9 Medical Expense exam Questions and
Answers (Solved Papers)
Sylvia is a participant in a Preferred Provider Organization and
finds that if she opts to use a provider outside the network:
A
Her PPO will not pay at all
B
Her PPO will cover any charges in full
C
Her PPO will pay only if the circumstances for care were
precipitated by an emergency
D
Her PPO will pay a reduced amount with Sylvia paying the
balance - Correct Answers ✅Her PPO will pay a reduced
amount with Sylvia paying the balance
Sylvia's PPO will provide the maximum benefit when she uses
in-network providers.
A facility, usually staffed 7 days a week, where a patient can
receive treatment for acute, but non-life threatening, medical
conditions without an appointment is called a(n):
A
Skilled Nursing Facility
B
Urgent Care Center
C
, 9 Medical Expense exam Questions and
Answers (Solved Papers)
Home Health Care Center
D
Surgicenter - Correct Answers ✅Urgent Care Center
An Urgent Care Center is a facility, usually staffed 7 days a
week, where a patient can receive treatment for acute, but
non-life threatening, medical conditions without an
appointment.
HMOs may provide one or more of the following supplemental
benefits, except:
A
Physical therapy
B
Psychological services
C
Adult dental care
D
Private hospital rooms - Correct Answers ✅Private hospital
rooms
Private rooms are not normally covered under HMOs, unless
determined to be medically-necessary.
Answers (Solved Papers)
Sylvia is a participant in a Preferred Provider Organization and
finds that if she opts to use a provider outside the network:
A
Her PPO will not pay at all
B
Her PPO will cover any charges in full
C
Her PPO will pay only if the circumstances for care were
precipitated by an emergency
D
Her PPO will pay a reduced amount with Sylvia paying the
balance - Correct Answers ✅Her PPO will pay a reduced
amount with Sylvia paying the balance
Sylvia's PPO will provide the maximum benefit when she uses
in-network providers.
A facility, usually staffed 7 days a week, where a patient can
receive treatment for acute, but non-life threatening, medical
conditions without an appointment is called a(n):
A
Skilled Nursing Facility
B
Urgent Care Center
C
, 9 Medical Expense exam Questions and
Answers (Solved Papers)
Home Health Care Center
D
Surgicenter - Correct Answers ✅Urgent Care Center
An Urgent Care Center is a facility, usually staffed 7 days a
week, where a patient can receive treatment for acute, but
non-life threatening, medical conditions without an
appointment.
HMOs may provide one or more of the following supplemental
benefits, except:
A
Physical therapy
B
Psychological services
C
Adult dental care
D
Private hospital rooms - Correct Answers ✅Private hospital
rooms
Private rooms are not normally covered under HMOs, unless
determined to be medically-necessary.
