Types of Insurance| CPC Professional Board Exam| Latest Update 2025| 100%

Types of Insurance| CPC Professional Board Exam| Latest Update 2025| 100% Time Limit Varies by state, If it is submitted after time limit, claim can be reduced or rejected unless there is valid justification by state laws MEDICARE Is a 100 percent federally funded health plan that covers people who are sixtyfive and over and those who are disabled or have permanent kidney failure (end-stage renal disease, or ESRD). What is the purpose of health insurance? Health insurance helps cover the cost of medical expenses and can protect against high or unexpected healthcare costs. What is the difference between private and public health insurance? Private health insurance is offered by private companies, while public health insurance is provided by the government, such as Medicare and Medicaid. What is Medicaid? Medicaid is a joint federal and state program that provides health coverage for low-income individuals and families. What is Medicare? Medicare is a federal program that provides health insurance to individuals aged 65 and older, and to some younger individuals with disabilities. 2 What is the difference between Medicare Part A and Part B? Medicare Part A covers inpatient hospital care, while Part B covers outpatient services, such as doctor visits and preventive care. What is a Health Maintenance Organization (HMO)? An HMO is a health insurance plan that requires members to choose a primary care physician and get referrals to see specialists within the network. What is a Preferred Provider Organization (PPO)? A PPO is a health insurance plan that allows members to see any healthcare provider, but offers better rates for using in-network providers. What is a high-deductible health plan (HDHP)? An HDHP is a health insurance plan with higher deductibles and lower premiums, often paired with a Health Savings Account (HSA). What is a Health Savings Account (HSA)? An HSA is a tax-advantaged savings account that individuals can use to pay for qualified medical expenses, typically in conjunction with an HDHP. What is an Exclusive Provider Organization (EPO)? An EPO is a health insurance plan that only covers services provided by doctors or hospitals within its network, except in emergencies. 3 What is a point-of-service (POS) plan? A POS plan is a type of managed care plan that combines features of HMO and PPO plans, requiring members to select a primary care physician but allowing out-of-network care at a higher cost. What is an indemnity insurance plan? An indemnity insurance plan, also known as a fee-forservice plan, allows patients to see any doctor or specialist without a referral, but the insurer pays a percentage of the costs. What is long-term care insurance? Long-term care insurance helps cover the cost of services that are not covered by regular health insurance, such as care in nursing homes or assisted living facilities. What is short-term health insurance? Short-term healt