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Med Insurance Exam 1
Where can you get insurance?
Which is a network?
Med Insurance Exam 1
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Answers
1
Which is a network?
Random doctors
Any clinic
Approved providers
All hospitals
2
Where can you get insurance?
Gym
Marketplace
Library
Grocery store
3
What is out-of-pocket maximum?
Deductible
Monthly premium
Annual limit
Co-payment
4
Which is a PPO?
Public Policy Office
Patient Protection Order
Private Plan Option
Preferred Provider Organization
5
You can change plans anytime
True
False
6
How does co-insurance work?
Fixed fee
Percentage split
Monthly premium
Annual limit
7
True or False: Co-payments are fixed
False
True
8
Who needs insurance?
Only sick people
Everyone
Only children
Only elderly
9
Why choose a high-deductible plan?
Lower premiums
Faster service
Better doctors
More coverage
10
After the patient's deductible has been met what is it called when their insurance kicks in?
Copayment
Coinsurance
Annual Limit
Premium
11
True or False: HMO plans need referrals
False
True
12
What is a premium?
Prescription cost
Doctor's fee
Monthly payment
Hospital bill
13
How are premiums determined?
Location
Age and health
Job title
Family size
14
Complete the sentence: Insurance helps...
Cover costs
Lose money
Avoid doctors
Increase bills
15
True or False: Medicaid is for low-income
False
True
16
Where can you find in-network doctors?
Insurance website
Hospital
Clinic
Pharmacy
17
When is open enrollment?
Specific period
Anytime
After a claim
Before a claim
18
Who pays the deductible?
Employer
Insurance company
Government
Policyholder
19
What is a formulary?
Hospital list
Insurance list
Doctor's list
Drug list
20
Complete the sentence: Co-payments are...
Fixed amounts
Monthly premiums
Annual limits
Percentage fees
21
What is an HMO?
Home Medical Option
Health Maintenance Organization
Hospital Management Office
Health Market Order
22
Strep throat would need what type of code?
CPT
HCPCS
ICD-10
ICD-9
23
Insurance is only for emergencies
False
True
24
Which is a benefit?
Covered service
Higher premium
Extra fee
More paperwork
25
How does a claim work?
Call a friend
Ignore it
Pay directly
Submit to insurer
26
Preventive care is free
True
False
27
What is a deductible?
Coverage limit
Co-payment
Fixed premium
Out-of-pocket cost
28
Which plan is government-funded?
Employer plan
PPO
Medicare
HMO
29
Swabbing a patient's throat for strep would need what type of code?
CPT
no code
ICD-10
ICD-9
30
How to choose a plan?
Ignore it
Compare options
Ask a friend
Pick randomly
31
Insurance covers all costs
True
False
32
Which plan requires primary care doctor?
HMO
Medicare
PPO
Medicaid
33
Which is a copayment?
Fixed fee
Annual deductible
Total bill
Monthly premium
34
Complete the sentence: PPO plans...
Are free
Have networks
Need referrals
Cover all costs
35
What is an EOB?
Emergency Benefits
End of Benefits
Extra Benefits
Explanation of Benefits
