QUESTION IMAGE
Question
- health literacy
____ 13. the ____ is a type of health insurance that only pays when the patient uses doctors and hospitals that are members of a network.
a. primary care system c. life and disability system
b. health maintenance organization d. preferred provider organization
____ 14. a type of healthcare professional who can deliver primary care services, but who works under the supervision of physicians, is a(n) ____.
a. osteopathic doctor c. nurse
b. specialist d. physician assistant
____ 15. ____ is a type of government - funded health insurance for people who are 65 years of age and older.
a. the affordable care act c. medicaid
b. medicare d. social security
10 chapter 1 understanding your health and wellness
Question 13
To solve this, we analyze each option:
- Option A: Primary care system is about primary care delivery, not insurance type.
- Option B: Health maintenance organization (HMO) requires using in - network providers but has more restrictions (like primary care gatekeeper), but the description here matches a PPO more? Wait, no—wait, the question says "only pays when the patient uses doctors and hospitals that are members of a network". Wait, actually, a Preferred Provider Organization (PPO) gives more flexibility but pays more for out - of - network, while HMOs often require in - network. Wait, no, the correct answer for a type of health insurance that pays when using network providers (and may pay less or nothing for out - of - network) is a Preferred Provider Organization? Wait, no, the Health Maintenance Organization (HMO) also uses network, but the key is the description. Wait, the correct answer is D. Preferred Provider Organization? Wait, no, let's re - check. The Preferred Provider Organization (PPO) is a type of health insurance where you get lower costs when using in - network providers (doctors and hospitals in the network) and can still use out - of - network but with higher costs. But the question says "only pays when the patient uses doctors and hospitals that are members of a network"—wait, maybe the question has a bit of a simplification. The correct answer is D. Preferred Provider Organization? Wait, no, the Health Maintenance Organization (HMO) typically requires you to use in - network providers (except in emergencies). But the option D is Preferred Provider Organization. Wait, let's recall:
- Primary care system: Not an insurance type.
- Health maintenance organization (HMO): Requires in - network (except emergency), has a primary care physician as gatekeeper.
- Illness and disability system: Not a standard health insurance type.
- Preferred Provider Organization (PPO): Encourages in - network use (lower cost) but allows out - of - network (higher cost). But the question says "only pays when the patient uses doctors and hospitals that are members of a network"—maybe the question is simplified, and the correct answer is D. Preferred Provider Organization? Wait, no, maybe I made a mistake. Wait, the correct answer is D. Preferred Provider Organization.
We analyze each option:
- Option A: Osteopathic doctor is a type of physician, not working under physician supervision for primary care (they are physicians).
- Option B: Specialist focuses on a specific area, not primary care under physician supervision.
- Option C: Nurse can provide care, but a physician assistant is the one who delivers primary care services under physician supervision.
- Option D: Physician assistant is a healthcare professional who can deliver primary care services and works under the supervision of physicians.
We analyze each option:
- Option A: The Affordable Care Act is a law, not a health insurance program.
- Option B: Medicare is a government - funded health insurance for people 65 years of age and older (and some younger with disabilities).
- Option C: Medicaid is for low - income individuals and families.
- Option D: Social Security is for retirement, disability, and survivor benefits, not health insurance for the elderly.
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D. preferred provider organization