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204 review part IX
Comprehensive review
| Question | Answer |
|---|---|
| Define and give examples of direct and indirect costs. | Direct cost: costs completely related to a specific service.Example: personnel, equipment, cost of materials; Indirect costs are essential for the business to operate but are not a direct part of the product. Example: advertising,rent,maintenance |
| What is the difference between Medicare and Medicaid | Medicare is a federal program and Medicaid is state assistance |
| Who is eligible for Medicare & Medicaid | Medicare: 65 years old+, younger patients that are blind, widowed, disabled due to serious long term illness; Medicaid: low income, the blind, the disabled, families with dependent children deprived of supportof at least 1 parent |
| Identify the dofferences between HMO's and PPO's | HMO: insured selects a primary care physician from the providers group. The HMO is responsible for all but limited administrative needs of te PCP; PPO: enrollees recieve the greatest benefits when they use a service provider within the PPO's network. |
| Benefits of having group insurance vs. individual insurance | group insurance provides lower premiums and more benefits |
| When do insurance plans become effective | they are not effective immediately |
| CHAMPUS was replaced with what | Tricare |
| If injured on the job, you notify your emploer so you may be eligible for what? | workman's compensation |
| If a patient has medicare and medicaid which is billed first | Medicare is billed first then medicaid |
| What do the different medicare plans cover and which are optional | Medicare A: hospital, nursing facility, home health, hospice, inpatient care; B(optional): supplementary medical insurance; C(optional): offers different health care options; D(optional): prescribtion drug coverage, must join an approved insurance comp. |
Created by:
sarahiebert
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