SAP Finals Quiz

It is a company that allows people to be insured to avail medical services in exchange for a fixed monthly or annual fee. They would recommend doctors, hospitals, laboratories and other medical providers that are within their network.

• HMO
• PPO
• EPO
• POS

Plan participants receive the maximum benefit when they visit in-network healthcare professionals and are also offered coverage when they see out-of-network providers.

• HMO
• PPO
• EPO
• POS

A managed care plan where services are covered only if you use doctors, specialists, or hospitals in the plan’s network (except in an emergency)

• HMO
• PPO
• EPO
• POS

A type of plan where you pay less if you use providers that belong to the plan’s network; you can go out of network, but you need referrals to see a specialist.

• HMO
• PPO
• EPO
• POS

A Government Owned and Controlled Corporation (GOCC) and the administrator of the National Health Insurance Program (NHIP), aiming to provide health insurance coverage for all Filipinos and ensure affordable and accessible healthcare services.

Employees with formal employment, Kasambahays, Filipinos living abroad and those with dual citizenship are examples of philhealth _______

• Direct Contributors
• Indirect Contributors

Indigents identified by the DSWD, Senior Citizens/PWDs, Filipinos ages 21 yo and above w/o capacity to pay are examples of philhealth _______

• Direct Contributors
• Indirect Contributors

How much will be the philhealth employee share for a person earning 35,200 monthly (3pts)