Chapter 5 Continued 2 Flashcards
Does not describe principal goal of preferred provider organization
Provide subscriber a choice of physicians
Provide subscriber a choice of hospitals
Provide medical services at reduced cost
Provide medical services only from p hysicians in network
Provide medical services only fro physicians in the network
Unbundled and paid for separately
Fee for service
Which does NOT describe principal goal of preferred provider organization
Provide subscriber a choice of physicians
Provide subscriber a choice of hospitals
Provide medical services at reduced cost
Provide medical services only from physicians in the network
Provide medical services only from physicians in the network
What is NOT a benefit of a pos plan
Allows employee to use hmo provided doctor
Allows the employee to use a doctor not covered under the hmo
With point of service plan employees do not have to make a decision between hmo or ppo plans that lock them in
It allows guaranteed acceptance of all applicants
It allows guaranteed acceptance of all applicants
Can individual who belongs to pos plan use out of network physician
Yes but they must use the pos physician first
Yes but they must use the hmo physician first
Yes and they must use any preferred physician even if not part of hmo
No
Yes and they may use any preferred physician even if not part of the hmo
In ppo all network providers are considered
Preferred
Ppo=
Fee for service basis
In network provider =
Lower out of pocket costs
Out of network provider =
Higher out of pocket costs
Annual contribution limit of dependent care flexible spending act is set by
Irs
Other than for a qualified life event when can a change be made in bed it’s for a fsa
During the open enrollment period
What is not true regarding fsa
Use it or lose it
Provides opp to receive benefits on pretax basis
Itis cafeteria plan
Does not have limits on contributions
Does not have limits on contributions
Clients wants to know tax implications for contributions to a hsa
Advise her that contributions are
Tax deductible
To be eligible for a health savings acct individual must be covered by a
High deductible health plan
Assuming that all of following ppl are covered by a high deductible health plans nd are not claimed as dependents on anyone’s tax returns which would not be eligible for a health savings account
Jenny is 60 and also has a long term care ins plan
Joe is 40 and is not covered by any other health ins
Amanda is 67 and is covered by a basic medical expense policy
Andy is 55 and is covered under a dental care policy
Amanda is 67 and is covered by a basic medical expense policy
To be eligible for a hsa individual must be covered by a
High deductible health plan
must be have other health ins except for specific injury accident disabili dental care or long term care ins must not be eligible for Medicare (usually 65) cant be claimed as dependent on someone else’s tax return
To be eligible for hsa acct
Hsa are designed
Help individuals save for qualified health expenses
Individual interest income
Insure against catastrophic losses
Help individuals save for qualified health expenses
What is penalty tax for non qualified distributions from a health savings acct
20%
What age may an individual make withdrawal from an hsa for non health purposes without being penalized
After 65
Which of the following individual is eligible for a health savings acct
Person eligible for Medicare
Person insured under high deductible health plan
Child claimed as a dependent on her parent’s tax returns
Person insured under group health ins plan
Person under high deductible health plan
Hsa holder who is 65 decides to use obey in acct for a onhealth expense
Which is true
There will be a tax and a 20% penalty
There will be a 205 penalty
There will be a tax
There will be no taxes and no penalties
There will be a tax
Hsa holder who uses money for non health pays tax plus 20% penalty before 65
And after 65 withdrawal used for a non health purpose will be taxed but not penalized
