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Chapter Quiz
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1
A capitated payment is made to a provider prospectively to cover a plan member's health services for a specified period.
A)True
B)False
2
Coinsurance is usually stated as a percentage.
A)True
B)False
3
The amount that an insured person must pay for each office visit is called the copayment.
A)True
B)False
4
The deductible is the amount the insured must pay for each health care encounter, such as an office visit.
A)True
B)False
5
Ethics are standards of behavior for licensed medical staff and other employees of medical practices.
A)True
B)False
6
Fee-for-service contracts establish capitated payments for patients' charges.
A)True
B)False
7
A preexisting condition may be denied for coverage by a health plan.
A)True
B)False
8
Under an indemnity plan, an insurance company agrees to cover the financial losses of a medical practice.
A)True
B)False
9
A managed care system combines the financing and the delivery of health care services.
A)True
B)False
10
A health plan is a plan, program, or organization that provides some form of medical in-surance.
A)True
B)False





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