Exam 20: Basics of Health Insurance

The maximum amount of money third-party payers will pay for a specific procedure or service is called the:

The TRICARE option that is similar to a preferred provider network is TRICARE:

Organizations that fund their own insurance programs offer their employees:

Which type of protection, formerly called catastrophic insurance, provides coverage for especially large medical bills resulting from a prolonged illness?

Insurance that protects a person in the event of a certain type of accident, such as an automobile or plane crash, is called:

The physician who enters into a contract with an insurance company and agrees to certain rules and regulations is called a ______ provider.

A policy that covers a number of people under a single master contract issued to the employer or to an association with which they are affiliated and that is not self-funded is usually called:

Which of the following is not an advantage of managed care?

The federal- and state-sponsored health insurance program for the medically indigent is called:

The amount of money the policyholder pays per claim or per accident toward the total amount of an insured loss before the company will pay on the claim is known as the:

A review of individual cases by a committee to make sure that services are medically necessary and to study how providers use medical care resources is called a(n):

A physician can choose whether to accept Medicaid patients.

The individual entitled to receive benefits from an insurance policy or program is called the:

Which type of HMO model consists of physicians with separately owned practices who formally organize into a group but continue to practice in their own offices?

Entities that make payment on an obligation or debt but are not parties of the contract that created the debt are called:

Approximately _____% of people in the United States have no health insurance coverage.

The amount of money paid to keep an insurance policy in force is the:

If Mr.Jones's insurance has a $500 deductible and a $50 surgery co-pay, how much will his insurance pay on his bill of $4,359?

Health insurance designed for military dependents and retired military personnel is:

Which part of Medicare covers prescription drug services?