Health Insurance Answers

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4

Which of the following is a limitation of PPO plans?

A
higher individual costs
B
limited to members of the U.S. military and their families
C
strict eligibility requirements
5

For an individual with minimal healthcare expenses and a small budget, which of the following plans could be an appropriate health insurance option? (Select all that apply.)

A
HMO
B
PPO
C
fixed-benefit
D
medical discount plan
6

An individual covered by a PPO plan makes a routine visit to the doctor.Every month, the individual pays a $50 premiumco-paydeductibleadjustment to an insurance company to have health insurance plan.The visit to the doctor costs $125. The individual has to make a payment, called a premium a co-paya deductiblean adjustment, directly to the doctor’s officeDuring the visit, the doctor determines the individual will require a procedure costing $4,500. Before the individual agrees to the procedure, he checks to see what his annual premiumco-paydeductibleadjustment is to determine how much he will have to pay.The health insurance company does not have to pay the full remaining amount for the procedure because of a premiuma co-paya deductiblean adjustment.

A
premium
B
co-pay
C
deductible
D
adjustment
7

A 75-year-old woman with a low income who has never been in the military needs frequent home visits from a nurse for ongoing healthcare services.This individual is most likely eligible for Medicareworkers’ compensationTRICARE.To have additional coverage, she also could purchase a TRICAREMedigapworkers’ compensation plan.

A
Medicare
B
workers’ compensation
C
TRICARE
8

Choose the best health insurance plan for each individual.An individual who has minimal healthcare expenses, is not worried about medical emergencies, and does not want to spend much most likely would purchase an HMO plana PPO plana temporary health insurance plana fixed-benefit plan.An individual who is not concerned about cost and would prefer to pick his providers within a network most likely would purchase an HMO plana PPO plana temporary health insurance plana fixed-benefit plan.An individual who is between jobs might benefit from purchasing HMO insurancePPO insurancetemporary health insurancefixed-benefit insurance.An individual who requires a large amount of medication not covered by her insurance plan may benefit from purchasing a PPO plana temporary health insurance plana fixed-benefit plana discount plan.An individual who is looking for an affordable insurance plan and does not require anything beyond basic medical procedures may benefit from purchasing an HMO plana PPO plana temporary health insurance plana discount plan.

A
an HMO plan
B
a PPO plan
C
a temporary health insurance plan
D
a fixed-benefit plan
10

Which of the following are limitations of HMO plans? (Select all that apply.)

A
higher patient costs
B
limited number of healthcare providers
C
limited coverage for healthcare services
D
strict eligibility requirements

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