Chapter 13 - Benefit Options

33. (p. 473) The general health care plan that uses a direct contractual relationship between

employers, health-care providers and third-party payers is: 

A. 

the traditional coverage plan.

B. 

an HMO.

C.

 a PPO.

D. 

a POS.

Difficulty: Medium

 

34. (p. 473) _____ represent a variation on health-care delivery in which there is a direct

contractual relationship between and among employers, health-care providers, and third-party

payers. 

A. 

PSOs

B. 

HMOs

C. 

Traditional coverage plans

D.

 PPOs

Difficulty: Medium

 

35. (p. 474) _____ is a hybrid health plan combining features of HMO and _____. 

A.

 Point-of-service, preferred provider organization

B. 

POS, Blue-Cross

C. 

Managed care, POS

D. 

Consolidated health, PPO

Difficulty: Easy

 

36. (p. 475) All of the following are examples of methods to motivate employees to change their

demand for health care except: 

A. 

using intranet allowing employees access to medical information.

B.

 promotion of preventive health plans.

C. 

co-pays.

D. 

setting maximum benefit levels.

Difficulty: Medium

 

13-9

© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any

manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

Chapter 13 - Benefit Options

37. (p. 475) An account set up to cover part of a high health care deductible is a: 

A. 

POS.

B. 

flexible spending account.

C.

 PCA.

D. 

PPO.

Difficulty: Difficult

 

38. (p. 475-76)) Which of the following is not an example of a method to control health care

costs by changing the structure of health care delivery systems? 

A. 

HMO

B. 

No health care plan offered

C. 

POS

D.

 In-house medical teams

Difficulty: Medium

 

39. (p. 477) Dental insurance is provided by _____ percent of all employers with above 500

employees. 

A. 

30

B.

 90

C. 

70

D. 

85

Difficulty: Medium

40. (p. 479) The most prevalent practice these days, in place of short-term sick leave is: 

A.

 paid time off.

B. 

short-term disability.

C. 

accumulated medical leaves.

D. 

incentives for non-usage of sick leave.

Difficulty: Medium

 

 

13-10

© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any

manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.