CCO EXAM QUESTIONS AND ANSWERS
100% PASS
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) - ANS 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 - ANS 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
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D. Commercial payers - ANS 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 - ANS 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 - ANS 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. - ANS 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?