online exam health

Question 1

1.  

Self-funded or self-insurance programs are health insurance programs that are implemented and controlled by the employee themselves.  Therefore, the employee maintains the risk.

 

 True

 False

10 points   

Question 2

1.  

 A company who provides their own health insurance will purchase reinsurance from another insurance company to protect themselves from any catastrophic losses. The reinsurance sets a stop loss measure that limits the amount the company will pay for claims.

 True

 False

10 points   

Question 3

1.  

Flexible spending accounts (FSA) provide employees with the option of setting aside pretax income to pay for out of pocket medical expenses. Employees must submit claims for these expenses and are reimbursed from their spending accounts. The drawback is that the amount set aside must be spent within one year.

 True

 False

10 points   

Question 4

1.  

The most common type of prospective reimbursement is a service benefit plan which is used primarily by managed care organizations.

 True

 False

10 points   

Question 5

1.  

Used in both fee for service and prepaid plans, premiums are costs that the patient must pay at the time they receive the services.

 True

 False

10 points   

Question 6

1.  

 A recent trend in health insurance plans is consumer driven health plans which are tax advantage plans with high deductible coverage. The most common CDHPs are health reimbursement arrangements (HRAs) and health savings accounts (HSAs).

 True

 False

10 points   

Question 7

1.  

Very few insurance policies require a contribution from the covered individual which may be a copayment, deductible or coinsurance which is called cost sharing.

 True

 False

10 points   

Question 8

1.  

Medicare is an entitlement program because people, after paying into the program for years, are entitled to receive benefits.

 True

 False

10 points   

Question 9

1.  

Why was health insurance developed?

		To reduce the amount of absenteeism by employees.
		Companies’ felt responsible for the health of their employees.
		Companies wanted to provide free health care services to their employees.
		Like homeowner’s insurance or life insurance, provide protection to an employee in the event they required health care.

10 points   

Question 10

1.  

Most insurance policies require a monetary contribution from the covered individual which is called:

		Copayment
		Deductible
		Coinsurance
		All three are correct.

10 points   

Question 11

1.  

Catastrophic health insurance policies provide which of the following:

		Outpatient and inpatient services, surgery, laboratory testing and therapies.
		Hospital services reimbursement with limits on hospital stays.
		Reimbursement for mental health diseases only.
		Unusual illnesses policy which has a high deductible and a lifetime reimbursement cap.

10 points   

Question 12

1.  

The Flexible Spending Account (FSA) has the following characteristics:

		An option of setting aside pretax income to pay for out of pocket medical expenses.
		The funds accumulated over a year must be spent within the year.
		Allows employees who work for small companies (less than 50 employees) who have high deductible plans, can use an MSA to set aside pretax dollars to be used for their premiums and non reimbursed healthcare expenses.
		All of the statements are correct.

10 points   

Question 13

1.  

What is Medicare Part B?

		It is the managed care component of Medicare.
		Provides for prescription drug plans
		Supplemental health plan to cover physician services.
		It is financed from payroll taxes.

10 points   

Question 14

1.  

Which sector of healthcare service accounted for the most spending?

		Clinical services
		Hospital services
		Podiatrists and chiropractors
		Home healthcare services

10 points   

Question 15

1.  

Medicare is an example of what type of health insurance?

		Public welfare insurance
		Social insurance
		Managed care insurance
		None are correct

10 points   

Question 16

1.  

A copayment, deductible and coinsurance are also called:

		Cost sharing
		Medigap expenses
		Self funded expenses
		Private health expenses

10 points   

Question 17

1.  

_____________________ is an entitlement program because people have been paying into the program for years to receive benefits.

		Medicare
		Medicaid
		CHIP
		All are entitlement programs