Healthcare Delivery System and Insurance

What is your "premium" for your insurance plan?

• The level of coverage that you get 
• The amount you pay regularly (monthly, twice a year, etc.) for your insurance 
• The portion you are responsible for out of your total bill

What is your "deductible"?

• The total amount that you must pay before your insurance will start covering costs
• The maximum amount per year that your insurance will cover
• The amount your insurance will cover, subtracted from the total bill you recieve

What is a PPO health insurance plan?

• A plan that gives you the choice to see the doctors/providers of your preference
• A plan where you must see a provider within your network (ex: Kaiser) 

What was one major change with the Affordable Care Act (ACA/"Obamacare")

• Individuals can sign up for insurance coverage at reduced rates in the "marketplace"
• Young people can be on their parent's health insurance until age 21 under Obamacare
• Now, individuals can get health insurance coverage through their employers who have to pay the full costs

This word refers to the amount (part of the shared cost) that you, the patient, pays for each doctor's office visit

• Balance
• Copay (or copayment)
• Fees
• Coinsurance

What is an HMO insurance plan?

• A plan that gives you the choice to see the doctors/providers of your preference
• A plan where you must see a provider within your network (ex: Kaiser) 

What is the purpose of healthcare?

• To make sure you don't get sick
• To help you pay for your medical care
• To ensure that you have money left over for retirement
• For doctors to make more money

The possibility of a loss is called

• Risk
• Liability
• Insurance
• Hazard

Medicare

• Fee paid for health insurance
• portion of the cost of service
• Federal program that provides insurance for those 65 or older or disabled
• Federal program who insures the poor

The higher your deductible is, the lower your cost for insurance will be? 

• True
• False