Authorization

Process in which plans require doctors to provide detail information about the patient’s condition before a claim is approved:
a) Copay
b) Coinsurance
c) PPO
d) Prior authorization

The amount of money that must be paid every month to the insurance company in order to be insured.
a) Deductible
b) Premium
c) Coinsurance
d) Copayments

Federally funded health insurance for people age 65 or older.
a) Medicaid
b) PMO
c) Medicare
d) Commercial

All of these are parts of Medicare except for...
a) Part A
b) Part B
c) Medicaid
d) Part C

Every person will have all Medicare parts
a) True
b) False
c) I don't know
d) What parts?

The Medicare donut hole refers to...
a) A gap in Medicare prescription drug coverage (Part D)
b) A private policy that can be purchased to supplement Medicare benefits
c) A snack that would be great to have right now
d) A contribution to Medicare by the community to cover bills

The Medicare gap is set to be closed by the year
a) 2018
b) 2020
c) 2016
d) 2013

In Medicare pre-existing conditions must be covered, including pregnancy
a) True
b) False
c) Not sure
d) What is a pre-existing condition?

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