Question

In: Nursing

Can you please select the right answer. I did not  get a good score on this quizz....

Can you please select the right answer. I did not  get a good score on this quizz. Thank you


Question 6

5 / 5 pts

Define the following terms associated with healthcare insurance:

If the answers do not show in their entirety, they are pasted below:

  • The maximum amount an insurer will pay for a certain service
  • A health condition written into the health insurance policy indicating what is not covered by the policy
  • The amount of expenses the patient must incur before the insurance company begins to pay for covered services
  • A medical condition that had been diagnosed or treated usually within 6 months before the date a health insurance policy goes into effect
  • A negotiated set amount that a patient pays for certain services

Copayment

            A negotiated set amount that a patient pays for certain services           

Deductible

            The amount of expenses the patient must incur before the insurance company begins to pay for covered services           

Exclusion/Upper Lifetime Limit

            A health condition written into the health insurance policy indicating what is not covered by the policy           

Pre-existing condition

            A medical condition that had been diagnosed or treated usually within 6 months before the date a health insurance policy goes into effect           

Fixed indeminity

            The maximum amount an insurer will pay for a certain service           

Question 7

1 / 1 pts

Medicare under the Affordable Care Act includes all of the following benefits EXCEPT:

  

Patients get more preventive services, for less

   

Patients can save money on brand-name drugs

   

Patients get more doctor support

   

Medicare coverage has some good benefits, but is not protected

Question 8

1 / 1 pts

How has the Affordable Care Act affected Medicaid?

  

Medicaid has restricted eligibility to adults with incomes at or below 50% percent of the poverty line, which is just over $40,000 per year for an individual today

   

Medicaid has restricted eligibility requirements to children whose parent's income is less than $20,000 year

   

Medicaid has expanded eligibility to adults with incomes at or below 138 percent of the poverty line, which is just over $16,000 per year for an individual today

   

Medicaid has expanded coverage to older adults (55+ years) regardless of pre-existing conditions

Question 9

1 / 1 pts

What is the health insurance marketplace?

  

A service that helps people shop for and enroll in affordable health insurance from various providers

   

The governing body of health insurance that enacts penalties for people who don't have insurance

   

A place for low income individuals to obtain health insurance

   

A place for seniors to obtain health insurance

Question 10

4 / 4 pts

Identify the changes under the Affordable Care Act among the following groups:

If the answers do not show in their entirety, they are pasted below:

  • Required to pay more taxes
  • Most Americans (except exempt) are required to obtain health insurance, or get fined
  • Can not be charged higher premiums
  • Covered on parent's health insurance until the age of 26

Individual mandate

            Most Americans (except exempt) are required to obtain health insurance, or get fined           

Women

            Can not be charged higher premiums           

Young people

            Covered on parent's health insurance until the age of 26           

Wealthy

            Required to pay more taxes           

PartialQuestion 11

11 / 14 pts

Identify the types of healthcare services provided by the healthcare practitioners:

If the answers do not show in their entirety, they are pasted below:

  • Children
  • General health
  • Skin
  • Independent healthcare providers who provide nontraditional forms of healthcare
  • Lungs
  • Clinical professionals who hold a medical degrees, but do not have an MD or MO degree
  • Healthcare workers who focus on preventative heath in different forums (health departments, schools, etc.)
  • Feet
  • X-ray
  • Independent healthcare providers whose remedies produce effects different from those of the disease, and emphasize the interrelationships of the body's systems
  • Brain
  • Seniors
  • Female health
  • Ears, nose and throat

Allopathic and Osteopathic providers

            General health           

Gynecologist

            Female health           

Neurologist

            Brain           

Nonallopathic providers

            Independent healthcare providers whose remedies produce effects different from those of the disease, and emphasize the interrelationships of the body's systems           

Public health professionals

            Healthcare workers who focus on preventative heath in different forums (health departments, schools, etc.)           

