Health Insurance Basics

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

cost of your insurance that you pay each month

Back

premium

Answer explanation

Front

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

Back

deductible

Front

Insured

Back

The policy holder or subscriber

Front

Co-payment

Back

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

Front

Health insurance policy

Back

A contract between you and an insurance company

Front

Provider

Back

A health professional who provides services

Front

Group Insurance

Back

Insurance coverage offered to employees by the employer