Chapter 4: True and False

Question 1

T/F: Fee-for-service and indemnity insurance are the same

Answer 1

True

Question 2

T/F: The portion of the medical fee that the patient is responsible for is called coinsurance

Answer 2

True

Question 3

T/F: All third-party insurers have the same UCR rates

Answer 3

False

Question 4

T/F: The traditional healthcare delivery system relies heavily on the FFS payment method in which a provider is paid a fee for rendering a specific service

Answer 4

True

Question 5

T/F: All managed care plans allow patients to choose any healthcare provider they want

Answer 5

False

Question 6

T/F: Under RBRVS, the cost of providing each service is divided into three components: (1) physicians work, (2) practice expense, and (3) professional liability insurance

Answer 6

True

Question 7

T/F: Managed care is medical care that is provided by a corporation established under state and federal laws

Answer 7

True

Question 8

T/F: Catastrophic plans are available only to people who are under 65 years old or have a hardship exemption

Answer 8

False

Question 9

T/F: Medicaid is a joint federal-state health program run by the individual state

Answer 9

True

Question 10

T/F: Medicare is the military’s comprehensive healthcare program

Answer 10

False

Question 11

T/F: SSDI is an insurance program administered by HIPAA for individuals who are unable to work

Answer 11

False

Question 12

T/F: Workers’ compensation laws are designed to ensure injured or disabled employees are provided with monetary awards, eliminating the need for litigation

Answer 12

True

Question 13

T/F: Health insurance plans typically cover dental restoration work caused by disease or accident

Answer 13

True

Question 14

T/F: Most healthcare plans cover routine vision care, such as refractions

Answer 14

False

Question 15

If a medical service is not listed as “covered” in the policy, the insurance company normally will not pay any portion of the charge

Answer 15

True