#1
Which of the following is NOT a common type of health insurance plan?
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Individual Retirement Account (IRA)
Exclusive Provider Organization (EPO)
#2
Which of the following factors may influence the cost of health insurance premiums?
The insured's age and gender
The insured's favorite color
The insured's shoe size
The insured's blood type
#3
Which federal program provides health insurance coverage for individuals aged 65 and older?
Medicaid
Children's Health Insurance Program (CHIP)
Veterans Health Administration (VHA)
Medicare
#4
What is the purpose of a health insurance premium?
To provide coverage for preventive care services
To limit the total amount of coverage provided
To share the cost of covered services between the insurance company and the insured
To exclude certain medical conditions from coverage
#5
Which of the following statements is true regarding Medicaid?
It is a federal program that provides health insurance to individuals aged 65 and older.
It is funded solely by the federal government.
It is administered by the Department of Veterans Affairs.
It provides health coverage to low-income individuals and families.
#6
Which of the following is a type of health insurance plan where the insured can choose any healthcare provider and does not need a referral to see a specialist?
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Exclusive Provider Organization (EPO)
Point of Service (POS)
#7
Which federal agency oversees the implementation of the Affordable Care Act (ACA) in the United States?
Department of Health and Human Services (HHS)
Centers for Disease Control and Prevention (CDC)
Food and Drug Administration (FDA)
National Institutes of Health (NIH)
#8
What is the purpose of a deductible in a health insurance plan?
To limit the total amount of coverage provided
To cover preventive care services
To reduce out-of-pocket expenses
To share the cost of covered services between the insurance company and the insured
#9
What is 'co-insurance' in the context of health insurance?
A fixed dollar amount paid by the insured for covered services
A percentage of covered expenses paid by the insured after the deductible is met
A type of health insurance plan available only to government employees
A limit on the total amount of coverage provided
#10
What is the main difference between a copayment and coinsurance in health insurance?
Copayment is a fixed amount paid by the insured for covered services, while coinsurance is a percentage of covered expenses paid by the insured after the deductible is met.
Copayment is the total amount of expenses paid by the insured, while coinsurance is a percentage of expenses paid by the insurance company.
Copayment is only applicable to prescription drugs, while coinsurance is applicable to all medical services.
Copayment and coinsurance are terms used interchangeably in health insurance.
#11
Which of the following is a characteristic of a High Deductible Health Plan (HDHP)?
Low annual deductible
No out-of-pocket maximum limit
Eligibility to contribute to a Health Savings Account (HSA)
Coverage for all medical expenses with no cost-sharing
#12
What is the purpose of a network in a health insurance plan?
To limit the number of covered services
To connect insured individuals with healthcare providers who have agreed to provide services at discounted rates
To increase the out-of-pocket expenses for insured individuals
To exclude certain medical conditions from coverage
#13
Which of the following is true about the Affordable Care Act (ACA) in the United States?
It mandates that all individuals must purchase health insurance or face a penalty.
It only provides subsidies for high-income individuals to purchase health insurance.
It allows insurance companies to deny coverage based on pre-existing conditions.
It aims to increase access to affordable health insurance and reduce the uninsured rate.
#14
What is a Health Reimbursement Arrangement (HRA) in the context of health insurance?
A type of health insurance plan available only to government employees
A tax-advantaged account funded by an employer to reimburse employees for qualified medical expenses
A type of health insurance plan that requires referrals to see specialists
A limit on the total amount of coverage provided
#15
What is the purpose of a Health Savings Account (HSA)?
To provide retirement income
To invest in stocks and bonds
To save money for qualified medical expenses
To purchase health insurance
#16
What is the purpose of a pre-existing condition clause in health insurance policies?
To limit coverage for conditions that existed before the policy was purchased
To provide coverage for all medical conditions without exceptions
To waive the deductible for certain medical conditions
To allow coverage only for conditions that develop after the policy is purchased
#17
What is the purpose of a prior authorization requirement in health insurance?
To waive the deductible for certain medical conditions
To increase out-of-pocket expenses for insured individuals
To limit access to certain medical services or treatments
To provide coverage for all medical expenses