Health Insurance Terms

Flashcard
•
Business
•
12th Grade
•
Hard
KHANYA SIGWELA
FREE Resource
Student preview

30 questions
Show all answers
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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