Ch 6 Quiz Flashcards

1
Q
Which type of dental treatment involves the replacement of natural teeth with artificial devices? 
A restorative 
B orthodontics 
C prosthodontics 
D replacement
A

C prosthodontics

Prosthodontics treatment involves the replacement of natural teeth with artificial devices, such as bridgework and dentures

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2
Q
Specialized dental service that provides for treatment of missing teeth is known as 
A orthodontics 
B endodontics 
C. periodontics 
D prosthodontics
A

D prosthodontics

Bridgework (prosthodontics) is the dental specialty dealing with replacement of missing teeth and other oral structures.

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3
Q
A dental plan that provides coverage based upon a specified maximum scheduled amount for each procedure and pays on the first dollar basis with no deductible or coinsurance is a 
A comprehensive plan 
B non-scheduled plan 
C basic or scheduled plan 
D combination plan
A

C basic or scheduled plan

The basic schedule dental plan pays a scheduled amount which is typically below usual, customary and reasonable dental charges, causing the employees to bear a share of the cost of the procedure

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4
Q
Most scheduled plans provide first dollar benefits without 
A coinsurance and deductibles 
B premiums 
C co-pays 
D exclusions in conditions
A

A coinsurance and deductibles

Scheduled/basic plans pay benefits from a list of procedures up to the amount shown in the schedule. Most plants provide first dollar benefits without coinsurance or deductible’s

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5
Q
Which type of dental treatment addresses the supporting tissue of teeth 
A endodontics 
B. periodontics 
C orthodontics 
D soft dental
A

B. periodontics

periodontics treatment addresses is the surrounding a supportive tissue of the teeth

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6
Q
Which type of dental care would cover the cost of fillings 
A endodontics 
B orthodontics 
C oral surgery 
D restorative
A

D restorative

restorative care reestablish is functional used to natural teeth, such as the application of feelings and crowns.

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7
Q
Which type of dental treatment involves the dental pulp within the teeth? 
A endodontics 
B oral surgery 
C soft dental 
D root canal
A

A endodontics

endodontics involves the treatment dental pulp within natural teeth

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8
Q
Which type of dental care services would cover the cost of the extraction of wisdom teeth? 
A oral surgery 
B restorative 
C endodontics 
D orthodontics
A

A oral surgery

Oral surgery treatments involve operate a treatment of the mouth, such as wisdom teeth extractions

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9
Q
A patient has severe gingivitis and a seeking treatment for his gingivitis. Which type of dental treatment is this? 
A orthodontics 
B soft dental 
C endodontics 
D. periodontics
A

D. periodontics

periodontic treatment address is the surrounding and supportive tissue of the teeth

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10
Q
Which type of carry establishes functional used to natural teeth? 
A restorative 
B fillings 
C functionality 
D repair
A

A restorative

Restorative care reestablish is functional used to natural teeth, such as the application of fillings and crowns.

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11
Q
Which clause allows both the insured and dentist to know in advance which benefits will be paid? 
A preadmission 
B advance benefit notification 
C fixed rate 
D precertification
A

D precertification

The predetermination of benefits clause, also known as pre-certification and prior authorization, allows both the insured and dentists known advance which benefits will be paid. This causes found in most dental plans.

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12
Q
Which of the following is not covered under a dental insurance plan? 
A Restorative care 
B respite care 
C endodontics 
D orthodontics
A

B respite care

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13
Q

All of the following are usually provided under employer group dental insurance plan except
A preventative care for up to two visits per year
B the dental plan is typically ran in conjunction with group health insurance
C the dental plan places limits on such procedures as braces and appliances
D coverage for cosmetic treatment

A

D coverage for cosmetic treatment

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14
Q
What type of dental plan which is incorporated into major medical expense plan is a 
A standalone dental plan 
B blanket dental plan 
C integrated dental plan 
D supplemental dental plan
A

C integrated dental plan

When dental coverage is covered under the benefits of a major medical plan, dental coverage and medical coverage would be an integrated plan. Any deductible amount could be met by either dental or medical expenses

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15
Q
Insured does not have to pay coinsurance or deductible's on a full-service mouth x-ray, but does have to pay a deductible to get his cavities filled. Which dental plan does he have? 
A nonscheduled 
B Limited 
C procedure base 
D scheduled
A

A nonscheduled

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16
Q

Which of the following statements is true concerning employer group dental plans?
A they are exempt from cobra laws
B they seldom contain a conversion privilege
C they always contain a conversion privilege
D they’re only marketed as standalone clients

A

B they seldom contain a conversion privilege

Most states have enacted laws requiring that women employee leaves and employer health plan, they may apply for an individual policy without evidence of insurability. Those laws do not apply to dental coverage.

