Question 1

The basic premise of insurance is to _____.

Accepted Answer

A)  Pay for services 
B)  Protect against loss 
C)  Promote health care 
D)  Create a monopoly for business 
A)  Pay for services 
B)  Protect against loss 
C)  Promote health care 
D)  Create a monopoly for business B

Question 2

_______ was implemented to help meet the needs of the uninsured.

Accepted Answer

A)  Medicare 
B)  Medicaid 
C)  The Affordable Care Act 
D)  Employer-sponsored insurance 
A)  Medicare 
B)  Medicaid 
C)  The Affordable Care Act 
D)  Employer-sponsored insurance C

Question 3

_____ is a program designed to pay for health-care costs for low-income populations.

Accepted Answer

A)  Medicare 
B)  Medicaid 
C)  Medigap 
D)  Private insurance 
A)  Medicare 
B)  Medicaid 
C)  Medigap 
D)  Private insurance B

Question 4

Typically, individuals who qualify for Medicaid pay a co-pay for prescription drugs, which is usually _____.

Accepted Answer

A)  $1.00 
B)  $2.00 
C)  $3.00 
D)  $4.00 
A)  $1.00 
B)  $2.00 
C)  $3.00 
D)  $4.00

Question 5

Funding appropriations for programs are determined by _____.

Accepted Answer

A)  Income 
B)  Population needs 
C)  Expenditures 
D)  Number of service providers available 
A)  Income 
B)  Population needs 
C)  Expenditures 
D)  Number of service providers available

Question 6

A health-care delivery system that directs the use of health-care services is _____.

Accepted Answer

A)  Worker's Compensation 
B)  The American Hospital Association 
C)  Managed Care 
D)  The Affordable Care Act 
A)  Worker's Compensation 
B)  The American Hospital Association 
C)  Managed Care 
D)  The Affordable Care Act

Question 7

Which of the following procedures/services tends to not be covered by insurance?

Accepted Answer

A)  Doctor's office visits 
B)  Routine care 
C)  Hip replacements 
D)  Cosmetic surgery 
A)  Doctor's office visits 
B)  Routine care 
C)  Hip replacements 
D)  Cosmetic surgery

Question 8

The first insurance company to provide group coverage for employees was _____.

Accepted Answer

A)  AFLAC 
B)  State Farm 
C)  MetLife 
D)  Blue Cross Blue Shield 
A)  AFLAC 
B)  State Farm 
C)  MetLife 
D)  Blue Cross Blue Shield

Question 9

The Synder Act was created to benefit ____.

Accepted Answer

A)  Low-income people 
B)  Native American people 
C)  Patients with end-stage renal disease 
D)  Military families 
A)  Low-income people 
B)  Native American people 
C)  Patients with end-stage renal disease 
D)  Military families

Question 10

The two categories under the umbrella of Personal Health Care are _____.

Accepted Answer

A)  Prescriptions drugs and dental services 
B)  Retail outlet sales and physician services 
C)  Durable medical equipment and professional services 
D)  Hospital care and professional services 
A)  Prescriptions drugs and dental services 
B)  Retail outlet sales and physician services 
C)  Durable medical equipment and professional services 
D)  Hospital care and professional services

Question 11

Health-care providers bill for services based on _____.

Accepted Answer

A)  Provider specialty 
B)  Time spent with patient and type of service 
C)  Type of insurance 
D)  Emergency versus nonemergency service 
A)  Provider specialty 
B)  Time spent with patient and type of service 
C)  Type of insurance 
D)  Emergency versus nonemergency service

Question 12

Medicare typically pays _____ of the allowable charges after the deductible has been met.

Accepted Answer

A)  20% 
B)  25% 
C)  50% 
D)  80% 
A)  20% 
B)  25% 
C)  50% 
D)  80%

Question 13

For employer-sponsored insurance coverage, employees are able to select _____.

Accepted Answer

A)  Their deductibles 
B)  Their premiums 
C)  Family coverage 
D)  Their co-pays 
A)  Their deductibles 
B)  Their premiums 
C)  Family coverage 
D)  Their co-pays

Question 14

In 2011, the bulk of the health-care dollar expenditures were under the umbrella of ______.

Accepted Answer

A)  Prescription drugs 
B)  Personal health care 
C)  Retail outlet sales 
D)  Durable medical equipment 
A)  Prescription drugs 
B)  Personal health care 
C)  Retail outlet sales 
D)  Durable medical equipment

Question 15

The percentage of the health-care dollar revenue that comes from investment, public health activities, out-of-pocket costs, and other third-party payers and programs is _____.

Accepted Answer

A)  15% 
B)  27% 
C)  45% 
D)  73% 
A)  15% 
B)  27% 
C)  45% 
D)  73%

Question 16

Before formal training was expected for all physicians, _____ was customary.

Accepted Answer

A)  No training 
B)  Learn-as-you-practice 
C)  Apprenticeship 
D)  Bartering 
A)  No training 
B)  Learn-as-you-practice 
C)  Apprenticeship 
D)  Bartering

Question 17

_____ was established to provide HIV/AIDS patients with access to care.

Accepted Answer

A)  The Ryan White Program 
B)  CHAMPUS 
C)  The Synder Act 
D)  Medicare 
A)  The Ryan White Program 
B)  CHAMPUS 
C)  The Synder Act 
D)  Medicare

Question 18

The sliding fee scale is based on the _____.

Accepted Answer

A)  State poverty level 
B)  Local poverty level 
C)  Type of employment 
D)  Federal poverty level 
A)  State poverty level 
B)  Local poverty level 
C)  Type of employment 
D)  Federal poverty level

Question 19

The rate for group insurance is usually less than private pay because _____.

Accepted Answer

A)  There are more people buying it 
B)  People who work are sick less often 
C)  The risk factor is spread wider 
D)  The employers pay for the coverage 
A)  There are more people buying it 
B)  People who work are sick less often 
C)  The risk factor is spread wider 
D)  The employers pay for the coverage

Exam 4: Paying for Services

The basic premise of insurance is to _____.

_______ was implemented to help meet the needs of the uninsured.

_____ is a program designed to pay for health-care costs for low-income populations.

Typically, individuals who qualify for Medicaid pay a co-pay for prescription drugs, which is usually _____.

Funding appropriations for programs are determined by _____.

A health-care delivery system that directs the use of health-care services is _____.

Which of the following procedures/services tends to not be covered by insurance?

The first insurance company to provide group coverage for employees was _____.

The Synder Act was created to benefit ____.

The two categories under the umbrella of Personal Health Care are _____.

Health-care providers bill for services based on _____.

Medicare typically pays _____ of the allowable charges after the deductible has been met.

For employer-sponsored insurance coverage, employees are able to select _____.

In 2011, the bulk of the health-care dollar expenditures were under the umbrella of ______.

The percentage of the health-care dollar revenue that comes from investment, public health activities, out-of-pocket costs, and other third-party payers and programs is _____.

Before formal training was expected for all physicians, _____ was customary.

_____ was established to provide HIV/AIDS patients with access to care.

The sliding fee scale is based on the _____.

The rate for group insurance is usually less than private pay because _____.

Is a Career in the Health Professions Right for You

The Health-Care Environment

Types of Health-Care Facilities

Introduction to the Primary Health-Care Profession

History of Allied Health Professions

Interprofessional Approach for Patient Care

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