#1
Which of the following is a common type of healthcare coverage in the United States?
Medicare
ExplanationGovernment-sponsored health insurance for individuals aged 65 and older.
#2
What does HMO stand for in healthcare?
Health Maintenance Organization
ExplanationA type of health insurance plan that emphasizes preventive care and requires members to choose a primary care physician.
#3
What does EOB stand for in the context of healthcare?
Explanation of Benefits
ExplanationA document explaining what healthcare services were paid for by insurance.
#4
What is the purpose of a health insurance network?
To establish a set of healthcare providers that contract with an insurance company
ExplanationA network of healthcare providers offering services to insurance plan members.
#5
Which of the following is NOT typically covered by a health insurance plan?
Elective cosmetic surgery
ExplanationNon-essential elective procedures like cosmetic surgery are often excluded from coverage.
#6
What is the primary function of Medicaid in the United States?
To provide healthcare coverage for low-income individuals and families
ExplanationA government program that offers health coverage to those with limited income.
#7
Which of the following is NOT typically covered by most health insurance plans?
Cosmetic surgery
ExplanationNon-essential, elective procedures often excluded from standard health coverage.
#8
Which of the following is NOT a characteristic of a Preferred Provider Organization (PPO) in healthcare?
Requires referrals to see specialists
ExplanationPPO plans typically allow direct access to specialists without referrals.
#9
What is the purpose of COBRA (Consolidated Omnibus Budget Reconciliation Act) in the United States?
To provide continuation of group health coverage that would otherwise be terminated
ExplanationAllows individuals to continue their health coverage after leaving employment.
#10
What is the role of the FDA (Food and Drug Administration) in healthcare?
Regulates the safety and efficacy of medical products, including drugs and medical devices
ExplanationGovernment agency ensuring safety and effectiveness of healthcare products.
#11
What is the meaning of 'deductible' in health insurance?
The amount you pay for covered healthcare services before your insurance plan starts to pay
ExplanationInitial out-of-pocket cost paid by the insured before insurance coverage begins.
#12
Which of the following is a characteristic of a Health Savings Account (HSA)?
Contributions are tax-deductible and withdrawals are tax-free if used for qualified medical expenses
ExplanationTax-advantaged account for saving money to cover medical expenses.
#13
What is the difference between a copayment and coinsurance in health insurance?
Copayment is a fixed amount paid for each healthcare service, while coinsurance is a percentage of costs paid after meeting the deductible
ExplanationFixed fee vs. percentage of costs paid by the insured.
#14
What is the purpose of a flexible spending account (FSA) in health insurance?
To cover out-of-pocket healthcare expenses with pre-tax dollars
ExplanationAn account allowing pre-tax dollars to be used for eligible medical expenses.