17
Q
Which type of dental care correct natural teeth misalignment with dental appliances? 
A orthodontics 
B prosthodontics 
C periodontics 
D restorative
A

A orthodontics

Orthodontic care involves the prevention port for direction of dental anomalies with the use of dental appliances and braces

18
Q
The child is being fitted for braces. Dental care is this? 
A periodontics
B restorative 
C orthodontics 
D prosthodontics
A

C orthodontics

19
Q

All the following statements is true of a combination dental plan except
A it is basically a combination of a schedule and I’ll schedule dental plan
B covers diagnostic and preventative care of the usual, customary, and reasonable basis
C it uses a fee schedule for other dental services
D is also known as the superimposed planned

A

D is also known as the superimposed planned

20
Q
Which type of service under an unscheduled plan typically has large deductibles and pays around 50% of the services provided? 
A major service 
B basic service 
C minor service 
D repair service
A

A major service

Major services under non-scheduled plans, which cover treatment such as in Lays, crowns, dentures in orthodontics, either have large deductibles or the insured pays 50% of the costs

21
Q
Which of the following is NOT considered to be a basic service, under a non-scheduled plan? 
A endodontics 
B oral surgery 
C fillings 
D dentures
A

D dentures

There are two types of services under non-scheduled plans; basic and major. Basic services include treatment such as feelings, oral surgery, periodontics, and endodontics, while major services include treatment such as inlays, crowns, dentures and orthodontics.

22
Q

In order to minimize adverse selection, employer group dental plans may require employees to enroll after they were initially eligible to participate to do all of the following EXCEPT:
A reduce benefits for a period such as one year
B increased benefits for a period of one year
C submit evidence of insurability
D satisfy a longer probationary period

A

B increased benefits for a period of one year

23
Q
All of the following coverages are usually included under a dental insurance plan except 
A routine examinations 
B braces and Apliances 
C teeth whitening 
D oral surgery
A

C teeth whitening

Diagnostic urine preventative care both included in a dental insurance plan, including oral surgery, routine examinations, and braces or other appliances.

24
Q
Dental Expense policies generally have a deductible that would apply to all of the following EXCEPT
A Preventive care.
B Orthodontics.
C Prosthodontics.
D Endodontics.
A

A Preventive care.

Dental Expense policies have deductibles (similar to Medical Expense plan deductibles). However, they generally do not apply to diagnostic or preventive care such as office visits, examinations and cleanings.

25
Q
Julie must have orthodontic work performed on her incisors. Which type of service would this be called, under a nonscheduled plan?
A Minor service
B Repair service
C Major service
D Basic service
A

C Major service

There are two types of services under nonscheduled plans: basic and major. Basic services include treatments such as fillings, oral surgery, periodontics, and endodontics, while major services include treatments such as inlays, crowns, dentures and orthodontics.

26
Q
Combination plans are comprised of two types of plan features: basic and
A Scheduled.
B Expanded.
C Limited.
D Comprehensive.
A

D Comprehensive.

Combination plans combine features of the two main types of dental plans: scheduled (basic) and nonscheduled (comprehensive).

27
Q
If a dental plan is integrated, it is combined with what type of plan?
A Medical
B Secondary dental
C Supplemental
D Life
A

A Medical

Integrated plans allow for dental plans to be included in a medical plan, providing coverage for both under a single contract. Sometimes the deductibles are merged, but this does not have to be the case.

28
Q
Which of the following is NOT applied toward the deductible under a nonscheduled plan?
A Gingivitis treatment
B Annual dental exam
C Root canal
D Wisdom tooth extraction
A

B Annual dental exam

Under nonscheduled plans, routine examinations and preventative care generally do not apply toward the deductible.

29
Q
Which of the following services would be covered by endodontics?
A Tooth extraction
B Treatment of gum disease
C Replacement of missing teeth
D Root canal
A

D Root canal

Endodontics involves the treatment of dental pulp within natural teeth, such as root canal.