Module 5 Flashcards
True or False
There is little evidence regarding the premium responsiveness of employers.
True
Pages 111 - 112
True or False
Employees are very price sensitive for their share of the premium.
True
Pages 111 - 117
True or False
New provisions in the No Surprise Act added protection against surprise medical bills for Medicare beneficiaries.
False
Page 126
True or False
The CAA did not exempt grandfathered plans from its requirements.
True
Page 138
True or False
Before the CAA passed, out-of-network cost-sharing and balance billing occurred and usually did not count towards the individual’s in-network out-of-pocket maximum.
True
Pages 135 - 136
True or False
The risk premium includes the insurer’s administrative costs, reserves, and profits.
False
Page 111 (It’s a loading fee, not Risk premium)
True or False
The CAA doesn’t require providers and facilities to provide a notification of the good faith estimate of expected charges for furnishing scheduled items or services to individuals not enrolled in a health plan or coverage.
False
Page 133
