Health Insurance Activity

The Affordable Care Act mandates the availability of affordable health care insurance for every American and includes comprehensive health insurance reforms designed to eliminate some of the worst practices of insurance companies and to essentially put consumers back in charge of their health care.

• True

• False

What is a premium in health insurance?

• A premium is the age limit for health insurance coverage.
• A premium is the total amount of claims paid by the insurer.
• A premium is a type of deductible in health insurance.
• A premium is the monthly payment made for health insurance coverage.

Medicaid is a health insurance program for people with low incomes and limited resources and is funded by both the federal government and individual states.

• True

• False

Differentiate between a copay and coinsurance.

Define deductible

• A deductible is the out-of-pocket amount paid by the insured before insurance coverage kicks in.
• A deductible is the premium paid for insurance coverage.
• A deductible is a type of insurance policy.
• A deductible is the total amount covered by insurance.

Which is defined as the maximum amount a patient will have to pay out of pocket for health care?

• Premium
• Co-payment
• Deductible
• Out-of-pocket maximum

Which of the following organizations provides discount health care but also limit where a person can go for treatment of an illness or injury?

• Preferred Provider Organizations (PPOs)
• Point of Service

• General Insurance Organizations

• Fee for service organizations

Requiring a referral from a primary care physician before seeing an orthopedist is one way to control costs.
Which of the following involves a prearranged system for delivering health care that is designed to control costs while continuing to provide quality care?

• product liability

• managed care

• third party reimbursement

• health maintenance plan

Because of the high cost of medical care, every athlete should be covered by appropriate insurance policies that maximize the benefits should injury occur.

• True

• False

Which of the following is a contract between an assurance company and a policyholder in which the company agrees to reimburse a portion of the total medical bill after some deductible has been paid by the policyholder?

• product liability

  
  

• liability insurance

  
  

• third-party reimbursement

  
  

• health insurance