Pediatrician

            Children           

Pulmonologist

            Lungs           

Otolaryngologist

            Ear, Nose and Throat           

Radiologist

            X-Ray           

Family Practitioner

            Independent healthcare providers whose remedies produce effects different from those of the disease, and emphasize the interrelationships of the body's systems           

Dermatologist

            Skin           

Podiatrist

            Feet           

Gerentologist

            Seniors           

Nurse

            Clinical professionals who hold a medical degrees, but do not have an MD or MO degree           

Question 12

1 / 1 pts

Your rights as a patient include all of the following EXCEPT:

  

The right to be fully informed of what is being planned for your care

   

Knowing whether or not the treatment you are receiving is standard or experimental

   

The right to refuse treatment, but once you consent to receiving it, you can not change or cease treatment at any time

   

The right to confidentiality of your health care records

   

The right to receive adequate health care and treated with respect and dignity

PartialQuestion 13

2 / 4 pts

Identify prescription drugs versus Over the Counter Drugs (OTC) based on the descriptions (Choose answers in alphabetical order. For example, Administered under professional supervision should be chosen first for either prescription or OTC)

If the answers do not show in their entirety, they are pasted below:

  • Recommended for common conditions, as well as self-diagnosis and self-treatment
  • Contains a standard label with the purpose, active ingredients, uses, warnings and directions
  • Administered under professional supervision to treat illnesses and diseases
  • Contains a label with a particular person's name, and should only be responsibly taken by that person

Prescription Drugs

            Administered under professional supervision to treat illnesses and diseases           

Over the Counter

            Recommended for common conditions, as well as self-diagnosis and self-treatment           

Prescription Drugs

            Contains a label with a particular person's name, and should only be responsibly taken by that person           

Over the Counter

            Contains a standard label with the purpose, active ingredients, uses, warnings and directions           

PartialQuestion 14

1 / 3 pts

Distinguish the various types of insurance:

If the answers do not show in their entirety, they are pasted below:

  • An option that enables enrollees to be at least partially reimbursed for selecting a healthcare provider outside of the plan
  • Groups that supply pre-paid comprehensive healthcare with an emphasis on prevention
  • Organization that buys fixed-rate health services form providers and sells them to consumers

Preferred Provider Organization (PPOs)

            Groups that supply pre-paid comprehensive healthcare with an emphasis on prevention           

Health Maintenance Organizations (HMOs)

            Organization that buys fixed-rate health services form providers and sells them to consumers           

Point of Service Options (POS)

            An option that enables enrollees to be at least partially reimbursed for selecting a healthcare provider outside of the plan           

Question 15

1 / 1 pts

Maximizing care while minimizing costs includes all of the following EXCEPT:

  

Practice healthy lifestyle behaviors to preserve the quality and quantity of your life

   

Try the least expensive healthcare options first

   

Read your policy to understand your coverage and check your bill for accuracy

   

Use the emergency room first for illness and disease

   

Avoid unnecessary risks to minimize unintentional injuries

   

Do your research and choose an insurance plan that provides comprehensive healthcare that you can afford

Solutions

Expert Solution

Question 15. Use the emergency room first for illness and disease

Question 14.Preferred Provider Organization (PPOs) - an organization that buys fixed-rate health services from providers and sells them to consumers

Health Maintenance Organizations (HMOs) - groups that supply prepaid comprehensive health care with an emphasis on prevention

Point of Service Options (POS) - An option that enables enrollees to be at least partially reimbursed for selecting a healthcare provider outside of the plan      

Question 13. Prescription Drugs - Administered under professional supervision to treat illnesses and diseases   

Over the Counter - Contains a standard label with the purpose, active ingredients, uses, warnings and directions  

Prescription Drugs - Contains a label with a particular person's name, and should only be responsibly taken by that person

Over the Counter - Recommended for common conditions, as well as self-diagnosis and self-treatment

Question 12. The right to refuse treatment, but once you consent to receiving it, you can not change or cease treatment at any time

Question 11. All are correctly answered

Question 10. Correctly answered

Question 9. Health insurance marketplace is a service that helps people shop for and enroll in affordable health insurance from various providers

Question 8. Medicaid has expanded eligibility to adults with incomes at or below 138 percent of the poverty line, which is just over $16,000 per year for an individual today

Question 6. Copayment - A negotiated set amount that a patient pays for certain services

Deductible - The amount of expenses the patient must incur before the insurance company begins to pay for covered services

Pre-existing condition -  A health condition written into the health insurance policy indicating what is not covered by the policy

Fixed indeminity - The maximum amount an insurer will pay for a certain service

Exclusion/Upper Lifetime Limit - A medical condition that had been diagnosed or treated usually within 6 months before the date a health insurance policy goes into effect

  


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