AHIP Exam AHM-250 Topic 7 Question 79 Discussion

Actual exam question for AHIP's AHM-250 exam

Question #: 79
Topic #: 7

Eleanor Giambi is covered by a typical 24-hour managed care program. One characteristic of this program is that it:

AProvides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.

BCombines the group health plan and disability plan offered by Ms. Giambi's employer with workers' compensation coverage.

CRequires Ms. Giambi and her employer to each pay half of the cost of this coverage.

DRequires Ms. Giambi to pay specified deductibles and copayments before receiving benefits under this program for any illness or injury.

Show Suggested Answer

Suggested Answer: D

by Glenna at Dec 23, 2023, 05:43 AM

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Moon

1 months ago

Haha, imagine if the answer was 'All of the above'? That would really be a managed care nightmare!

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Bethanie

B) Combines the group health plan and disability plan offered by Ms. Giambi's employer with workers' compensation coverage.

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Alaine

13 days ago

A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.

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Rosio

1 months ago

C? Splitting the cost? That's a bit too equitable for a managed care program. They're more about making us shoulder the burden.

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Trinidad

2 days ago

D) Requires Ms. Giambi to pay specified deductibles and copayments before receiving benefits under this program for any illness or injury.

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Amie

3 days ago

B) Combines the group health plan and disability plan offered by Ms. Giambi's employer with workers' compensation coverage.

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Mollie

1 months ago

A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.

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Christene

2 months ago

B sounds interesting, but I don't think that's it. Combining health, disability, and workers' comp? That's a lot of moving parts.

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Colton

1 months ago

D) Requires Ms. Giambi to pay specified deductibles and copayments before receiving benefits under this program for any illness or injury.

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Katlyn

1 months ago

A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.

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Kimbery

2 months ago

Nah, I don't think it's A. That would just be too convenient, work-related illnesses and injuries only. Gotta love the fine print.

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Jin

2 months ago

Because it mentions combining group health and disability plans with workers' compensation, which sounds like a managed care program.

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Raul

2 months ago

Why do you think it's B?

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Jin

2 months ago

I disagree, I believe it's B.

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Raul

2 months ago

I think the answer is D.

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Yasuko

2 months ago

Hmm, I'm pretty sure it's D. We have to pay those pesky deductibles and copayments before getting any benefits. Managed care, am I right?

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Elvera

16 days ago

I agree, D is the correct answer. Managed care can be tricky with all those deductibles and copayments.

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Becky

16 days ago

D) Requires Ms. Giambi to pay specified deductibles and copayments before receiving benefits under this program for any illness or injury.

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Marylou

17 days ago

C) Requires Ms. Giambi and her employer to each pay half of the cost of this coverage.

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Albina

18 days ago

It's definitely a downside of managed care, but it does help control costs in the long run.

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Alona

19 days ago

B) Combines the group health plan and disability plan offered by Ms. Giambi's employer with workers' compensation coverage.

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Alyce

19 days ago

A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.

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Marget

20 days ago

I wish we didn't have to pay so much before getting any benefits.

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Cory

21 days ago

I agree, D is the correct answer. Managed care can be tricky with all those deductibles and copayments.

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Cyril

23 days ago

D) Requires Ms. Giambi to pay specified deductibles and copayments before receiving benefits under this program for any illness or injury.

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Chandra

25 days ago

C) Requires Ms. Giambi and her employer to each pay half of the cost of this coverage.

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Paulina

26 days ago

B) Combines the group health plan and disability plan offered by Ms. Giambi's employer with workers' compensation coverage.

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Raelene

28 days ago

A) Provides Ms. Giambi with healthcare coverage for any illness or injury, but only if the cause of the illness or injury is work-related.

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Eura

1 months ago

Yeah, managed care can be a bit of a hassle with all the out-of-pocket costs.

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Tasia

1 months ago

I think you're right, we do have to pay deductibles and copayments with managed care.

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Quiana

2 months ago

But D makes more sense because it mentions deductibles and copayments.

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Joaquin

2 months ago

I disagree, I believe the answer is B.

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Quiana

2 months ago

I think the answer is D.

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