
MBC Ch 5 BLUE'S/PVT INS
Authored by Terri Evans
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12th Grade
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
The Blue Cross plans were established primarily to cover
hospital expenses.
physician services.
both hospital expenses and physician services.
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Fee-for-service plans offered by private health insurance companies are also referred to as
traditional insurance plans.
indemnity insurance plans.
managed care plans.
both traditional insurance plans and indemnity insurance plans.
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
America’s oldest privately owned, prepaid medical group is the
Ross-Loos Medical Group.
INA Healthplan, Inc.
Kaiser Permanente Medical Care Program.
Health Net HMO, Inc.
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
In managed care, the health care provider who controls patient access to specialists and diagnostic testing services is referred to as:
the preferred provider
the primary care provider
the participating provider
the network provider
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which of the following is NOT considered a health maintenance organization model?
Group model
Staff model
Individual Practice Association
Indirect contract model
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A program that offers a combination of HMO-style cost management and PPO-style freedom of choice is a/an
point-of-service (POS) plan.
exclusive provider organization (EPO).
managed care organization (MCO).
physician provider group (PPG).
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A managed care plan owned and operated by a health system instead of an insurance company.
PPO
EPO
POS
PSO
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