Introduction to Insurance

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Name

Office Location

What is a copay? *

10 points

A fixed fee prior to a medical visit

the percentage the insurance will cover after a deductible is met

the amount that must be met before insurance will start helping cover visits

the amount that a person must hit before their visits are completely covered

What is coinsurance? *

10 points

A fixed fee prior to a medical visit

the percentage the insurance will cover after a deductible is met

the amount that must be met before insurance will start helping cover visits

the amount that a person must hit before their visits are completely covered

What is a deductible? *

10 points

A fixed fee prior to a medical visit

the percentage the insurance will cover after a deductible is met

the amount that must be met before insurance will start helping cover visits

the amount that a person must hit before their visits are completely covered

What is Out of Pocket (OOP?) *

10 points

A fixed fee prior to a medical visit

the percentage the insurance will cover after a deductible is met

the amount that must be met before insurance will start helping cover visits

the amount that a person must hit before their visits are completely covered

An HMO requires a referral prior to the patient's visit. This referral generally comes from the person's Primary Care Provider (PCP)

10 points

True

False

Clear selection

Medicare plans will cover

10 points

adjustments and 30 minute massage under chiro

only spinal adjustments with the chiropractor

adjustments (OMT) with the NP and 30 minutes of corrective excersises

adjustments (OMT) with the NP and 30 minutes of massage

What are Personal Injury patients?

10 points

Patients that have been in a car accident using their insurance or lawyer to pay for visits and should be handled through the PI department

Patients that have been in a car accident using their insurance or lawyer to pay for visits and can be handled by anyone in the clinic

Patients that have injured themselves

Patients that are using workers compensation to cover their visits and should be handled through the PI department

Clear selection

What insurance information should you ask a patient for if you are scheduling over the phone?

10 points

Name as it appears on the Insurance card

Date of Birth

Phone number

Insurance carrier (such as BCBS, Aetna, ect.)

Member ID as it appears on the card

Group Number as it appears on the card

how much they usually pay for other medical visits

Medicare patients coverage includes:

10 points

Tricare coverage includes:

10 points

GEHA coverage includes:

10 points

SW Senior Care coverage includes: *

10 points

Medicare Replacement Plans *

10 points

United Health Care (UHC) *

10 points

UMR plans include: *

10 points

Humana plans include: *

10 points

BCBS HEB plans include: *

10 points

Cigna plans include: *

10 points

Blue Cross Blue Shield (BCBS) plans include: *

10 points

Aetna plans include: *

10 points

PHCS plans include: *

10 points

NALC plans include: *

10 points

Scott and White (non-senior care) includes: *

10 points

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