Medcan Ohip (Ontario Health Insurance Plan)
Take this quiz and learn more above OHIP (Ontario health Insurance plan).
- 1.
Services covered by OHIP are called
- A.
Uninsured services
- B.
Insured services
- C.
Symptom-based services
- D.
None of the above
Correct Answer
B. Insured servicesExplanation
Insured services are the services that are covered by OHIP (Ontario Health Insurance Plan). These services are provided to eligible individuals who have a valid OHIP card. Insured services include medically necessary treatments, consultations, surgeries, and other healthcare services that are deemed essential for maintaining health and treating illnesses. These services are funded by the government through the provincial health insurance plan, ensuring that individuals have access to necessary medical care without incurring significant out-of-pocket expenses.Rate this question:
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- 2.
Insured services are those services the Ministry of Health considers
- A.
Basic health services
- B.
Medically necessary services
- C.
Public health services
- D.
A and B
Correct Answer
B. Medically necessary servicesExplanation
The correct answer is "Medically necessary services" because insured services are defined as the services that the Ministry of Health considers essential for maintaining an individual's health and well-being. These services are deemed necessary for the diagnosis, treatment, and prevention of illness, injury, or disability. Therefore, insured services are primarily focused on medical necessity rather than being limited to basic health services or public health services.Rate this question:
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- 3.
The OHIP Schedule of Benefits is a list of
- A.
All services covered by the Ontario Health Insurance Plan
- B.
All insured services
- C.
All uninsured services
- D.
A and B
Correct Answer
D. A and BExplanation
The OHIP Schedule of Benefits is a comprehensive list that includes all services covered by the Ontario Health Insurance Plan (OHIP) as well as all insured services. This means that any medical service or procedure that is covered by OHIP will be included in the schedule. It helps healthcare providers and patients understand which services are eligible for reimbursement under OHIP. Additionally, the schedule also includes information on the fees and rules associated with each service, ensuring transparency and consistency in billing and reimbursement processes.Rate this question:
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- 4.
An example of an OHIP insured service would be
- A.
Physician visit
- B.
Blood test or imaging ordered by a physician
- C.
Specialist visit
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "All of the above" because an OHIP insured service refers to healthcare services that are covered by the Ontario Health Insurance Plan. This includes physician visits, blood tests or imaging ordered by a physician, and specialist visits. All of these services would be covered and paid for by OHIP for eligible individuals.Rate this question:
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- 5.
An example of an OHIP uninsured service would be
- A.
Executive medical
- B.
Telemedicine from a registered nurse
- C.
Prescription renewal by physician without patient appointment
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
All of the options listed - executive medical, telemedicine from a registered nurse, and prescription renewal by a physician without a patient appointment - are examples of OHIP uninsured services. These services are not covered by the Ontario Health Insurance Plan (OHIP) and therefore require payment by the patient.Rate this question:
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- 6.
Select the statement that is false
- A.
It is illegal to sell OHIP insured services
- B.
Medcan does not sell OHIP insured services
- C.
Medcan sells uninsured services
- D.
Medcan sells both insured and uninsured services
Correct Answer
D. Medcan sells both insured and uninsured servicesExplanation
The given statement "Medcan sells both insured and uninsured services" is false because it contradicts the previous statement "Medcan does not sell OHIP insured services". If Medcan does not sell OHIP insured services, then it cannot sell both insured and uninsured services.Rate this question:
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- 7.
Select the statement that is true
- A.
Medcan can recommend that people do an AHA before registering for YRC
- B.
People must have an AHA before registering for and using YRC
- C.
Medcan can recommend that people purchase the YRC membership
- D.
A and C
Correct Answer
D. A and CExplanation
The correct answer is A and C. This means that Medcan can recommend that people do an AHA before registering for YRC and they can also recommend that people purchase the YRC membership. This implies that doing an AHA is not mandatory for registering for and using YRC, but it is recommended by Medcan. Additionally, Medcan can also suggest purchasing the YRC membership.Rate this question:
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- 8.
When purchasing a YRC membership, one is buying
- A.
Access to Medcan
- B.
Access to Medcan’s YRC clinic
- C.
Access to Medcan physicians
- D.
Year-round care services not covered by OHIP
Correct Answer
D. Year-round care services not covered by OHIPExplanation
When purchasing a YRC membership, one is buying access to year-round care services that are not covered by OHIP. This means that the membership provides access to healthcare services that are not included in the coverage provided by the Ontario Health Insurance Plan (OHIP). These services may include specialized treatments, consultations, diagnostic tests, or other medical services that are not covered by the government insurance plan. By purchasing a YRC membership, individuals can receive comprehensive healthcare services throughout the year, even for treatments or services that would not be covered otherwise.Rate this question:
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- 9.
Select the statement that is true
- A.
One must purchase the YRC membership in order to see a Medcan specialist
- B.
One must purchase the YRC membership to see a Medcan physician
- C.
