Biology Forums - Study Force

Dr. Lawson receives a check on 10/02/20XX for the previous month for 150 patients. The check is for the amount of 400. Attached to the check is a listing of patients. During the month of September, Dr. Lawson treated only 55 of the patients on that list. What type of insurance plan is Dr. Lawson participating in?
 A) point-of-service plan (POS)
  B) Tricare
  C) preferred provider organization (PPO)
 D)health maintenance organization (HMO)

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(Q. 2) This insurance plan is available to retired military service members and their families.
 A) Tricare Standard
  B) Medicare
  C) Medicaid
 D)Medigap

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(Q. 3) An MTF relates to what type of insurance plan?
 A) Blue Cross Blue Shield (BCBS)
  B) Tricare Prime
  C) Medicaid
 D)Medicare

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(Q. 4) In this type of plan, the carrier usually pays 80 percent of the allowed amount.
 A) health maintenance organization (HMO)
  B) indemnity plan
  C) in-network plan
 D)out-of-network plan

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(Q. 5) A health insurance plan that involves financing, managing, and delivering health care services is known as a(n) __________.
 A) deductible plan
  B) indemnity plan
  C) managed care plan
 D)in-network plan

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(Q. 6) Centers for Medicare and Medicaid Services (CMS) regulates two types of insurance plans. What are these two plans?
 A) Medicare and Medicaid
  B) preferred provider organizations (PPO) and health maintenance organizations (HMO)
  C) Blue Cross Blue Shield and Medicare
 D)Tricare and point-of-service (POS) plans

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(Q. 7) Aetna is a type of governmental insurance plan.
 
 Indicate whether the statement is true or false

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(Q. 8) A patient's insurance plan group number is found on his or her insurance identification card.
 
 Indicate whether the statement is true or false

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(Q. 9) The amount of a patient's co-payment is found on his or her insurance identification card.
 
 Indicate whether the statement is true or false

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(Q. 10) A deductible is the amount a patient is responsible for before any reimbursement is issued by the insurance company.
 
 Indicate whether the statement is true or false

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