QUESTION: 33

Bill Clinton is a member of Lewinsky's PBM plan which has a three-tier copayment structure. Bill fell ill and his doctor prescribed him AAA, a brand-name drug which was included in the Lewinsky's formulary; BBB, a non-formulary drug; and CCC, a generic dr

CCC, AAA, BBB
BBB, CCC, AAA
BBB, AAA, CCC
CCC, BBB, AAA

Answer(s): A

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QUESTION: 34

Brokers are one type of distribution channel that health plans use to market their health plans. One true statement about brokers for health plan products is that, typically, brokers

Are not required to be licensed by the states in which they market health plans
Are compensated on a salary basis
Represent only one health plan or insurer
Are considered to be an agent of the buyer rather than an agent of the health plan or Insurer

Answer(s): D

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QUESTION: 35

By definition, a health plan's network refers to the

organizations and individuals involved in the consumption of healthcare provided by the plan
relative accessibility of the plan's providers to the plan's participants
group of physicians, hospitals, and other medical care providers with whom the plan has contracted to deliver medical services to its members
integration of the plan's participants with the plan's providers

Answer(s): C

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QUESTION: 36

By definition, the marketing process of defining a certain place or market niche for a product relative to competitors and their products and then using the marketing mix to attract certain market segments is known as

branding
positioning
database marketing
personal selling

Answer(s): B

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QUESTION: 33

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