SNHP 220: Health Promotion, Policy, and Politics » Spring 2023 » Midterm

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Question #1
Where do the majority of Americans get their health insurance coverage?
A.   Medicaid
B.   Employer-based coverage
C.   Individual/non-group market
D.   Medicare
Question #2
What was the main problem EMTALA was trying to solve?
A.   Lack of universal health insurance coverage
B.   Rampant “patient dumping” where hospitals refused to see uninsured patients
C.   Unsafe ambulance conditions
D.   The high cost of emergency care
Question #3
Under EMTALA, when can a hospital transfer a patient to a different hospital?
A.   After the patient has been stabilized
B.   As soon as possible
C.   When the family wants it
D.   never
Question #4
What does HIPAA stand for?
A.   Health Insurance Potential and Accountability Act
B.   Health Insurance Probability and Accountability Act
C.   Health Insurance Portability and Accountability Act
D.   Health Insurance Portability and Accessibilty Act
Question #5
What type of data does HIPAA protect?
A.   Protected payment information
B.   Protected financial information
C.   Protected pet information
D.   Protected health information
Question #6
Provide one example of protected health information
A.   Form
B.   Name
Question #7
The HIPAA Privacy Rule applies to which three entities:
A.   Providers, health insurance plans, healthcare clearinghouses
Question #8
A health insurance premium is:
A.   The amount someone pays to the provider every time they see the doctor
B.   The amount someone pays out-of-pocket for services before their insurance plan starts paying a share of the cost of services
C.   The set monthly amount someone pays an insurance plan for insurance; it does not change month-to-month
D.   None of these
Question #9
Please refer to the “Summary of Benefits and Coverage” document for Aetna plan found on Moodle How much will you have to pay before the plan starts paying? (i.e., what is the plan’s deductible for an individual)?
A.   1500
B.   2500
C.   2000
D.   1000
Question #10
please refer to the “Summary of Benefits and Coverage” document for Aetna plan found on Moodle What is the plan’s out-of-pocket maximum?
A.   5500
B.   6250
C.   7350
D.   7225
Question #11
please refer to the “Summary of Benefits and Coverage” document for Aetna plan found on Moodle If you need to visit a specialist who is NOT in the plan’s provider network, how much will the plan pay?
A.   50
B.   60
C.   80
D.   40
Question #12
please refer to the “Summary of Benefits and Coverage” AND the formulary document found on Moodle You’ve been prescribed escitalopram. Is this drug covered by the plan? And after you hit the plan's deductible, what will you pay for this drug at the pharmacy?
A.   Yes, 10
B.   Yes, 7.50
C.   No, 5.25
D.   No, 6.50
Question #13
please refer to the “Summary of Benefits and Coverage” document for Aetna plan found on Moodle How much will it cost to see a provider for an annual preventive pap smear, which is an ACA preventive service?
A.   2000
B.   nothing
C.   1000
D.   3000
Question #14
True or false: the Affordable Care Act premium tax credits are only available as a refund at tax time, meaning that consumers have to pay full cost for premiums throughout the year, but they can receive a tax refund to offset those costs when they file federal taxes
A.   True
B.   False
Question #15
After you hit your plan's annual out-of-pocket-maximum, what will you pay for cost sharing (NOT including a monthly premium) when you see a provider or access services ?
A.   nothing
B.   $1,000
C.   $2,000
D.   $100
Question #16
The Affordable Care Act (ACA) requires most private insurance plans to cover a set of benefits known as:
A.   Adult vision and dental services
B.   Really important services
C.   Essential health benefits
D.   Critical care services
Question #17
The following individuals are NOT eligible for the Marketplace premium tax credits and cost sharing subsidies
A.   Individuals with an offer of affordable employer sponsored coverage
B.   Individuals eligible for Medicaid or Medicare
C.   Undocumented immigrants
D.   All of these
Question #18
True or false: every state has expanded their Medicaid program to childless adults with income up to 138% FPL under the Affordable Care Act
A.   True
B.   False
Question #19
True or false, under the ACA, young adults can now be covered under their parents' plans until they are 31 years old
A.   False
B.   True
Question #20
True or false, an HIV test is an ACA preventive service that must be covered without cost sharing
A.   True
B.   False

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