Medcan leads with selling our YRC membership so Clients experience seamless and convenient year-round care
- D.
The mammogram component in the AHA is billed to OHIP as it’s an insured service
Correct Answer
C. Medcan leads with selling our YRC membership so Clients experience seamless and convenient year-round careExplanation
Medcan leads with selling their YRC membership so that clients can have seamless and convenient year-round care. This suggests that purchasing the YRC membership is important for accessing the full range of services and benefits offered by Medcan.Rate this question:
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- 10.
Select the statement that is false
- A.
When asked “do you charge for insured services?” answer no and advise that an expert in this area can contact them with more information
- B.
When asked “tell me about your block fees” or another OHIP related topic you are unfamiliar with, advise that an expert in this area can contact them with more information
- C.
When asked “can I see a doctor without buying a membership” always answer no
- D.
Medcan does not sell any services covered by OHIP to Ontario residents
Correct Answer
A. When asked “do you charge for insured services?” answer no and advise that an expert in this area can contact them with more informationExplanation
The correct answer is "When asked 'do you charge for insured services?' answer no and advise that an expert in this area can contact them with more information." This statement is false because healthcare providers do charge for insured services covered by OHIP. It is important to provide accurate information about the costs of insured services and not mislead patients by suggesting that they are free.Rate this question:
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- 11.
Select the statement that is incorrect if an Ontario resident with OHIP wishes to see a Medcan physician without buying the membership
- A.
If they don’t have a family doctor, offer them a promotional free trial 4-month trial
- B.
If have a family doctor, recommend that they instead see their family doctor as we don’t have any medical history on them
- C.
If the above is explained but still wishes to see a Medcan physician, offer them a promotional free 4-month trial
- D.
If they don’t have a family doctor, refer them to the nearest walk-in clinic as we don’t have their medical history
Correct Answer
C. If the above is explained but still wishes to see a Medcan pHysician, offer them a promotional free 4-month trialExplanation
The statement "If the above is explained but still wishes to see a Medcan physician, offer them a promotional free 4-month trial" is incorrect. The correct statement should be "If the above is explained but still wishes to see a Medcan physician, they would need to purchase a membership or pay for the services." The incorrect statement suggests that a promotional free 4-month trial can be offered, which is not the case.Rate this question:
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- 12.
Which statement should we never say
- A.
You are paying for access to Medcan’s doctors
- B.
You cannot see a physician without buying membership
- C.
Buying membership gives you preferential treatment and faster referrals
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "All of the above". This means that all three statements mentioned - "You are paying for access to Medcan's doctors", "You cannot see a physician without buying membership", and "Buying membership gives you preferential treatment and faster referrals" - are statements that we should never say. These statements imply that access to healthcare is restricted based on financial status, which goes against the principle of equal and fair access to healthcare for everyone.Rate this question:
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- 13.
Select the statement that is true for payment options for Medcan Year-Round Care
- A.
People can choose to pay a block fee which is the flat fee
- B.
People can choose to pay-per-service
- C.
People can choose to pay for a membership with an Annual Health Assessment
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
All of the options listed are true for payment options for Medcan Year-Round Care. People have the choice to pay a block fee as a flat fee, pay-per-service, or pay for a membership with an Annual Health Assessment.Rate this question:
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- 14.
Select the true statement
- A.
A block fee is the flat fee charge for a pre-determined set of uninsured services. Can also be called an “annual fee"
- B.
If one offers a block fee on must also provide patients with the alternative of paying for each service individual (i.e. a pay-per-service)
- C.
If one charges patients for uninsured services, a list of fees must be made available to the patient regardless of whether the fee to be paid is a block fee or pay-per-service fee
- D.
Fees charged for uninsured services must be reasonable
- E.
All of the above
Correct Answer
E. All of the aboveExplanation
The correct answer is "All of the above". This means that all of the statements mentioned in the options are true. A block fee is indeed a flat fee charge for a pre-determined set of uninsured services, which can also be referred to as an "annual fee". If someone offers a block fee, they must also provide patients with the option of paying for each service individually. Additionally, if patients are charged for uninsured services, a list of fees must be made available to them, regardless of whether it is a block fee or pay-per-service fee. Lastly, the fees charged for uninsured services must be reasonable.Rate this question:
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- 15.
Select the statement that is incorrect if a Non-Resident without OHIP wishes to see a Medcan physician without buying the membership
- A.
Offer them a promotional free 4-month trial
- B.
Send them the Pay-Per-Service Agreement and book a $250 YRC appointment
- C.
Refer them to the nearest walk-in clinic
- D.
All of the above are incorrect
Correct Answer
B. Send them the Pay-Per-Service Agreement and book a $250 YRC appointment -
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Current Version
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Mar 20, 2023Quiz Edited by
ProProfs Editorial Team -
May 10, 2016Quiz Created by
Navidmedcan
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