Health Plans Are Required to Follow Several Regulations and Guidelines

question 17

Multiple Choice

Health plans are required to follow several regulations and guidelines regarding the access and adequacy of their provider networks. The Federal Employee Health Benefits Program (FEHBP) regulations, for example, require that health plans

• A) Allow members direct access to OB/GYN services
• B) Allow members direct access to prescription drug services
• C) Provide access to Title X family-planning clinics
• D) Provide average office waiting times of no more than 30 minutes for appointments with plan providers

Recognize the specific jurisdictions of various courts within the federal system (e.g., district, bankruptcy, probate).

Understand the concept of federal-question jurisdiction and diversity-of-citizenship jurisdiction.

Distinguish between cases that must be filed in federal courts and those that may be filed in state courts.

Recognize the roles of specific courts (e.g., probate court, bankruptcy court) in the judicial system.

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Definitions:

Semiannual Interest

Semiannual interest is interest that is calculated and paid twice a year on investments or loans.

Straight-Line Method

A depreciation technique that allocates an equal amount of depreciation expense over the useful life of an asset.

Semiannual Interest

Interest payments made twice a year on investments or loans.

Bond Payable

A long-term liability where a borrower agrees to pay back a specified sum of money plus interest to bondholders at future dates.