Health Insurance Basics Formative Assessment

Front

You have reached your deductible of $2000, but you have not reached your maximum out-of-pocket limit of $4000 and your co-insurance begins. Your co-insurance is 20%. How much do you have to pay if you go to the doctor and the visit is $150?

Back

$30

Front

You have reached your $5000 out-of-pocket limit. You need to go to the emergency room and it cost $1700. How much will your insurance pay?

Back

$1700

Front

a fixed amount you pay for a service

Back

co-pay

Front

The amount you owe before your health insurance begins to reimburse a claim.

Back

deductible

Front

Co-payment

Back

Portion of the cost of service to be paid by the insured (a set dollar amount)

Front

What does a $1,500 deductible mean for a 30 year woman who broke her arm and went to the ER for treatment?

Back

She is responsible for paying $1,500 of her medical expenses before her insurance starts to pay.

Front

What is the definition of out-of-pocket maximum?

Back

Maximum money you can pay out of pocket before insurance pays the rest

Front

Valerie had to go to the doctor 3 times with the co-payments being $25 each time she went. Her premium is $200. What was her medical bill for the month?

Back

$275

Front

Your health insurance has a $2000 deductible and a $100 per day co-payment for hospital stays. You get sick and are hospitalized for 2 days. The bill comes to $4000. How much of this bill do you have to pay?

Back

$2200

Front

Max has a premium of $180 for his coverage. He broke his foot and had surgery on his foot. The deductible was $1,000. What were his medical expenses for the month?

Back

$1,180