PSBP Final Exam Review (2025/2026)
questions with correct answers
USA Spends _____ on healthcare services - correct answer ✔✔4.9 trillions; annually
Who pays for the Healthcare Services? - correct answer ✔✔- Medicare
- Medicaid
- Employer Plans
- Insurance Exchange
MedicAID - correct answer ✔✔- Low income/ disable people.
- State wide
MediCARE - correct answer ✔✔- 65 and older
- Nation/Federal Level
Employer Plans - correct answer ✔✔insurance (health plan) provided by an employer.
Insurance Exchange - correct answer ✔✔- Market for small companies and individuals
- For those not covered by Medicaid, Medicare, or other insurance.
Dual Enrolled - correct answer ✔✔Those that are enrolled in Medicare and Medicaid at the
same time.
- 65 or older adults with low income status.
, Retiree - correct answer ✔✔Those that are enrolled with Medicare and Employer healthcare
plan.
What age range is MOST probably to be uninsured? - correct answer ✔✔19-64
Rationale: 18 or lower qualifies for parents family medical plan. 65 or older; medicare.
PremiuM - correct answer ✔✔M= monthly
Amount you pay monthly to have access to the healthcare insurance.
Deductible - correct answer ✔✔Amount you pay out-of-pocket BEFORE insurance start paying.
Copay - correct answer ✔✔Fixed or established amount after meeting.
Copay = Insurance pays and you too; co payment.
Coinsurance - correct answer ✔✔Percentage of the total cost service.
Plan Sponse=or - correct answer ✔✔Plan Buyer
PBM stands for? - correct answer ✔✔Phamacy Benefit managers
What are the PBM's? - correct answer ✔✔- Administrator of prescription coverage benefits for
plan payers
- Speed up things faster in a pharmacy (they choose if your medication is covered or not.
Pharma - correct answer ✔✔Pharmaceutical, Pharma industry, Pharma manufacture, industry
questions with correct answers
USA Spends _____ on healthcare services - correct answer ✔✔4.9 trillions; annually
Who pays for the Healthcare Services? - correct answer ✔✔- Medicare
- Medicaid
- Employer Plans
- Insurance Exchange
MedicAID - correct answer ✔✔- Low income/ disable people.
- State wide
MediCARE - correct answer ✔✔- 65 and older
- Nation/Federal Level
Employer Plans - correct answer ✔✔insurance (health plan) provided by an employer.
Insurance Exchange - correct answer ✔✔- Market for small companies and individuals
- For those not covered by Medicaid, Medicare, or other insurance.
Dual Enrolled - correct answer ✔✔Those that are enrolled in Medicare and Medicaid at the
same time.
- 65 or older adults with low income status.
, Retiree - correct answer ✔✔Those that are enrolled with Medicare and Employer healthcare
plan.
What age range is MOST probably to be uninsured? - correct answer ✔✔19-64
Rationale: 18 or lower qualifies for parents family medical plan. 65 or older; medicare.
PremiuM - correct answer ✔✔M= monthly
Amount you pay monthly to have access to the healthcare insurance.
Deductible - correct answer ✔✔Amount you pay out-of-pocket BEFORE insurance start paying.
Copay - correct answer ✔✔Fixed or established amount after meeting.
Copay = Insurance pays and you too; co payment.
Coinsurance - correct answer ✔✔Percentage of the total cost service.
Plan Sponse=or - correct answer ✔✔Plan Buyer
PBM stands for? - correct answer ✔✔Phamacy Benefit managers
What are the PBM's? - correct answer ✔✔- Administrator of prescription coverage benefits for
plan payers
- Speed up things faster in a pharmacy (they choose if your medication is covered or not.
Pharma - correct answer ✔✔Pharmaceutical, Pharma industry, Pharma manufacture, industry
