HOSA- Health Insurance Questions and Answers Solved Correctly

PPO - Preferred Provider Organization Co-Payment - The payment to a beneficiary HMO - Health Maintenance Organization 80% - If a person has 80/20 co-insurance, what percent does the insurance company pay? What health insurance plan is sponsored by a large company who forms a contract with certain health agencies to provide certain types of health care at reduced rates? - PPO What health insurance plan used to be known as CHAMPUS? - Tricare Managed care networks are required to provide quality care at the: - Lowest cost possible For what type of Medicare must the consumer pay a premium and an initial deductible for services? - Type B John must pay $10 for each visit to his physician. What term describes the $10 payment? - Copayment Statistics show that the cost of healthcare is approximately what percent of the gross national product? - 17.8% Karla has been receiving social security for two years and now has a disability. What federal insurance is she eligible for? - MedicaidWhat kind of insurance covers a worker who is injured on the job? - Worker's Compensation What happens if a person who belongs to an HMO goes to see a doctor who is not affiliated with his HMO? - The patient pays the entire cost of the doctors visit. What is the disadvantage of belonging to an HMO? - Required to use only HMO affiliated providers If you work for a company with a group insurance plan, who usually pays all or part of the premium? - The company What approach to controlling rising healthcare costs requires a second opinion before the company will pay for surgery? - Managed Care What health insurance plan is funded by the U.S. government for military personnel and their families? - Tricare When someone uses Medicare to pay for health care services, what percent does the individual pay? - 20% Who administers Workers Compensation - local governments, the state, the federal government, or private industry? - The state