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Principles of Insurance and Medicare Assessment
Author :
Heisel nadine
1.
Who is the person that will be compensated for loss?
A
Insurance
B
Insurer
C
Policyholder
2.
How is called the amount of money that is pay every month to the insurance company?
A
Copayment
B
Premium
C
Deductible
3.
What is the common age to be eligible for Medicare coverage?
A
People below 65 years
B
Everybody is eligible
C
People over 65 years
4.
Does Medicare supplemental works with Medicare advantage?
A
No, Medicare supplemental works alone
B
No, Medicare supplemental only works with original Medicare
C
Yes, they coordinate benefits
5.
Which part of Medicare covers medical and preventive services?
A
Part B
B
Part A
C
Part C
6.
Which part of Medicare covers hospital care and services like skilled nursing facility care?
A
Part B
B
Part A
C
Part C
7.
How is called the stablish fee per service that Medicare has set for a provider or supplier?
A
Medicare approved amount
B
Medicare assignment
C
Medicare Limiting charge
8.
How much is the limiting charge for a provider that doesn’t accept assignment?
A
0%
B
25%
C
15%
9.
How much is the coinsurance between Medicare and Medicare supplemental?
A
80% and 20%
B
60% and 40%
C
50% and 50%
10.
True or False? The deductible is the amount that the members need to pay every benefit period
A
True
B
False
C
11.
True or False? The coinsurance it is going to become effective before the patient has met the deductible.
A
True
B
False
C
12.
True or False? The premium will cover preventive services
A
True
B
False
C
13.
True or False? One of the main characteristics of the copayment is a set amount the patient needs to paid for doctor visits
A
True
B
False
C
14.
True or False? If a patient has two supplemental plans the plan that has covered the longest will be consider the primary plan
A
True
B
False
C
15.
True or False? Medicare supplemental will always be primary to Medicare
A
True
B
False
C