Medical Insurance Chapter 1 Study Guide
Exam Questions and Answers (Solved
Papers)
Preferred Provider Organization (PPO) - Correct Answers
✅a managed care network of providers under contract to
provide services at discounted fees
Copayment - Correct Answers ✅an amount that an insured
person pays at the time of a visit to a provider
Health Maintenance Organization (HMO) - Correct Answers
✅an organization that contracts with a network of providers
for the delivery of health care for a prepaid premium
Certification - Correct Answers ✅recognition of a superior
level of skill by an official organization
Schedule of Benefits (SOB) - Correct Answers ✅A list of
medical services covered under an insurance policy
Indemnity - Correct Answers ✅health plan that protects
beneficiaries against losses
Fee-for-service (FFS) - Correct Answers ✅payment method
based on provider's charges
Coinsurance - Correct Answers ✅the percentage of each
claim that an insured person must pay
, Medical Insurance Chapter 1 Study Guide
Exam Questions and Answers (Solved
Papers)
Etiquette - Correct Answers ✅standards of professional
behavior
Electronic Health Record (EHR) - Correct Answers ✅a
computerized lifelong health care record for an individual that
incorporates data from providers who treat the individual
Compliance - Correct Answers ✅actions that are performed
to satisfy official requirements
Consumer-driven health plan (CDHP) - Correct Answers
✅type of medical insurance combining a high deductible
health plan and a medical savings plan
Self funded(self insured) health plans - Correct Answers
✅a method by which organizations pay for health insurance
directly and set up a fund from which to pay
In an HMO with a gatekeeper system a(n) _____ coordinates
the patient's care and provides referrals - Correct Answers
✅PCP
Which of the following combines a health plan that has a high
deductible and low premiums with a special "savings
Exam Questions and Answers (Solved
Papers)
Preferred Provider Organization (PPO) - Correct Answers
✅a managed care network of providers under contract to
provide services at discounted fees
Copayment - Correct Answers ✅an amount that an insured
person pays at the time of a visit to a provider
Health Maintenance Organization (HMO) - Correct Answers
✅an organization that contracts with a network of providers
for the delivery of health care for a prepaid premium
Certification - Correct Answers ✅recognition of a superior
level of skill by an official organization
Schedule of Benefits (SOB) - Correct Answers ✅A list of
medical services covered under an insurance policy
Indemnity - Correct Answers ✅health plan that protects
beneficiaries against losses
Fee-for-service (FFS) - Correct Answers ✅payment method
based on provider's charges
Coinsurance - Correct Answers ✅the percentage of each
claim that an insured person must pay
, Medical Insurance Chapter 1 Study Guide
Exam Questions and Answers (Solved
Papers)
Etiquette - Correct Answers ✅standards of professional
behavior
Electronic Health Record (EHR) - Correct Answers ✅a
computerized lifelong health care record for an individual that
incorporates data from providers who treat the individual
Compliance - Correct Answers ✅actions that are performed
to satisfy official requirements
Consumer-driven health plan (CDHP) - Correct Answers
✅type of medical insurance combining a high deductible
health plan and a medical savings plan
Self funded(self insured) health plans - Correct Answers
✅a method by which organizations pay for health insurance
directly and set up a fund from which to pay
In an HMO with a gatekeeper system a(n) _____ coordinates
the patient's care and provides referrals - Correct Answers
✅PCP
Which of the following combines a health plan that has a high
deductible and low premiums with a special "savings
