All insurance plans include which of the following provisions?
a. Eligibility requirements
b. Coinsurance
c. Copayments
d. Deductibles
(
Q. 2) When an insurance company requires its approval prior to admission to the hospital for an elective surgery, this process is called:
a. preauthorization.
b. predetermination.
c. authorization.
d. precertification.
(
Q. 3) The amount of time a person has worked for a company can affect the:
a. insurability date.
b. eligibility date.
c. implementation date.
d. termination date.
(
Q. 4) A deductible is paid:
a. prior to the insurance plan paying.
b. after the coinsurance and prior to the insurance plan paying.
c. after the insurance plan pays.
d. when the patient is seen for the first time.
(
Q. 5) Adult children can be covered under a parent's insurance policy until the age of:
a. 21.
b. 23.
c. 26.
d. 25.
(
Q. 6) Being employed full-time at a company that offers health insurance to full-time employees is an example of:
a. indemnity.
b. required prerequisite.
c. default.
d. eligibility requirement.
(
Q. 7) BC/BS is:
a. an indemnity plan.
b. a federal program.
c. Medicare replacement insurance.
d. indigent insurance.
(
Q. 8) The insurance plan that allows the patient to choose his or her provider, hospital, and specialists is:
a. an HMO.
b. an indemnity plan.
c. a PPO.
d. a self-insured plan.
(
Q. 9) Another name for indemnity insurance plans is:
a. copayment.
b. coinsurance.
c. fee-for-service.
d. deductible.
(
Q. 10) When a patient makes an appointment, what should be included in the documentation of the appointment?
a. The time of the appointment
b. The practitioner to be seen
c. The reason for the appointment
d. All of the above
Quick Reply
