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Thank you for completing the evaluation. If you are a nurse or social worker seeking continuing education credit, please complete the post-test and receive a passing grade of 80%. If you are not a healthcare professional or are not seeking continuing education credit, you are not required to take this post-test.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Which of the following best describes a health insurance premium?

A. A fixed amount paid each time you receive care

B. A percentage paid after the deductible is met

C. A monthly fixed payment to have health insurance

D. The maximum amount an insurer will pay per year

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* 5. What may happen if prior authorization is not obtained when required?

A. The provider must cover the cost

B. The patient’s claim may be denied

C. The insurer will automatically approve the service

D. The patient can receive unlimited appeals

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* 6. What is balance billing?

A. Charging a patient the full cost of services before insurance pays

B. Billing a patient for the difference between the provider’s charge and the amount the insurance company pays for an out-of-network service

C. Billing only the patient’s copayment amount

D. Billing a patient for services that are not medically necessary

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* 7. Co-pay accumulator programs may prevent co-pay assistance from counting toward a patient’s deductible or out-of-pocket maximum.

A. True

B. False

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* 8. Which statement best describes step therapy?

A. Patients begin with the most expensive treatment first

B. Patients must try a preferred, lower-cost medication before “stepping up” to more expensive or brand-name options

C. Patients can only receive brand-name medications

D. Patients must change doctors before accessing specialty medications

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* 9. What is the purpose of biomarker testing in cancer care?

A. To determine inherited genetic mutations only

B. To identify biomarkers that may guide treatment decisions

C. To replace biopsy procedures entirely

D. To determine insurance eligibility

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* 10. Which law protects patients from certain unexpected out-of-network medical bills in the United States?

A. The Affordable Care Act

B. The ERISA Act

C. The No Surprises Act

D. The HIPAA Privacy Rule

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* 11. If a patient receives a denial of coverage from their insurer, what is typically the first step in the appeals process?

A. File a lawsuit immediately

B. Submit an internal appeal to the insurance company

C. Contact the Department of Justice

D. Switch insurance plans immediately

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* 12. Health insurance plans must generally provide advance notice when there are significant network changes affecting in-network providers.

A. True

B. False

100% of survey complete.