
Week 2 Review

Quiz
•
Health Sciences
•
University
•
Medium
Elizabeth Teague
Used 4+ times
FREE Resource
15 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
When a payment for a service covered by health insurance is made, what is that payment called?
Benefit
Premium
Deductible
Assignment
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
When the insurance company pays 80% of the allowed charge, and the patient pays the remaining 20%, what is the patient’s portion called?
Benefit
Deductible
Co-payment
Coinsurance
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Mary and Tom Weatherly both work and participate in the family health insurance plan offered by their separate employers. What term relates to the rules used by their insurance companies relating to paying for services?
Coinsurance
Birthday rule
Double coverage
Coordination of benefits
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Mary and Tom divorced after a few years. However, they both continued to work and share custody of their children (joint custody). The children reside with Mary. Neither parent has remarried. Tom is the “responsible party” for the children. Whose insurance is the primary insurance for the children?
Both
Tom’s
Mary’s
The birthday rule applies
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Tom's insurance plan is a traditional indemnity insurance plan. If Tom wants to make an appointment with a dermatologist to treat his acne, what must he do?
Simply make the appointment.
Obtain a referral from his primary care physician.
Visit the plan website and fill out a request for referral form.
Call the insurance company and obtain a preauthorization number.
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
For which of the following must the patient pay a regular monthly premium?
Medicare Part A
Medicare Part B
Neither A nor B— the cost is the same
Neither A nor B—there is no cost for either plan
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What percentage of the allowed charges will Medicare pay a participating physician for office services if the patient has already met the annual deductible?
20%
50%
80%
100%
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