HPEX 300 Health Care Delivery In U.S
Exam 3 Questions With 100% Correct
Answers
quad-functionTmodelT-TCorrectTAnswer-
financing,Tinsurance,Tdelivery,Tpayment
QuadTFunctionTModel:TFinancingT-TCorrectTAnswer-
toTbuyTinsuranceTorTtoTpayTforThealthTcareTservicesTconsumedTusuallyT
empoweredTbased
QuadTFunctionTModel:TinsuranceT-TCorrectTAnswer-
toTprotectTagainstTcatastrophicTrisk.TDetermineTtheTpackageTtheTindivi
dualTisTeligibleTtoTreceive
QuadTFunctionTModel:TdeliveryT-TCorrectTAnswer-
Provider:TanyTentityTthatTdeliversThealthTcareTservicesTandTreceivesTins
uranceTpaymentTdirectlyTforTthoseTservices
QuadTFunctionTModel:TpaymentT-TCorrectTAnswer-
Reimbursement:TtheTdeterminationTofThowTmuchTtoTpayTforTaTservice
FundsTcomeTfromTpremiumsTpaidTtoTinsuranceTcompany
,PatientTusuallyTpaysTco-
pay,TandTtheTinsuranceTcompanyTpaysTremainder
InsuranceT-TCorrectTAnswer-ToTprotectTagainstTcatastrophicTrisks
RiskT-TCorrectTAnswer-
TheTpossibilityTofTsubstantialTfinancialTlossTfromTsomeTeventTwhereTpr
obabilityTofToccurrenceTisTsmall
beneficiaryT-TCorrectTAnswer-oneTwhoTreceivesTbenefits
-T"theTinsured"
PremiumT-TCorrectTAnswer-
AmountTchargedTbyTinsurerTtoTunsureTagainstTrisk
-employer-employeeTcostTsharing
CostTSharingT-TCorrectTAnswer-
TheTshareTofTcostsTcoveredTbyTyourTinsuranceTthatTyouTpayToutTofTyour
Tpocket
whatTthreeTtermTdescribeTcostTsharing?T-TCorrectTAnswer-
deducible,Tcopayment,Tcoinsurance
, deducibleT-TCorrectTAnswer-
AmountTtheTinsuredTpaysTfirstTbeforeTbenefitsTareTpaidTbyTtheTplan.
-payTannually
CopaymentT-TCorrectTAnswer-flatTamountTpaidTperTservice
CoinsuranceT-TCorrectTAnswer-
aTsetTproportionTofTtheTmedicalTcostsTthatTtheTinsuredTmustTpayToutTof
Tpocket
otherTwords
ATtypeTofTinsuranceTinTwhichTtheTinsuredTpaysTaTshareTofTtheTpaymentT
madeTagainstTaTclaim
costTsharingT________TmoralThazardT-TCorrectTAnswer-reduces
MoralTHazardT-TCorrectTAnswer-
LackTofTincentiveTtoTguardTagainstTriskTwhereToneTisTprotectedTfromTits
TconsequencesTbyTinsurance
Exam 3 Questions With 100% Correct
Answers
quad-functionTmodelT-TCorrectTAnswer-
financing,Tinsurance,Tdelivery,Tpayment
QuadTFunctionTModel:TFinancingT-TCorrectTAnswer-
toTbuyTinsuranceTorTtoTpayTforThealthTcareTservicesTconsumedTusuallyT
empoweredTbased
QuadTFunctionTModel:TinsuranceT-TCorrectTAnswer-
toTprotectTagainstTcatastrophicTrisk.TDetermineTtheTpackageTtheTindivi
dualTisTeligibleTtoTreceive
QuadTFunctionTModel:TdeliveryT-TCorrectTAnswer-
Provider:TanyTentityTthatTdeliversThealthTcareTservicesTandTreceivesTins
uranceTpaymentTdirectlyTforTthoseTservices
QuadTFunctionTModel:TpaymentT-TCorrectTAnswer-
Reimbursement:TtheTdeterminationTofThowTmuchTtoTpayTforTaTservice
FundsTcomeTfromTpremiumsTpaidTtoTinsuranceTcompany
,PatientTusuallyTpaysTco-
pay,TandTtheTinsuranceTcompanyTpaysTremainder
InsuranceT-TCorrectTAnswer-ToTprotectTagainstTcatastrophicTrisks
RiskT-TCorrectTAnswer-
TheTpossibilityTofTsubstantialTfinancialTlossTfromTsomeTeventTwhereTpr
obabilityTofToccurrenceTisTsmall
beneficiaryT-TCorrectTAnswer-oneTwhoTreceivesTbenefits
-T"theTinsured"
PremiumT-TCorrectTAnswer-
AmountTchargedTbyTinsurerTtoTunsureTagainstTrisk
-employer-employeeTcostTsharing
CostTSharingT-TCorrectTAnswer-
TheTshareTofTcostsTcoveredTbyTyourTinsuranceTthatTyouTpayToutTofTyour
Tpocket
whatTthreeTtermTdescribeTcostTsharing?T-TCorrectTAnswer-
deducible,Tcopayment,Tcoinsurance
, deducibleT-TCorrectTAnswer-
AmountTtheTinsuredTpaysTfirstTbeforeTbenefitsTareTpaidTbyTtheTplan.
-payTannually
CopaymentT-TCorrectTAnswer-flatTamountTpaidTperTservice
CoinsuranceT-TCorrectTAnswer-
aTsetTproportionTofTtheTmedicalTcostsTthatTtheTinsuredTmustTpayToutTof
Tpocket
otherTwords
ATtypeTofTinsuranceTinTwhichTtheTinsuredTpaysTaTshareTofTtheTpaymentT
madeTagainstTaTclaim
costTsharingT________TmoralThazardT-TCorrectTAnswer-reduces
MoralTHazardT-TCorrectTAnswer-
LackTofTincentiveTtoTguardTagainstTriskTwhereToneTisTprotectedTfromTits
TconsequencesTbyTinsurance