CCO Practice Exam Questions with
100% Correct Answers 2024/2025
Managed care organizations were created to manage and to develop participating provider networks.
Manged care can now be categorized according to six models. Which Model below listed below is not
considered managed care?
A. Triple Option Plan (TOP)
B. Integrated Delivery System (IDS)
C. Health Maintenance Organization (HMO)
D. Value-added Network (VAN) - ANSWERSD. Value-added Network (VAN)
Medicare Part ________ helps pay for inpatient care in a hospital, skilled nursing facility, following a
hospital stay, some home health care, and hospice.
A. C
B. A
C. D
D. B - ANSWERSB. A
What type of insurance coverage offers assistance for some low-income people, particularly children and
pregnant women and is a sponsored by state and federal governments?
A. Medicaid
B. BC/BS
C. Tricare/Champus
D. Commercial payers - ANSWERSA. Medicaid
What type of health insurance policy or other health benefit plan is offered to persons entitled to
Medicare benefits?
A. BC/BS
B. Medigap
, C.Managed Care Plans
D.Public Health Care - ANSWERSB. Medigap
________________covers the medical expenses of individuals and groups. Premiums and benefits vary
according to the type of plan offered. Group health plans usually cost less then individual health plans.
A. Liability Insurance
B. Disability Insurance
C. Automobile Insurance
D. Commercial Insurance - ANSWERSD. Commercial Insurance
Which statement is not true regarding Blue Cross Blue Shield?
A. They maintain negotiated contracts with providers of care, and they possess features that distinguish
them from other commercial health insurance groups.
B. Covers losses to a third party caused by the insured or by an object owned by the insured or on the
premises owned by the insured
C. Allow conversion from group to individual coverage
D. Guarantee the transferability of membership from one local plan to another when a change in
residency moves a policyolder into an area served by a different BCBS coporation. - ANSWERSB Covers
losses to a third party caused by the insured or on the premises owned by the insured,
Who is eligible for Tricare healthcare?
A. Active duty members of the military and their qualified family members
B. CHAMPUS =eligible retirees and qualified family members
C. Eligible survivors of members of the uniformed services
D. All of the above - ANSWERSD. All of the above
In workers' compensation, the _______________requires a statement from the patient describing the
circumstances and events surrounding the injury.
A. the First Report of Injury form
100% Correct Answers 2024/2025
Managed care organizations were created to manage and to develop participating provider networks.
Manged care can now be categorized according to six models. Which Model below listed below is not
considered managed care?
A. Triple Option Plan (TOP)
B. Integrated Delivery System (IDS)
C. Health Maintenance Organization (HMO)
D. Value-added Network (VAN) - ANSWERSD. Value-added Network (VAN)
Medicare Part ________ helps pay for inpatient care in a hospital, skilled nursing facility, following a
hospital stay, some home health care, and hospice.
A. C
B. A
C. D
D. B - ANSWERSB. A
What type of insurance coverage offers assistance for some low-income people, particularly children and
pregnant women and is a sponsored by state and federal governments?
A. Medicaid
B. BC/BS
C. Tricare/Champus
D. Commercial payers - ANSWERSA. Medicaid
What type of health insurance policy or other health benefit plan is offered to persons entitled to
Medicare benefits?
A. BC/BS
B. Medigap
, C.Managed Care Plans
D.Public Health Care - ANSWERSB. Medigap
________________covers the medical expenses of individuals and groups. Premiums and benefits vary
according to the type of plan offered. Group health plans usually cost less then individual health plans.
A. Liability Insurance
B. Disability Insurance
C. Automobile Insurance
D. Commercial Insurance - ANSWERSD. Commercial Insurance
Which statement is not true regarding Blue Cross Blue Shield?
A. They maintain negotiated contracts with providers of care, and they possess features that distinguish
them from other commercial health insurance groups.
B. Covers losses to a third party caused by the insured or by an object owned by the insured or on the
premises owned by the insured
C. Allow conversion from group to individual coverage
D. Guarantee the transferability of membership from one local plan to another when a change in
residency moves a policyolder into an area served by a different BCBS coporation. - ANSWERSB Covers
losses to a third party caused by the insured or on the premises owned by the insured,
Who is eligible for Tricare healthcare?
A. Active duty members of the military and their qualified family members
B. CHAMPUS =eligible retirees and qualified family members
C. Eligible survivors of members of the uniformed services
D. All of the above - ANSWERSD. All of the above
In workers' compensation, the _______________requires a statement from the patient describing the
circumstances and events surrounding the injury.
A. the First Report of Injury form
