Lesson 10 - Private and ACA Health
Insurance - QUIZ
People who are not covered by government-sponsored health insurance are often covered by
__________. - correct answer ✔✔Private insurance
PPOs generally pay participating providers based on a discount from their physician fee schedules, called
a discounted __________. - correct answer ✔✔Fee-for-service
Health maintenance organizations were originally designed to cover all basic services for an annual
premium and visit copayments under an arrangement called __________ coverage. - correct answer
✔✔basic
Which of the following insurance services is not supplied by private payers? - correct answer
✔✔Purchasing addendum plans
Because BCBS offers local and national programs through many individual plans, __________ must be
used to determine the type of plan under which a plan is covered. - correct answer ✔✔Subscriber
identification cards
Providers must evaluate health plans and judge which plans to participate in based primarily on the
__________. - correct answer ✔✔Financial arrangements offered
When a practice's contract evaluation team is considering a participation contract, a __________ may be
asked to assist. - correct answer ✔✔Medical insurance specialist
The introductory section of a participation contract does which of the following? - correct answer ✔✔All
of the above
Which of the following types of insurance plans is not offered in MCOs? - correct answer ✔✔Private
Insurance - QUIZ
People who are not covered by government-sponsored health insurance are often covered by
__________. - correct answer ✔✔Private insurance
PPOs generally pay participating providers based on a discount from their physician fee schedules, called
a discounted __________. - correct answer ✔✔Fee-for-service
Health maintenance organizations were originally designed to cover all basic services for an annual
premium and visit copayments under an arrangement called __________ coverage. - correct answer
✔✔basic
Which of the following insurance services is not supplied by private payers? - correct answer
✔✔Purchasing addendum plans
Because BCBS offers local and national programs through many individual plans, __________ must be
used to determine the type of plan under which a plan is covered. - correct answer ✔✔Subscriber
identification cards
Providers must evaluate health plans and judge which plans to participate in based primarily on the
__________. - correct answer ✔✔Financial arrangements offered
When a practice's contract evaluation team is considering a participation contract, a __________ may be
asked to assist. - correct answer ✔✔Medical insurance specialist
The introductory section of a participation contract does which of the following? - correct answer ✔✔All
of the above
Which of the following types of insurance plans is not offered in MCOs? - correct answer ✔✔Private
