PSBP FINAL EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2025/2026
How much does the U.S spend on healthcare services annually? - Answers Over $4.3 trillion
Define the following term:
Private health insurance from your job/employer. - Answers Commercial health plan
Define the following term:
Public health insurance for low-income, disabled, pregnant persons, and children. - Answers
Medicaid
Define the following term:
Public health insurance for 65 years of age or older and some disabled persons. - Answers
Medicare
Define the following term:
Health insurance used when individuals are unable to obtain health insurance elsewhere -
Answers Insurance exchange
Which is the most popular health insurance? - Answers Commerical
What percent of U.S citizens are insured? - Answers Over 90%
A retiree might have both _____ and _____ health plans. - Answers Medicare
Commercial
Someone that is dual-enrolled has both _____ and _____ health plans. - Answers Medicaid
Medicare
Define the following term:
Amount you pay for health insurance each month. - Answers Premium
Define the following term:
,Amount you pay out of pocked before health insurance benefits kick in. - Answers Deductible
Define the following term:
Fixed amount you pay for services after meeting your deductible. - Answers Copay
Define the following term:
Percentage of costs you pay for services after meeting your deductible - Answers Co-insurance
Define the following term:
Administrator of prescription coverage benefits from plan payers. - Answers Pharmacy benefits
manager (PBM)
Define the following term:
The pharmaceutical company/industry. - Answers Pharma
Define the following term:
Price concession paid by Pharm. - Answers Rebate
Define the following term:
Someone who has an interest in something. - Answers Stakeholder
_____ benefits are services for medical expenses.
_____ benefits are services for covered prescription medications. - Answers Medical
Pharmacy
Define the following term:
, A list of doctors, pharmacies, and hospitals that are covered by the payer. - Answers Network
Define the following term:
The process that applies business principles to healthcare. - Answers Managed care
Define the following term:
Most restrictive healthcare plan with low premiums. - Answers Health maintenance organization
(HMO)
Define the following term:
Least restrictive healthcare plan with high premiums. - Answers Preferred provider organization
(PPO)
True/False:
EPOs and POSs are hydrids of HMOs and PPOs. - Answers True
What does EPO stand for?
What does POS stand for? - Answers Exclusive provider organization
Point of service
True/False:
Individuals with PPO health plans must see a PCP before going to a specialist. - Answers False
True/False:
How much does the U.S spend on healthcare services annually? - Answers Over $4.3 trillion
Define the following term:
Private health insurance from your job/employer. - Answers Commercial health plan
Define the following term:
Public health insurance for low-income, disabled, pregnant persons, and children. - Answers
Medicaid
Define the following term:
Public health insurance for 65 years of age or older and some disabled persons. - Answers
Medicare
Define the following term:
Health insurance used when individuals are unable to obtain health insurance elsewhere -
Answers Insurance exchange
Which is the most popular health insurance? - Answers Commerical
What percent of U.S citizens are insured? - Answers Over 90%
A retiree might have both _____ and _____ health plans. - Answers Medicare
Commercial
Someone that is dual-enrolled has both _____ and _____ health plans. - Answers Medicaid
Medicare
Define the following term:
Amount you pay for health insurance each month. - Answers Premium
Define the following term:
,Amount you pay out of pocked before health insurance benefits kick in. - Answers Deductible
Define the following term:
Fixed amount you pay for services after meeting your deductible. - Answers Copay
Define the following term:
Percentage of costs you pay for services after meeting your deductible - Answers Co-insurance
Define the following term:
Administrator of prescription coverage benefits from plan payers. - Answers Pharmacy benefits
manager (PBM)
Define the following term:
The pharmaceutical company/industry. - Answers Pharma
Define the following term:
Price concession paid by Pharm. - Answers Rebate
Define the following term:
Someone who has an interest in something. - Answers Stakeholder
_____ benefits are services for medical expenses.
_____ benefits are services for covered prescription medications. - Answers Medical
Pharmacy
Define the following term:
, A list of doctors, pharmacies, and hospitals that are covered by the payer. - Answers Network
Define the following term:
The process that applies business principles to healthcare. - Answers Managed care
Define the following term:
Most restrictive healthcare plan with low premiums. - Answers Health maintenance organization
(HMO)
Define the following term:
Least restrictive healthcare plan with high premiums. - Answers Preferred provider organization
(PPO)
True/False:
EPOs and POSs are hydrids of HMOs and PPOs. - Answers True
What does EPO stand for?
What does POS stand for? - Answers Exclusive provider organization
Point of service
True/False:
Individuals with PPO health plans must see a PCP before going to a specialist. - Answers False
True/False:
