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HTR insurance
Review
| Question | Answer |
|---|---|
| What health insurance plan is sponsored by a large company who forms a contract with certain health agencies to provide certain types of health care at reduced rates | Preferred provider organization (PPO) |
| If a person has 80/20 co-insurance, what percent does the insurance company pay | 80 % |
| What health insurance plan covers military | Tricare |
| Managed care networks are required to provide quality care at the... | lowest possible cost |
| For what type of Medicare must the consumer pay a premium and an initial deductible for services | Type B |
| John must pay $10.00 for each visit to his physician. What term describes the $10.00 payment? | co-payment |
| What do the initials PPO stand for? | Preferred Provider Organization |
| What is the disadvantage of belonging to a HMO | Required to use only HMO affiliated providers |
| What kind of health insurance would someone who is self-employed usually have? | Private Health Insurance |
| What do the initials HMO stand for? | Health Maintenance Organization |
| Karla has been receiving social security for two years and now has a disability. What federal insurance is she eligible for? | Medicare |
| What kind of insurance covers a worker who is injured on the job? | Worker's Compensation |
| What happens if a person belongs to a HMO goes to see a doctor who is not affiliated with his HMO ? | The person pays the entire cost of the doctor visit |
| If you work for a company with a group insurance plan, who usually pays all or part of the premium? | The company |
| What approach to controlling rising health care costs requires a second opinion before the company will pay for surgery? | Managed care |
| When someone uses Medicare to pay for health care services, what percent does the individual pay? | 20 % |
| Who administers Worker's Compensation | The state |
| A person is blind is eligible for what type of state-administered medical assistance program? | Medicaid |
| Does Type A Medicare cover the cost of a nursing home | Yes or No |
| The amount that must be paid by the patient for medical services before the policy begins to pay is the ? | Deductible |
| HMO's and PPO's are the main providers of what type of care? | Managed care |
| How old do you have to be to be eligible for Medicare? | 65 |
Created by:
elblakely