Medical assistant a questions and answers already passed 2024

Medical assistant: Insurance
PPO - correct answer ✔Preferred provider organization


-Not necessary to select primary care provider
-does not need referral for a specialist
-usually higher deductible


HMO - correct answer ✔Health maintenance organization


-necessary to select primary care provider and does need a referral for a
specialist
-fixed monthly premium with little to no deductible


POS - correct answer ✔Point of service


-functions as both HMO and PPO
-not always necessary to select primary care provider
-needs a referral for a specialist if using an HMO benefits


Provider - correct answer ✔A person or instruction that gives medical care


Deductible - correct answer ✔An amount the insured must pay before policy
benefits


Benefits - correct answer ✔A sum of money provided in an insurance policy,
payable for covered services

, EPO - correct answer ✔Exclusive Provider Organization


-very similar to an HMO plan
-necessary to select primary care provider
Must use in network providers for specialist


United Healthcare - correct answer ✔Military and veterans formerly known
as tri-care


-has HMO and PPO options prime versus standard
-Active-duty does not have a co-pay
-retired pays 12
-fiscal year oct 1 to sep 30


Covered California - correct answer ✔Obama care, hmo and ppo, medical


Medicare - correct answer ✔Applies to senior of 65, U.S CITIZEN, railroad
retirement, end Stage Kidney failure, or Lou Gehrig's disease
Low income coverage and funded by the state or country


Part A - correct answer ✔Hospital (Medicare)


Part B - correct answer ✔Office Visit (Medicare)


Part C - correct answer ✔Medicare advantage Medicare benefits are signed
over to an HMO and PPO plan (medicare)