AES Insurance Quiz with verified solutions 2023/2024

AES Insurance QuizWhat level of government administers Medicare? - correct answer Federal With fee-for-service plans, patients are reimbursed for health care expenses after out-of-pocket payments are made. - correct answer True Why do HMOs encourage their clients to practice healthy lifestyles and to seek preventive care? - correct answer It is cheaper to prevent an illness than to treat an illness. If an insurance carrier agrees to pay 75% of the cost of a service and requests the patient pay the remaining 25%, this is what kind of expenses? - correct answer Coinsurance When a patient signs an Assignment of Benefits form, who is the patient authorizing to receive the benefits? - correct answer The physician If an individual is enrolled in an insurance plan through a benefits package at work, what kind of enrollment is this? - correct answer Group Which of the following definitions best describes health insurance? - correct answer A contract protecting patients from financial loss in case of illness Which type of managed care plan does NOT require patients to pay a deductible for in-network visits? - correct answer Point of Service Plan (POS) Which of the following is an advantage to choosing a fee-for-service plan? - correct answer The patient can receive care from any provider. Kaya Hernandez is a beneficiary of her husband's group insurance plan, but also recently purchased her own individual insurance plan. In this case, which of the insurance policies would provide primary coverage for her? - correct answer Kaya Hernandez's What is the goal of managed care insurance? - correct answer To reduce medical expenses by maintaining healthy lifestyles Who grants pre-authorization for treatments? - correct answer Insurance carrier Which type of managed care plan generally reimburse physicians using capitation? - correct answer Health maintenance organizations A medical office assistant must do the following for all new patients? - correct answer Make a copy of the patient's medical insurance card What is an insurance carrier? - correct answer A company that provides insurance plans What is one advantage of individual insurance over group insurance? - correct answer More choice of policies How often must a patient meet the deductible? - correct answer Each year Jesse Lukas is a beneficiary of both his mother's and his father's insurance policies. His mother's birthday is November 1, and his father's birthday is on December 2. Which parent's policy will provide Jesse's primary coverage? - correct answer His mother's If there is doubt about a patient's insurance eligibility, who should the assistant contact? - correct answer The insurance carrier Why do managed care plans require patients to obtain referrals before visiting specialists? - correct answer To support the medical necessity of the visit