A __________ is a selected group of hospitals and medical practitioners in a given area who have joined together in an effort to reduce medical costs. ...see more including answer and explanation

A disability income insurance policy usually covers _______ of a disabled person’s income. ...see more including answer and explanation

A managed health care system that finances and delivers health care services through contract providers is called ...see more including answer and explanation

A point-of-service (POS) plan is most like a health maintenance organization (HMO) in which of the following ways? ...see more including answer and explanation

A policyholder can expect the highest amount of coverage for medical care under which of the following plans? ...see more including answer and explanation

A relatively small flat dollar amount that HMO subscribers pay for each doctor visit is known as ...see more including answer and explanation

A(n) __________ provides comprehensive health services to its members for a prepaid fixed fee, equivalent to an insurance premium. ...see more including answer and explanation

AAA Healthplans Inc has made a deal with Curefast Hospitals, whereby AAA Healthplans pays Curefast $7.2 million per quarter to provide healthcare to AAA policyholders. W… ...see more including answer and explanation

According to Lonnie’s health insurance policy, she is responsible for paying 15% of all of her medical costs. This percentage is Lonnie’s: ...see more including answer and explanation

According to federal law, HMO basic health care services include all of the following EXCEPT ...see more including answer and explanation

All of the following are basic health care services offered by HMOs EXCEPT ...see more including answer and explanation

All of the following are examples of Corporate Health Insurance Fraud EXCEPT: ...see more including answer and explanation

All of the following are features of HMOs EXCEPT ...see more including answer and explanation

All of the following groups may contract with PPOs EXCEPT ...see more including answer and explanation

All of the following home health care services will be covered by group plans EXCEPT ...see more including answer and explanation

An agent representing a health maintenance organization , or as to health insurance only, an insurer transacting health insurance is defined as a(n): ...see more including answer and explanation

An individual appointed by a general lines or agency to assist that agent or agency in transacting the business of insurance from the office of that agent or agency is d… ...see more including answer and explanation

Bill is going to switch employers, and therefore switch healthcare providers. Which federal law ensures that he won't be denied coverage when he switches health plans? ...see more including answer and explanation

Cary is an insurance agent who has started to work as a third party administrator for Jamie, another insurance agent. Which of the following statements is TRUE? ...see more including answer and explanation

Characteristics of an HMO plan usually include: ...see more including answer and explanation

Co-payments are paid by ...see more including answer and explanation

Define the coverage that pays a flat amount per day for hospitalization, regardless of expenses or other insurance: ...see more including answer and explanation

Fibromyalgia is a form of: ...see more including answer and explanation

Florida law requires all Medigap insurance policies to have a "Free Look Period," which means that: ...see more including answer and explanation

George has a Medicare Supplement inurance policy, which he pays for every month with an automatic draft from his bank account. One month, a glitch in his bill pay system… ...see more including answer and explanation

HMOs can be a key factor in reducing ...see more including answer and explanation

HMOs include all of the following features EXCEPT ...see more including answer and explanation

HMOs may provide supplemental health care services. Which of the following is NOT a supplemental health care service? ...see more including answer and explanation

Health maintenance organizations are known for stressing the provision of ...see more including answer and explanation

In a health maintenance organization, the role of gatekeeper is performed by the insured's ...see more including answer and explanation

In a medical report, the CTD refers to: ...see more including answer and explanation

Individuals CANNOT purchase comprehensive health or catastrophic health insurance plans: ...see more including answer and explanation

Jamie fractured her tibia after a 5-hour pre-season training session. Her doctor said that the fracture was caused by excessive training. This kind of fracture is best d… ...see more including answer and explanation

Jane’s health insurance policy has a supplemental coverage that pays a flat daily amount if Jane were to be admitted into a hospital. What type of supplemental coverage … ...see more including answer and explanation

Jim's health insurance policy states that he is responsible for 10% of the total cost of his medical bills. This percentage might be referred to as a: ...see more including answer and explanation

