CCO PRACTICE EXAM 2024/25 QUESTIONS
WITH PASSED ANSWERS!!
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) Answer - D. 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 Answer - B. 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 Answer - A. 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 Answer - B. 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 Answer - D. 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. Answer - B Covers losses to a third party caused by
the insured or on the premises owned by the insured,
Who is eligible for Tricare healthcare?
WITH PASSED ANSWERS!!
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) Answer - D. 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 Answer - B. 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 Answer - A. 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 Answer - B. 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 Answer - D. 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. Answer - B Covers losses to a third party caused by
the insured or on the premises owned by the insured,
Who is eligible for Tricare healthcare?
