Insurance Terminology 2022

A ___ is any person who has coverage under a health insurance plan.

• Guarantor

• Beneficiary

• Payer

• Provider

What is a copayment?

• 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

What is the amount of money you must pay each year before your insurance company starts paying.

• Life

• Beneficiary

• Health insurance

• Deductible

What is the percentage of costs you share between you and your insurance company?

• Life term

• Copayment

• Coinsurance

• Beneficiary

What is Medicaid?

• Jointly funded by state and federal

• Managed by each state

• Available in all states

• All the above

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

• The amount of money your pockets can hold

• Maximum money you can pay out of pocket before insurance pays the rest

• The deductible you have to pay for insurance

• The amount of money you pay to your insurance company every month

You have reached your deductible of $2000, but you have not reached your maximum out-of-pocket limit of $4000 and your co-insurance begins. Your co-insurance is 20%. How much do you have to pay if you go to the doctor and the visit is $150?

• $150

• $120

• $30

• $0

What is MVA insurance?

• Insurance offered by the government

• Insurance for patients who suffer auto accident injuries and the expenses are covered by the auto insurance

• Insurance coverage offered to employees by the employer

• Insurance policy an individual must purchase on their own

What is a provider?

• Treatment of conditions not covered by the insurance company

• A health professional who provides services

• Comprehensive health benefit program

• Federal program that provides insurance for the elderly

Insurance that provides lost income as a result of an injury on the job.

• Product liability insurance

• Disability income insurance

• Workers' compensation insurance

• Business interruption insurance