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Exam (elaborations)

PSBP FINAL Questions with Correct Answers | Updated (100% Correct Answers)

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PSBP FINAL Questions with Correct Answers | Updated (100% Correct Answers)

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Uploaded on
January 16, 2026
Number of pages
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2025/2026
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PSBP FINAL Questions with Correct Answers |
Updated (100% Correct Answers)
How much does the U.S spend on healthcare services annually? Answer: Over

$4.3 trillion


Define the following term:


Private health insurance from your job/employer. Answer: Commercial health

plan


Define the following term:


Public health insurance for low-income, disabled, pregnant persons, and children.

Answer: Medicaid


Define the following term:


Public health insurance for 65 years of age or older and some disabled persons.

Answer: Medicare


Define the following term:


Health insurance used when individuals are unable to obtain health insurance

elsewhere Answer: Insurance exchange


Which is the most popular health insurance? Answer: Commerical


What percent of U.S citizens are insured? Answer: Over 90%


A retiree might have both _____ and _____ health plans. Answer: Medicare

© 2026 All rights reserved

,2

Commercial


Someone that is dual-enrolled has both _____ and _____ health plans. Answer:

Medicaid


Medicare


Define the following term:


Amount you pay for health insurance each month. Answer: Premium


Define the following term:


Amount you pay out of pocked before health insurance benefits kick in. Answer:

Deductible


Define the following term:


Fixed amount you pay for services after meeting your deductible. Answer: Copay


Define the following term:


Percentage of costs you pay for services after meeting your deductible Answer:

Co-insurance


Define the following term:


Administrator of prescription coverage benefits from plan payers. Answer:

Pharmacy benefits manager (PBM)


Define the following term:


© 2026 All rights reserved

, 3

The pharmaceutical company/industry. Answer: Pharma


Define the following term:


Price concession paid by Pharm. Answer: Rebate


Define the following term:


Someone who has an interest in something. Answer: Stakeholder


_____ benefits are services for medical expenses.


_____ benefits are services for covered prescription medications. Answer: Medical


Pharmacy


Define the following term:


A list of doctors, pharmacies, and hospitals that are covered by the payer.

Answer: Network


Define the following term:


The process that applies business principles to healthcare. Answer: Managed

care


Define the following term:


Most restrictive healthcare plan with low premiums. Answer: Health maintenance

organization (HMO)


Define the following term:

© 2026 All rights reserved

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