Health Insurance 101

What is a Health Maintenance Organization (HMO)?

• A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO.

• A federal program of health insurance for persons 65 years of age and older.

• A request for payment that you or your health care provider submits to your health insurer.

Fill in the blank: Medicare is a federal program of health insurance for persons ____ years of age and older.

• 65

• 60

• 70

• 55

What is a Deductible in health insurance terms?

• A) A flat fee that you pay every time you receive a covered service.

• B) Amount you must pay before you begin receiving any benefits from your insurance company.

• C) A predetermined amount after which the insurance company will pay 100% of the cost of medical services.

Fill in the blank: Medicaid is a federal and state assistance program that pays for health care services for people who cannot ____ them.

• afford

• ignore

• refuse

• decline

What is a Co-Payment (Co-Pay)?

• A request for payment that you or your health care provider submits to your health insurer.

• A flat fee that you pay every time you receive a covered service.

• A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO.

Fill in the blank: A Premium is the amount you pay monthly, quarterly, semiannually or annually to purchase different types of ____.

• insurance

• subscriptions

• investments

• loans

Fill in the blank: Co-Insurance requires the insured individual to pay a fixed percentage of the loss after the ____ has been paid.

• deductible

• premium

• policy limit

• claim

What is a Claim in health insurance terms?

• A request for payment that you or your health care provider submits to your health insurer.

• A flat fee that you pay every time you receive a covered service.

• A predetermined amount after which the insurance company will pay 100% of the cost of medical services.

Fill in the blank: TRICARE is a federal and state assistance program that pays for health care services for people who cannot ____ them.

• afford

• understand

• ignore

• refuse

What is the Children's Health Insurance Program (CHIP)?

• A federal and state assistance program that pays for health care services for people who cannot afford them.

• A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO.

• A request for payment that you or your health care provider submits to your health insurer.