Health Insurance

Which one is NOT one the three primary sources of health insurance?

• Employer-sponsored

• Medicaid/

  Medicare

• Purchase from the Health Insurance Marketplace

• Health Maintenance Organization

What is an out-of-pocket maximum?

• A flat-rate fee you must pay when receiving any kind of health care service

• Maximum amount of money your insurance will cover of a certain health care service.

• Maximum amount you will have to pay out of pocket in one year for the benefits your insurance covers.

• Maximum amount of money the insured party will pay toward prescription medications.

Which of the following plans will your insurance NOT pay if you go out-of-network?

• PPO

• HMO

The term used to describe the amount that a policyholder must pay before a health insurance policy pays any benefits

• Copayment

• Coinsurance

• Deductible

• Out-of-Pocket Maximum

Term used to describe a specific dollar amount (e.g., $25) that is charged for a medical service or prescription drug

• Copayment

• Coinsurance

• Deductible

• Out-of-Pocket Maximum

Services such as annual check-ups, immunizations, and screening exams that are designed to keep people healthy and avoid large medical bills in the future.

• Primary Care Physician

• Preventative care

• Policyholder

• Policy limit

______insurance provides financial protection against overwhelming medical expenses

• Health

• Comprehensive

• Auto

• Liability

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

• Deductible

• Premium

• Owed amount

• Co-pay

Amount you pay for covered health care after you meet your deductible. A percentage of the total cost of care—for example, 20%

• Co-pay

• Premium

• Co-insurance

• Deductible

What is a "Provider"?

• Federal program that provides insurance for the elderly

• Comprehensive health benefit program

• Treatment of conditions not covered by the insurance company

• A health professional who provides services