MA Ch 16- Medical Insurance

Each time a patient comes to the clinic, the medical assistant must verify which of the following insurance information?

• Whether insurance covers the procedure

• Which insurance plan does the patient have

• Whether a referral is required

• All of the above

Which of the following is the purpose of screening new patients for insurance coverage?

• To verify the patient has coverage and to obtain vital billing information.

• To determine whether the physician is a provider for patient’s plan.

• To determine whether a referral is obtained for services.

• To ensure the disease is covered by the patient’s plan.

• To ensure the patient understands all provisions of coverage.

Health insurance was designed for what reason?

• To help providers increase their salary

• To help individuals and families compensate for high medical costs

• To ensure patients get the best care

• To increase revenue for the government

Which of the following terms means an insurance policy pays a percentage of the balance after application of the deductible?

• Coordination of benefits

• Co-insurance

• Co-pay

• Deductible

• Birthday rule

Which of the following terms is applied when more than one policy covers an individual?

• Coordination of benefits

• Co-insurance

• Co-pay

• Deductible

• Birthday rule

An insurance identification card contains the insured person's name, ID number, group number and what other information?

• telephone number

• social security number

• co-pay amount

• employers name

Which of the following best describes insurance policies that provide coverage on a fee-for-service basis?

• Traditional

• Group

• Managed care

• Indemnity

Which of the following traditional types of insurance coverage covers specific dollar amounts for provider’s fees, hospital care, and surgery?

• Major medical

• Individual

• Group

• Basic

• Indemnity

Which of the following best describes insurance policies that require policyholders to select a primary care provider?

• Traditional

• Group

• Major medical

• Indemnity

Which of the following best describes policies that are supplementary to Medicare insurance?

• Interim

• Medicaid

• TRICARE

• Medigap