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Health Insurance Terms

Health Insurance Terms

Assessment

Flashcard

Business

12th Grade

Practice Problem

Hard

Created by

KHANYA SIGWELA

FREE Resource

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30 questions

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1.

FLASHCARD QUESTION

Front

Coinsurance

Back

A percentage of costs you pay after reaching your deductible (e.g., 20% of a hospital bill).

2.

FLASHCARD QUESTION

Front

Out-of-Pocket Maximum

Back

The most you pay in a year before your insurance covers 100% of costs.

3.

FLASHCARD QUESTION

Front

Actuarial Value

Back

The percentage of total average costs your insurance will cover.

4.

FLASHCARD QUESTION

Front

PPO (Preferred Provider Organization)

Back

Can see out-of-network providers. No referrals needed. Higher costs.

5.

FLASHCARD QUESTION

Front

EPO (Exclusive Provider Organization)

Back

Must stay in-network but no referrals required.

6.

FLASHCARD QUESTION

Front

POS (Point of Service)

Back

Mix of HMO & PPO. Choose in-network (lower cost) or out-of-network (higher cost). Referrals required.

7.

FLASHCARD QUESTION

Front

Silver Plan

Back

You pay 30%, insurance pays 70%.

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