Deck 4: Paying for Services

Question 1

In 2011, the bulk of the health-care dollar expenditures were under the umbrella of ______.

A) Prescription drugs
B) Personal health care
C) Retail outlet sales
D) Durable medical equipment

Answer 1

Personal health care

Question 2

The first insurance company to provide group coverage for employees was _____.

A) AFLAC
B) State Farm
C) MetLife
D) Blue Cross Blue Shield

Answer 2

Blue Cross Blue Shield

Question 3

_____ was established to provide HIV/AIDS patients with access to care.

A) The Ryan White Program
B) CHAMPUS
C) The Synder Act
D) Medicare

Answer 3

The Ryan White Program

Question 4

The basic premise of insurance is to _____.

A) Pay for services
B) Protect against loss
C) Promote health care
D) Create a monopoly for business

Question 5

Which of the following procedures/services tends to not be covered by insurance?

A) Doctor's office visits
B) Routine care
C) Hip replacements
D) Cosmetic surgery

Question 6

The rate for group insurance is usually less than private pay because _____.

A) There are more people buying it
B) People who work are sick less often
C) The risk factor is spread wider
D) The employers pay for the coverage

Question 7

The percentage of the health-care dollar revenue that comes from investment, public health activities, out-of-pocket costs, and other third-party payers and programs is _____.

A) 15%
B) 27%
C) 45%
D) 73%

Question 8

Medicare typically pays _____ of the allowable charges after the deductible has been met.

A) 20%
B) 25%
C) 50%
D) 80%

Question 9

A health-care delivery system that directs the use of health-care services is _____.

A) Worker's Compensation
B) The American Hospital Association
C) Managed Care
D) The Affordable Care Act

Question 10

_____ is a program designed to pay for health-care costs for low-income populations.

A) Medicare
B) Medicaid
C) Medigap
D) Private insurance

Question 11

The Synder Act was created to benefit ____.

A) Low-income people
B) Native American people
C) Patients with end-stage renal disease
D) Military families

Question 12

For employer-sponsored insurance coverage, employees are able to select _____.

A) Their deductibles
B) Their premiums
C) Family coverage
D) Their co-pays

Question 13

_______ was implemented to help meet the needs of the uninsured.

A) Medicare
B) Medicaid
C) The Affordable Care Act
D) Employer-sponsored insurance

Question 14

The two categories under the umbrella of Personal Health Care are _____.

A) Prescriptions drugs and dental services
B) Retail outlet sales and physician services
C) Durable medical equipment and professional services
D) Hospital care and professional services

Question 15

The sliding fee scale is based on the _____.

A) State poverty level
B) Local poverty level
C) Type of employment
D) Federal poverty level

Question 16

Health-care providers bill for services based on _____.

A) Provider specialty
B) Time spent with patient and type of service
C) Type of insurance
D) Emergency versus nonemergency service

Question 17

Typically, individuals who qualify for Medicaid pay a co-pay for prescription drugs, which is usually _____.

A) $1.00
B) $2.00
C) $3.00
D) $4.00

Question 18

Funding appropriations for programs are determined by _____.

A) Income
B) Population needs
C) Expenditures
D) Number of service providers available

Question 19

Before formal training was expected for all physicians, _____ was customary.

A) No training
B) Learn-as-you-practice
C) Apprenticeship
D) Bartering