Question 1

A (n)  _____ is an individual who enrolls in a plan at a time other than the earliest possible enrollment date or a special enrollment date.

Accepted Answer

A)   late enrollee
B)   uninsured enrollee
C)   overdue enrollee
D)   belated enrollee

Question 2

What health insurance plan may employees of the federal government select?

Accepted Answer

A)   Flexible Blue plan
B)   Federal Employee Health Benefits (FEH
B)   plan
C)   Blue Protection plan
D)   None federal government employees are not eligible

Question 3

Participating provider's local BCBS plan is called ____.

Accepted Answer

A)   local plan
B)   resident
C)   host plan
D)   denizen plan

Question 4

BCBS is the abbreviation for the _____.

Accepted Answer

A)   BlueCross BlueShield Association
B)   BlueKeepers BlueShield Association
C)   BlueKeepers BlackShield Association
D)   BlackCross BlackShield Association

Question 5

Why is insurance always verified?

Accepted Answer

A)   to ensure the insurance company gets a discount
B)   to ensure the physician gets a discount
C)   to ensure the patient gets a discount
D)   to be sure that the patient is eligible for services

Question 6

Employee Retirement Income Security Act of 1974 (ERISA)  are _____.

Accepted Answer

A)   laws providing incentives for the insurance company
B)   laws providing protection for the insurance company
C)   laws providing incentives and protection for companies with employee health and pension plans
D)   laws providing incentives and protection for federal employees only

Question 7

The BCBS Blue Card program provides benefits for subscribers who are away from their _____.

Accepted Answer

A)   local areas
B)   primary care providers
C)   families
D)   region

Question 8

Nonemergency surgical procedure is called ____.

Accepted Answer

A)   discretionary surgery
B)   elective surgery
C)   selective surgery
D)   discriminatory surgery

Question 9

_______ gives an employee who is leaving a job the right to continue health coverage under the employers' plan for a limited time at his or her own expense.

Accepted Answer

A)   COBRA
B)   Terminated Employee Insurance
C)   BRACO
D)   AARP

Question 10

______ is particularly strong in the South and Southeast that offers both traditional and consumer-driven products.

Accepted Answer

A)   Medicaid
B)   Medicare
C)   Humana
D)   AARP

Question 11

Which of the following is not a main part of participation contract?

Accepted Answer

A)   introductory section
B)   physician's responsibilities
C)   compensation and billing guidelines
D)   procedural and diagnostic codes

Exam 8: Private Payers/Blue Cross and Blue Shield

BCBS is the abbreviation for the _____.

Correct Answer
verified

Participating provider's local BCBS plan is called ____.

Correct Answer
verified

______ is particularly strong in the South and Southeast that offers both traditional and consumer-driven products.

Correct Answer
verified

Employee Retirement Income Security Act of 1974 (ERISA) are _____.

Correct Answer
verified

Which of the following is not a main part of participation contract?

Correct Answer
verified

_______ gives an employee who is leaving a job the right to continue health coverage under the employers' plan for a limited time at his or her own expense.

Correct Answer
verified

What health insurance plan may employees of the federal government select?

Correct Answer
verified

A (n) _____ is an individual who enrolls in a plan at a time other than the earliest possible enrollment date or a special enrollment date.

Correct Answer
verified

Why is insurance always verified?

Correct Answer
verified

The BCBS Blue Card program provides benefits for subscribers who are away from their _____.

Correct Answer
verified

Nonemergency surgical procedure is called ____.

Correct Answer
verified

Exam 8: Private Payers/Blue Cross and Blue Shield

BCBS is the abbreviation for the _____.

Correct AnswerverifiedShow Answer

Participating provider's local BCBS plan is called ____.

Correct AnswerverifiedShow Answer

______ is particularly strong in the South and Southeast that offers both traditional and consumer-driven products.

Correct AnswerverifiedShow Answer

Employee Retirement Income Security Act of 1974 (ERISA) are _____.

Correct AnswerverifiedShow Answer

Which of the following is not a main part of participation contract?

Correct AnswerverifiedShow Answer

_______ gives an employee who is leaving a job the right to continue health coverage under the employers' plan for a limited time at his or her own expense.

Correct AnswerverifiedShow Answer

What health insurance plan may employees of the federal government select?

Correct AnswerverifiedShow Answer

A (n) _____ is an individual who enrolls in a plan at a time other than the earliest possible enrollment date or a special enrollment date.

Correct AnswerverifiedShow Answer

Why is insurance always verified?

Correct AnswerverifiedShow Answer

The BCBS Blue Card program provides benefits for subscribers who are away from their _____.

Correct AnswerverifiedShow Answer

Nonemergency surgical procedure is called ____.

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

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verified

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verified

Correct Answer
verified

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verified

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verified

Correct Answer
verified