If you receive inpatient care at a hospital that participates in your health plan’s provider network, which of the following will always be true:

A) The facility charges for the hospital will be covered at the "in network rate,"
B) Charges for the doctors you see while you’re in the hospital will also be covered at the "in network rate"
C) Both of these statements

Which of the following best describes a “health insurance formulary?"

A) The form you send to your insurance company when you need to have a pharmacy bill paid
B) The name for permission you must get from your insurance company before medicine will be covered
C) The list of prescription drugs your health plan will cover
D) The list of prescription drugs for which your health plan receives rebates

Which of the following best describes a Commercial health plan “provider network?"
A) The hospitals and doctors that contract with your health plan to provide services for an agreed-upon rate or fee schedule
B) The payment system doctors and hospitals use to submit bills to insurance companies
C) The hospitals and doctors that are co-owned and operated by a shared legal entity
D) A website where consumers can find information about the best doctors.

Which of the following is NOT covered by Medicare Parts A&B?
A) Hospitalizations
B) Mental Health Services
C) Nutrition Therapy Services
D) Routine physical exams

Which of the following best describes the way that Medicaid coverage is administered?
A) Medicaid coverage is administered directly by the federal government
B) Medicaid coverage is designed and administered by health plans, and regulated by the 50 states
C) States design their own Medicaid programs within federal rules, and work with health plans to administer