Question

Private insurance holders pay _______, or regular, pre-established amounts.

Question 1 options:

premiums


deductibles


co-pays


dividends

Question 2 (5 points)

Listen
Which of the following plans are often seen as one of the most flexible managed care plans?

Question 2 options:

Preferred provider organizations


Point-of-service plans


Health maintenance organizations


Exclusive provider organizations

Question 3 (5 points)

Listen
In the insurance industry, _______ means protection against income losses for illnesses or injury, disability income, and accidental death or dismemberment.

Question 3 options:

medical insurance


prepaid medical plans


life insurance


health insurance

Question 4 (5 points)

Listen
_______ provides healthcare coverage for the policyholder and the policyholder's family.

Question 4 options:

Medicaid coverage


Employer-based insurance


Group insurance


Private insurance

Question 5 (5 points)

Listen
Which of the following is a prepaid medical service plan that provides services to plan members?

Question 5 options:

Health Maintenance Organization


Accountable Care Organization


Point-of-Service Plan


Preferred Provider Organization

Question 6 (5 points)

Listen
Medicare Part _______ is known as supplemental medical insurance coverage.

Question 6 options:

C


A


B


D

Question 7 (5 points)

Listen
_______ are contracts that cover specific medical expenses for individuals or groups.

Question 7 options:

Managed care plans


HMO plans


Prepaid health plans


Fee-for-service plans

Question 8 (5 points)

Listen
Medicare Part _______ is also known as hospital insurance coverage.

Question 8 options:

B


D


C


A

Question 9 (5 points)

Listen
Which of these people is most likely to use private health insurance?

Question 9 options:

A nurse employed by a large hospital


A member of the U.S. military


A public school teacher


A self-employed small business owner

Question 10 (5 points)

Listen
Medicare Part _______ is also known as the prescription drug plan.

Question 10 options:

D


C


A


B

Question 11 (5 points)

Listen
Which of the following was one of the first prepaid health plans in the United States?

Question 11 options:

Medicare


Affordable Care Act


Blue Cross


Medicaid

Question 12 (5 points)

Listen
Blue Cross and Blue Shield plans cover over _______ million Americans.

Question 12 options:

20


100


40


200

Question 13 (5 points)

Listen
The main goal of the Medicare _______ is to reduce hospital costs applicable to the Medicare program.

Question 13 options:

prospective payment system


retrospective payment system


prepaid medical plan


fee-for-service system

Question 14 (5 points)

Listen
_______ is the process whereby an insurer reviews applications submitted for insurance coverage and decides whether to accept or reject all or part of the coverage requested.

Question 14 options:

Upcoding


Upcharging


Underwriting


Unbundling

Question 15 (5 points)

Listen
Which of the following criteria apply to Medicare eligibility?

Question 15 options:

Age 65 or older


Age 60 or under


Temporary residence in the U.S.


Military veteran

Question 16 (5 points)

Listen
According to the 2019 US Census Bureau, _______ percent of people in the United States weren't covered by health insurance.

Question 16 options:

7


8.6


10


5.5

Question 17 (5 points)

Listen
Which of the following are usually developed and implemented by employer groups who are trying to control costs?

Question 17 options:

Exclusive provider organizations


Preferred provider organizations


Point-of-service plans


Health maintenance organizations

Question 18 (5 points)

Listen
_______ is an organization that's primarily designed to provide pain relief, symptom management, and supportive services for the terminally ill and their families.

Question 18 options:

Hospice care


Inpatient hospital care


Long-term care


Home healthcare

Question 19 (5 points)

Listen
Which type of HMO model or plan contracts with multispecialty groups to provide services?

Question 19 options:

Group model


Staff model


Network model


Independent practice association

Question 20 (5 points)

Listen
Which of the following healthcare programs is available for members of the uniformed services, their families, and survivors, and retired members and their families?

Question 20 options:

CHAMPVA


TRICARE


The Indian Health Service


CHAMPUS

Answer 1

Here are the answers to your questions:

**Question 1**: Private insurance holders pay **premiums**, or regular, pre-established amounts.

**Question 2**: Which of the following plans are often seen as one of the most flexible managed care plans? **Preferred provider organizations**

**Question 3**: In the insurance industry, **health insurance** means protection against income losses for illnesses or injury, disability income, and accidental death or dismemberment.

**Question 4**: **Group insurance** provides healthcare coverage for the policyholder and the policyholder's family.

**Question 5**: Which of the following is a prepaid medical service plan that provides services to plan members? **Health Maintenance Organization**

**Question 6**: Medicare Part **B** is known as supplemental medical insurance coverage.

**Question 7**: **Managed care plans** are contracts that cover specific medical expenses for individuals or groups.

**Question 8**: Medicare Part **A** is also known as hospital insurance coverage.

**Question 9**: Which of these people is most likely to use private health insurance? **A self-employed small business owner**

**Question 10**: Medicare Part **D** is also known as the prescription drug plan.

**Question 11**: Which of the following was one of the first prepaid health plans in the United States? **Blue Cross**

**Question 12**: Blue Cross and Blue Shield plans cover over **100** million Americans.

**Question 13**: The main goal of the Medicare **prospective payment system** is to reduce hospital costs applicable to the Medicare program.

**Question 14**: **Underwriting** is the process whereby an insurer reviews applications submitted for insurance coverage and decides whether to accept or reject all or part of the coverage requested.

**Question 15**: Which of the following criteria apply to Medicare eligibility? **Age 65 or older**

**Question 16**: According to the 2019 US Census Bureau, **8.6** percent of people in the United States weren't covered by health insurance.

**Question 17**: Which of the following are usually developed and implemented by employer groups who are trying to control costs? **Preferred provider organizations**

**Question 18**: **Hospice care** is an organization that's primarily designed to provide pain relief, symptom management, and supportive services for the terminally ill and their families.

**Question 19**: Which type of HMO model or plan contracts with multispecialty groups to provide services? **Group model**

**Question 20**: Which of the following healthcare programs is available for members of the uniformed services, their families, and survivors, and retired members and their families? **TRICARE**