HSA4109 Practice Quizzes 1-5 Questions AND Correct Answers
As the government mandates insurance companies to add more
benefits, health insurance premiums are likely to be impacted and: -
✔✔Increase
Can fee-for-service be used prospectively? - ✔✔Yes
Can out-of-network providers balance bill patients? - ✔✔Yes
Choose the answer that best fills in the blank: If a health plan charges
consumers different premium rates in the individual health plan
market, it is violating _____________________ provisions under the
Affordable Care Act (ACA). - ✔✔community rating
Choose the answer that best fills in the blank: If a health plan
purchases reinsurance then ______________? - ✔✔It has protection
against extremely high costs.
Did the Affordable Care Act (ACA) protect consumers from balance
billing for situation where the patient is unable to choose an in-
network provider? - ✔✔No
If a risk pool has more unhealthy, rather than healthy individuals that
experience catastrophic health events enrolling each year, an
insurance company may face: - ✔✔A death spiral
, Is the following scenario considered to be a preventive service where
the patient cannot be charged cost sharing? "A man makes quarterly
visits to his doctor to check his cholesterol levels to check his
medication dosage is appropriate. Is the service considered
preventive?" - ✔✔Not preventive, patient may pay cost sharing
Is the following scenario considered to be a preventive service where
the patient cannot be charged cost sharing? "A man receives a blood
test to determine his blood cholesterol level at his annual wellness
exam. Is the service considered preventive?" - ✔✔Preventive, patient
pays no cost sharing
Is the following scenario considered to be a preventive service where
the patient cannot be charged cost sharing? "A woman visits a doctor
in her network for a mammogram, but the results prompt the doctor
to ask her to come back for a follow-up visit and a follow-up
mammogram. Is the follow-up service considered preventive?" -
✔✔Not preventive, patient may pay cost sharing
Is the following scenario considered to be a preventive service where
the patient cannot be charged cost sharing? "A woman visits a doctor
in her network for an annual mammogram. Is the service considered
preventive?" - ✔✔Preventive, patient pays no cost sharing
Pair the regulator to the type of health insurance plans it regulates.
As the government mandates insurance companies to add more
benefits, health insurance premiums are likely to be impacted and: -
✔✔Increase
Can fee-for-service be used prospectively? - ✔✔Yes
Can out-of-network providers balance bill patients? - ✔✔Yes
Choose the answer that best fills in the blank: If a health plan charges
consumers different premium rates in the individual health plan
market, it is violating _____________________ provisions under the
Affordable Care Act (ACA). - ✔✔community rating
Choose the answer that best fills in the blank: If a health plan
purchases reinsurance then ______________? - ✔✔It has protection
against extremely high costs.
Did the Affordable Care Act (ACA) protect consumers from balance
billing for situation where the patient is unable to choose an in-
network provider? - ✔✔No
If a risk pool has more unhealthy, rather than healthy individuals that
experience catastrophic health events enrolling each year, an
insurance company may face: - ✔✔A death spiral
, Is the following scenario considered to be a preventive service where
the patient cannot be charged cost sharing? "A man makes quarterly
visits to his doctor to check his cholesterol levels to check his
medication dosage is appropriate. Is the service considered
preventive?" - ✔✔Not preventive, patient may pay cost sharing
Is the following scenario considered to be a preventive service where
the patient cannot be charged cost sharing? "A man receives a blood
test to determine his blood cholesterol level at his annual wellness
exam. Is the service considered preventive?" - ✔✔Preventive, patient
pays no cost sharing
Is the following scenario considered to be a preventive service where
the patient cannot be charged cost sharing? "A woman visits a doctor
in her network for a mammogram, but the results prompt the doctor
to ask her to come back for a follow-up visit and a follow-up
mammogram. Is the follow-up service considered preventive?" -
✔✔Not preventive, patient may pay cost sharing
Is the following scenario considered to be a preventive service where
the patient cannot be charged cost sharing? "A woman visits a doctor
in her network for an annual mammogram. Is the service considered
preventive?" - ✔✔Preventive, patient pays no cost sharing
Pair the regulator to the type of health insurance plans it regulates.
