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Test Your Insurance Knowledge

Multiple Choice

1.

TRICARE was implemented for what type of individuals?

a. Secondary insurance for retired military personal with Medicare Part A & B

b. Surviving spouse or child of miliatry member who died in the line of duty

c. Active duty members of the uniformed services and their families

d. Spouse or child of vetern who has been rated permanently and totally disabled

2.

This type of workers compensation would be a abnormal conditions or disorders caused by exposure to enviromental factors. Examples of these could be exposure to a chemical, inhalation, ingestion or direct exposure.

a. Industrial accident

b. Occupational illness

c. Occupational Safety and Health Administration

d. Federal Employment Liability Act

3.

What is the name of the insurance that covers employees that resign, are laid-off, or has a reduction in hours and can continue with insurance coverage for 18-36 months?

a. Disability Insurance

b. Coordination of Benefits

c. Consolidated Omnibus Budget Reconciliation Act

d. Employer Group Health Plans

4.

Which one of the following is not a TRICARE healthcare plan option?

a. TRICARE Prime

b. TRICARE Extra

c. TRICARE Active

d. TRICARE Standard

5.

What is the classification of a work comp injury for an employee that is injured on the job, requires treatment and is unable to return to work within several days?

a. Occupational disability

b. Rehabilitation disability

c. Permanent disability

d. Temporary disability

6.

This child is injured and is seen in the emergency room for a frature.  Both parents have insurance coverage on this child.  Father (DOB 8/12/80) acquired the insurance 5 years ago and has a $500.00 deductible. Mother (DOB 4/21/82) obtained the insurance 2 years ago and she has a $2000.00 deductible.  Which answer identifies how the insurance should be billed? 

a. Mother's insurance is billed first because her date of birth is first in the year

b. Father's insurance is billed first because he obtained the insurance first

c. Father's insurance is billed first due to lowest deductible

d. Father's insurance is billed first because he is oldest

7.

What term does Blue Cross/Blue Shield refer to as the policy holder?

a. Policy number will have a 1 at the end.

b. Primary Member

c. Beneficiaries

d. Subscribers

8.

What is the definition of a Managed Care Plan?

a. It is a organization that offers managed care health plans to find the customer the best plan for their illnesses, diseases and drug coverage

b. Type of health insurance with contracts with health care providers and facilities to provide care for members at a reduced cost.

c. Type of health insurance that pays on capitation to the providers

d. These are third party administrators that are contracted with insurance companies to process the claims and administrative services

 

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