Insurance Terminology

Co-payment

• Coordination of benefits
• Portion of the cost of service to be paid by the insured (a set dollar amount)
• Term of conditions not covered by the insurance company
• Provider bill for service

__________ ___________ __________ is a group of selected health care providers who offer comprehensive services at preset reimbursement levels

• health maintenance organization

• co-payment

• preferred provider organization

• co-insurance

Tags

CCSS.L.11-12.4C

CCSS.L.6.4C

CCSS.L.7.4C

CCSS.L.8.4C

CCSS.L.9-10.4C

_____________ ___________ __________ is a prepaid health plan in which care providers contract with (or are) employees of the org. to provide you with services

• preferred provider organization

• health maintenance organization

• life insurance

• non-life insurance

Tags

CCSS.RI.11-12.4

CCSS.RI.7.4

CCSS.RI.8.4

CCSS.RI.9-10.4

CCSS.RI.9-10.4

A(n) _________ is the amount of money you must pay each year before your insurance company starts paying

• life

• beneficiary

• deductible

• health

Tags

CCSS.L.11-12.4C

CCSS.L.6.4C

CCSS.L.7.4C

CCSS.L.8.4C

CCSS.L.9-10.4C

_______________ requires you to pay either a set amount or a certain percent of medical expenses

• co-insurance

• co-payment

• life term

• term life

Tags

CCSS.L.11-12.4C

CCSS.L.6.4C

CCSS.L.7.4C

CCSS.L.8.4C

CCSS.L.9-10.4C

The __________ is the person who receives money from a life insurance policy if the insured dies

• beneficiary

• life

• deductible

• health

Tags

CCSS.L.11-12.4C

CCSS.L.6.4C

CCSS.L.7.4C

CCSS.L.8.4C

CCSS.L.9-10.4C

Medicaid is?

• Jointly funded by state and federal.
• Managed by each state.
• Available in all states.
• All the above.

True or False-
Authorizations are approved by your doctor?

• True
• False

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

• The amount of money your pockets can hold
• The deductible you have to pay for insurance
• Maximum money you can pay out of pocket before insurance pays the rest
• The amount of money you pay to your insurance company every month

What is an insurance premium?

• Your monthly payment to your insurer, regardless of whether you use any services

• A list of the procedures covered by your insurance carrier

• An added cost you pay in order to receive higher-quality services

• The amount you pay out-of-pocket for a specific procedure or service