Understanding Insurances Quiz

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* 1. Medi-Cal is California's Medicaid plan. It is a state program designed to serve people whose income and resources are limited.

True

False

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* 2. What happens if we do not input the BIC number for a patient using Medi-Cal?

We will not be paid for the visit.

The patient will not be able to make an appointment.

We do not need a BIC number with Medi-Cal.

We will be paid for the visit.

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* 3. What is true for an IPA (Independant Provider Association)?

All patients that have Medi-Cal must select a plan and an IPA.

IPA's approve referrals

IPA's issue payment

All are true of IPS's

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* 4. What IPA's does Saban accept?

Heath Care LA (HCLA)

Regal

Lakeside

All are examples of IPA's that Saban accepts

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* 5. What is true of an HMO?

Patient must have an assigned PCP to coordinate care and referrals.

Patient can go anywhere their insurance is accepted.

Patient does not have a PCP.

None are true.

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* 6. What should a patient do if they have an HMO and they are not assigned to Saban?

They must contact their health plan to switch to Saban.

They must make a PES appointment.

All are true.

None are true.

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* 7. What is true of the Sliding Fee Discount Program?

The sliding fee discount program is a discount program offered to all Saban patients.

Eligibility is determined by income and family size.

If over 201% Federal Poverty Level (FPL) or does not wish to apply they can pay $135 on the same date of visit for a prompt pay discount.

All answers are true.

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* 8. Does Saban accept Dental HMO plans

No, with the exception of Access Dental for kids.

Yes

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* 9. If a patient wishes to be billed instead or does not pay the entire $135 for their visit, they will receive a bill for the full charges.

True

False

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* 10. Who qualifies for Medi-Cal?

CA resident with the intention to remain living in CA.

Considerably low to median income.

Individuals 19 and under regardless of immigration status.

All answers are true.

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* 11. Thank you for completing this quiz! We look forward to our upcoming training with you on Understanding Insurances. We ask that you stay engaged and focused. Please provide any questions in advance of our meeting so we can be sure to provide the answer - write questions here: