Healthcare Reimbursement

Question 1

Indemnity Plans. Patient pays full bill then files a claim.

Answer 1

Fee for service plans

Question 2

Set fee to participate in the plan, usualy pay per month and deducted through paycheck

Answer 2

Premium

Question 3

Amount you must pay out of your own pocket before your plan will contribute toward your health care costs

Answer 3

Deductible

Question 4

Most affordable healthcare plans, use providers within network, monthly fee

Answer 4

Health Maintenance Organization (HMO)

Question 5

Allowed to go outside the network without approval, fee-for-service plan, may be excluded for certain medical conditions

Answer 5

Point of Service Plan (POS)

Question 6

Offers most choices, can choose any provider, pay lower deductables

Answer 6

Preferred Provider Organization (PPO)

Question 7

Ran by federal government, those 65 and older, or with long term disabilities

Answer 7

Medicare

Question 8

Provides inpatient care, financed by social security payroll tax

Answer 8

Medicare Part A

Question 9

Outpatient doctor visits, medical equipment

Answer 9

Medicare Part B

Question 10

Package plan, HMOS, PPOS, private

Answer 10

Medicare Part C

Question 11

Covers prescriptions, must have either A or B, medicare approved drug plan

Answer 11

Medicare Part D

Question 12

State level, assistance to the needy

Answer 12

Medicaid

Question 13

Military health care programs

Answer 13

Tricare

Question 14

Through the Department of Veterans Affairs

Answer 14

CHAMVA

Question 15

Medical assistance to eligible veterans

Answer 15

VA