Nick has a comprehensive individual health insurance policy that he purchased through an HMO, and Charity has a PPO plan through her employer. Which of the following sta… ...see more including answer and explanation

Phil heads over to visit his friend Josh, who is sick with the flu. While at the house, Josh fails to cover his mouth when he coughs and Phil ends up contacting the flu.… ...see more including answer and explanation

Provides indemnification to the insured for basic hospitalization of room and board in the hospital, nursing care, laboratory fees, operating room, medical supplies, etc… ...see more including answer and explanation

Sarah suffers acute back pain. Not satisfied with the specialists in her own network, Sarah elects to see a back specialist outside the network established by her health… ...see more including answer and explanation

Shelly has been suffering from chronic headaches for over a year. She is sure that there is something medically wrong, despite what the doctors in her network have told … ...see more including answer and explanation

Susan purchases a health insurance package. Looking it over, she realizes her policy requires her to pay $20 out-of-pocket every time she uses the benefits of the policy… ...see more including answer and explanation

The coverage that is intended to afford protection against catastrophic losses is defined as? ...see more including answer and explanation

The fixed monthly fee paid to the healthcare provider is called ...see more including answer and explanation

The health insurance contract, also called the ________________, spells out the exact provisions of a policyholder's health insurance coverage. ...see more including answer and explanation

The open enrollment period for a Medicare Supplement policy starts when a person turns ____ and enrolls in Medicare, and lasts for ____. ...see more including answer and explanation

The primary difference between a preferred provider organization (PPO) and a point-of-service (POS) plan is that ...see more including answer and explanation

Under what system do a group of doctors and hospitals in a designated area contract with an insurer to provide medical services at a prearranged cost to the insured? ...see more including answer and explanation

What is the name of the fixed monthly fee paid by the HMO to the provider? ...see more including answer and explanation

Which of the following insurance packages will indemnify a policyholder for variety of hospital-related expenses such as nursing care, supplies, and rooming charges? ...see more including answer and explanation

Which of the following is NOT an example of a managed care health plan? ...see more including answer and explanation

Which of the following is NOT considered an "out-of-pocket expense" in health insurance? ...see more including answer and explanation

Which of the following is a goal of managed care plans? ...see more including answer and explanation

Which of the following organizations contracts with select doctors and hospitals to be a health care provider for its members? ...see more including answer and explanation

Which of the following statements about Health Maintenance Organizations is FALSE? ...see more including answer and explanation

Which of the following statements about health maintenance organizations (HMOs) is NOT correct? ...see more including answer and explanation

Which of the following statements about point-of-service (POS) plans is TRUE? ...see more including answer and explanation

Which of the following statements about preferred provider organizations (PPOs) is NOT correct? ...see more including answer and explanation

Which of the following statements about preferred provider organizations (PPOs) is NOT true? ...see more including answer and explanation

Which of the following statements about preferred provider organizations is NOT correct? ...see more including answer and explanation

Which of the following statements accurately describes a health maintenance organization (HMO)? ...see more including answer and explanation

Which of the following statements concerning HMOs is CORRECT? ...see more including answer and explanation

Which of the following statements pertaining to health maintenance organizations (HMOs) is CORRECT? ...see more including answer and explanation

Which of the following statements regarding health insurance benefits is CORRECT? ...see more including answer and explanation

Which of the following statements regarding health insurance is TRUE? ...see more including answer and explanation

Which of the following statements regarding persons participating in an HMO is CORRECT? ...see more including answer and explanation

Which of the following statements regarding primary care physicians is FALSE? ...see more including answer and explanation

Which of these health insurance plans would allow a policyholder to receive medical treatment at any medical facility she may choose, without a physician referral? ...see more including answer and explanation

With regard to health insurance, "out-of-pocket expenses" would include: ...see more including answer and explanation

With regards to health insurance, “out of pocket expenses” would include: ...see more including answer and explanation

__________ connect muscles to bones, whereas _________ connect bones to bones. ...see more including answer and explanation