NEW
Font size
S
M
L
XL
WorksheetsHealth care Economics
Total questions: 25
Worksheet time: 12mins
Name
Class
Date
1.
Medicare, medicaid, and TRICARE are all
a)
Private insurance plans
b)
Managed care plans
c)
Government plans
d)
Direct payment methods
2.
Medicaid
a)
Government program that pays unemployment
b)
Federal program that includes food stamps and payment to senior citizens the blind and disabled
c)
State public assistance program that helps pay health care costs for low income and disabled people
d)
Government programs that pay benefits to retired and disabled workers, their families, and the unemployed
3.
Medicare
a)
Government program that provides health care for senior citizens
b)
Government programs that pay benefits to retired and disabled workers, their families, and the unemployed
c)
Economic side effect or byproducts that affect the uninvolved third parties
d)
State and federal public assistance program that helps pay health care costs for low income and disabled people
4.
The monthly amount paid to private insurance company for health insurance coverage.
a)
Deductible
b)
Premium
c)
Co-insurance
d)
Co-pay
5.
This is offered through an employer and involves funds to be put in and be withdrawn for medical expenses.
a)
Direct payment
b)
Flexible Spending Account
c)
HMO Plan
d)
Health savings account
6.
Money a person pays before the insurance policy provides benefits.
a)
Deductible
b)
Premium
c)
Co-pay
d)
Co-insurance
7.
This involves paying tax-free money until deductible is met, after which the insurance company pays.
a)
Direct payment
b)
Flexible spending account
c)
POS plan
d)
Health savings account
8.
A flat fee paid to the service provider each time patient receives a health care service
a)
Co-insurance
b)
Premium
c)
Co-pay
d)
Deductible
9.
People use this type of payment when their insurance doesn't cover all health care costs, when they don't have health insurance, or when they don't qualify for a government plan.
a)
Prospective payment
b)
Payroll deduction
c)
Direct payment
d)
Co-insurance
10.
True or False: Excess money is forfeited at the end of the year from a health savings account.
a)
True
b)
False
11.
How much money did the passing of CHIRPA add to children's coverage?
a)
$43 billion
b)
$43 million
c)
$33 billion
d)
$33 million
12.
What is not a component of managed care?
a)
Consists of a specific group of primary care providers
b)
Encourage cost containment
c)
Provide a profit for only insurance companies
d)
Provide a lot of services
13.
Which is not a government institution?
a)
State rehab facilities
b)
Military treatment facilities
c)
Nursing homes
d)
VA hospitals
14.
When patients pay for their health care with their own money
a)
Prospective Payment
b)
Co-pay
Co-pay
Co-pay
c)
Direct payment
d)
Premium
15.
Process in which the insurer reviews decisions for physicians and other providers abut how much care to provide.
a)
Resource utilization
b)
Referral
c)
Utilization review
d)
DRGs
16.
System in which HMOs and PPOs are offered to the patient.
a)
Government plan
b)
DRG
c)
Managed Care
d)
Prospective payment system
17.
Paying the provider a fixed amount that's based on diagnosis & procedure rather than the actual cost of care.
a)
Direct Payment
b)
Co-pay
c)
Prospective Payment
d)
Premium
18.
This plan allows patients to receive care from non-plan provider, but requires them to pay high out-of-pocket price if they do.
a)
HMO
b)
PPO
c)
POS
d)
Government plan
19.
A 30-year old woman broke her arm and went to he emergency room for treatment. Her health insurance plan has a $1,500 deductible. What does this mean?
a)
She can deduct $1,500 from the hospital bill, but must pay the rest
b)
The hospital will only charge her $1,500
c)
She needs to pay $1,500 before her insurance pays
d)
Insurance company pays $1,500 and she pays the rest
20.
Students who have health care coverage through their parents have the option to stay with the plan up to ______ years after high school graduation.
a)
4
b)
5
c)
6
d)
8
21.
What is an example of a measure designed to lower health care costs
a)
Resource utilization
b)
DRG
c)
Time management
d)
Using a EMR
22.
A store clerk has an individual health insurance plan with a $20 co-pay for in-network visits. She goes to her doctor, who is in-network twice during the year. What can she expect to pay for care for the year?
a)
$40 in co-pay
b)
Premiums plus $40 in co-pay
c)
Her premiums plus $40 in co-pay and an extra fee
d)
None of the above
23.
Which of the following is not a type of insurance plan?
a)
Health Maintenance Organization
b)
Health Provider Oragnization
c)
Preferred provider organization
d)
Point of Service
24.
Plan that offers care from only in-network providers
a)
HMO
b)
PPO
c)
POS
d)
Private plan
25.
If a person with a preexisitng condition starts a new job, his employer's health insurance company must provide him with coverage, but isn't obligated to cover costs associated with the condition.
a)
True
b)
False
Reset
