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Healthcare Management: An Introduction Questions 101–105 (page: 22)

Updated On: 10-Feb-2026

In the United States, the Department of Defense offers ongoing healthcare coverage to military personnel and their families through the TRICARE health plan. One true statement about TRICARE is that:

  1. Active duty military personnel are automatically considered enrolled in TRICARE Prime
  2. TRICARE covers inpatient and outpatient services, physician and hospital charges, and medical supplies, but not mental health services.
  3. TRICARE enrollees are not entitled to appeal authorization or coverage decisions
  4. Hospitals participating in the TRICARE program are exempt from JCAHO accreditation and Medicare certification.

Answer(s): A



Individuals can use HSAs to pay for the following types of health coverage:.

  1. Qualified disability insurance
  2. COBRA continuation coverage.
  3. Medigap coverage (for those over 65).
  4. All of the above.

Answer(s): B



Janet Riva is covered by a indemnity health insurance plan that specifies a $250 deductible and includes a 20% coinsurance provision.
When Ms. Riva was hospitalized, she incurred $2,500 in medical expenses that were covered by her health plan. She incurred

  1. $1,750
  2. $1,800
  3. $2,000
  4. $2,250

Answer(s): B



Janet Riva is covered by a traditional indemnity health insurance plan that specifies a $250 deductible and includes a 20% coinsurance provision.
When Ms. Riva was hospitalized, she incurred $2,500 in medical expenses that were covered by her health plan.

  1. $1,750
  2. $1,800
  3. $2,000
  4. $2,250

Answer(s): B



John Kerry's employer has contracted to receive healthcare for its employees from the Democratic Healthcare System. Mr. Kerry visits his PCP, who sends him to have some blood tests. The PCP then refers Mr. Kerry to a specialist who hospitalizes him for on

  1. a physician practice organization
  2. a physician-hospital organization
  3. a management services organization
  4. an integrated delivery system

Answer(s): D



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