Health Insurance Assessment Review

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

• life

• beneficiary

• deductible

• health

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

• co-insurance

• co-payment

• life term

• term life

A(n) ____________ is a predetermined flat fee you pay for health care services

• co-insurance

• whole life

• co-payment

• term

You have met 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 80/20. How much do you have to pay if you go to the doctor and the visit is $150?

• $150
• $30
• $120
• $0

You have reached your $5000 out-of-pocket limit. Your co-insurane is 90/10. You need to go to the emergency room and it costs $1700. How much will the insurance co. pay?

• $1700
• $0
• $1360
• $170

Insured

• The policy holder or subscriber
• Fee paid for the health insurance
• A person who sells insurance policies

• The insurance company

Health insurance policy

• Insurance which covers your health, teeth and eyes
• A law which allows you insurance even if you lose your job
• A contract between you and an insurance company
• A policy you purchase only for children

Provider

• Federal program that provides insurance for the elderly
• A health professional who provides services
• Treatment of conditions not covered by the insurance company
• Comprehensive health benefit program

Group Insurance

• Insurance coverage offered to employees by the employer
• Insurance policy an individual must purchase on their own
• Insurance offered by the government
• Insurance offered to a special group of people

A 30 year woman broke her arm and went to the ER for treatment. Her health insurance plan has a $1,500 deductible. What does this mean

• She can deduct $1,500 from the hospital bill, but must pay the rest
• The hospital will only charge her $1,500
• She is resoponsible for paying, $1,500 of her medical expenses before her insurance starts to pay
• Her insurance company will only pay $1,500 and she must pay the rest