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A 6 year-old is seen in the pediatrician office for the first time. He has
insurance coverage through both his mother (DOB: 02/08/86 and his father
(DOB: 05/15/85). Whose insurance is primary? - 🧠 ANSWER ✔✔Mother's
insurance plan
Which managed care plan has the patient receiving care from participating
providers (network provider) and the providers are only paid for services
provided? - 🧠 ANSWER ✔✔Exclusive Provider Organization (EPO)
Which TRICARE plan is similar to an HMO plan? - 🧠 ANSWER
✔✔TRICARE Prime
Which of the services are covered by Medicare Part A?
I. Skilled Nursing Facility Care
II. Ambulatory Surgery
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, III. Durable Medical Equipment
IV. Hospice Care
V. Home Health Services
VI. Long Term Care
VII. Outpatient prescription drugs - 🧠 ANSWER ✔✔I, IV, V
Which is a TRUE statement regarding Workers' Compensation? - 🧠
ANSWER ✔✔There is no copayment for the injured worker in workers'
compensation cases.
Bob sees his family physician for seasonal allergies.Before leaving, Bob
pays the charge for the office visit. As a courtesy, the physician's staff
submits a claim to Bob's insurance company. If the service is covered by
the insurance company, Bob can expect to be reimbursed for the office
visit. This is which type of insurance model? - 🧠 ANSWER ✔✔Fee-for-
service (traditional coverage)
Which of the following benefits are NOT covered by all Medigap polices? -
🧠 ANSWER ✔✔II, III, IV, V
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COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED