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chapter 8
| Question | Answer |
|---|---|
| The FEHB is administered by which of the following? | Office of Personnel Management (OPM) |
| Which of the following apply to self-funded or self-insured health plans? | Employers cover the costs of employee medical benefits themselves rather than buying insurance from other companies. Created by large employers to save money. Employer assumes the risk of paying directly for medical services. |
| Under income tax law, the employer can collect an employee's insurance costs through a Blank______ | pretax payroll deduction |
| People who are not covered by government-sponsored health insurance are often covered by Blank______. | private insurance |
| Which of the following plan types are purchased from insurance companies by employers for their employees? | Group health plans (GHP) |
| Which of the following apply to the Federal Health Benefits (FEHB) program? | Contains more than 250 health plans. Largest employer-sponsored health program in the United States Covers more than 8 million federal employees, retirees, and their families.. |
| Which of the following types of CDHP funding options allow unused funds to roll over indefinitely? | Health savings accounts |
| Plans that coordinate patients' treatments are referred to as Blank______ | medical home model plans |
| The first part of a CDHP is a Blank______ health plan. | high-deductible |
| Consumer-driven health plans Blank______ providers' cash flow because visit copayments are being replaced by high deductibles that may not be collected until after claims are paid. | reduce |
| Which of the following are among the major national insurance payers? | CIGNA Health Care Kaiser Permanente Anthem UnitedHealth Group Humana Inc. Aetna |
| Because BCBS offers local and national programs through many individual plans, Blank______ must be used to determine the type of plan under which a person is covered. | subscriber identification cards |
| Which of the following are insurance services that are supplied by private payers? | Establishing fees Processing claims Managing insurance risk |
| A key goal of the ACA is to reduce the number of uninsured citizens and legal residents by providing affordable | individual health plans |
| Identify the act that aims to improve healthcare and protects patients in the United States. | Patient Protection and Affordable Care Act (ACA) |
| In private exchanges, employees are able to do which of the following in their IHPs? | Choose their own plans using a specific amount of money the employer allocates. |