HMP 401 EXAM 1 - UNH UPDATED QUESTIONS AND CORRECT ANSWERS

HMP 401 EXAM 1 - UNH UPDATED QUESTIONS
AND CORRECT ANSWERS

Question:
1. What are the three types of health insurance?
Answer:
Private-usually from an employer Open Market Private- individual purchases themselves Governmental-
medicare and medicaid

Question:
2. Define Managed Care
Answer:
A type of insurance plan that manages care by looking for efficiencies and integration of basic care and
using mechanisms to control cost. This is a common type of insurance.

Question:
3. Define Insurance Companies
Answer:
Insurance companies began during WWII, first as workers compensation, then as employee benefit
because wages were frozen. Health insurance employer contribution are not taxed. Insurance companies
contract with employers, hospitals, and providers.

Question:
4. What are some examples of insurance companies?
Answer:
Anthem, Blue Cross, Harvard Pilgrim

Question:
5. What is an Enrollee?
Answer:
Individual who has insurance with a certain company

Question:
6. Tri-Care
Answer:
Military insurance- for the enlisted and family.

Question:
7. Define Special Populations (AKA Vulnerable populations)
Answer:
People with health needs but inadequate resources to address the needs. This group of people are usually
covered by a government health insurance plan.

Question:
8. What three groups of people are covered with Medicare?

, Answer:
1. Anyone 65 or over
2. Individuals with chronic disability that they have had for over a year and interfered with ability to work
3. Individuals with end stage renal disease/dialysis

Question:
9. What is the official title of Medicare?
Answer:
Title 18 of the Social Security Act of 1965

Question:
10. What are the two of the four parts of Medicare that we have learned thus far?
Answer:
A) designed to use social security funds to finance inpatient hospital care and short term nursing home
stays
B) Covers doctor's office visits

Question:
11. True/False: Medicare works anywhere in the country.
Answer:
True

Question:
12. What is medicaid?
Answer:
Medicaid provides coverage for low income adults, children and elderly and individuals with disabilities.

Question:
13. True/False: Medicaid works anywhere in the country.
Answer:
False, it is state specific.

Question:
14. Can you get coverage with medicaid in a different state?
Answer:
Medicaid does not cross state lines for coverage. Special permission is usually required.

Question:
15. What is the official title of Medicaid?
Answer:
Title 19 of the Social Security Act of 1965

Question:
16. What is CHIP?
Answer:
Children's Health Insurance Program- from the federal government.