Exam 20: Basics of Health Insurance

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Health insurance benefits are determined by:

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Which of the following is not a disadvantage of managed care?

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A type of insurance that protects workers from loss of wages after an industrial accident that happened on the job is called:

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A payment method in which providers are paid for each individual enrolled in a plan, regardless of whether the person sees the provider that month, is called a ______ plan.

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The purpose of health insurance is to help individuals and families offset the costs of medical care.

(True/False)
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Which of the following expenses would be paid by Medicare Part B?

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Which of the following is a type of insurance verification method?

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Health insurance typically covers services and procedures considered medically necessary.Most insurance policies also cover "elective" procedures, such as certain cosmetic surgeries, that are not considered medically necessary.

(True/False)
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Veterans of the U.S.armed forces may be covered by:

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A document that explains what expenses were paid after submission to Medicaid and sent to the physician's office is called a(n):

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Which of the following individuals would not normally be eligible for Medicare?

(Multiple Choice)
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If Mr.Jones's insurance has a $500 deductible, a $50 surgery co-pay, and then pays 80% of the charges, how much will his policy pay on his bill of $4,359?

(Multiple Choice)
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Which type of referral is usually processed immediately?

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