Healthcare and Insurance Quiz

Affordable Care Act (ACA) is best described as:

• A law that allows employees to take unpaid time off for medical or family reasons

• A law that increased access to health insurance and set rules to protect patients

• A type of insurance plan where patients must use doctors in the plan’s network

• A request sent to an insurance company asking for payment for medical services

Allowed Charge refers to:

• The maximum amount an insurance company will pay for a medical service

• A fixed amount a patient pays at each doctor visit

• A service that insurance will not pay for

• The monthly cost of health insurance

An Appeal is:

• A list of covered prescription drugs

• A formal complaint filed by a patient

• A request to your insurance company to review and change a decision they made

• A type of insurance plan with network restrictions

A Brand Name Drug is:

• A drug sold under a company’s trademarked name

• A drug with the same ingredients but costs less

• Any over-the-counter medication

• A drug not covered by insurance

A Claim is:

• A special account to pay for medical expenses

• A request sent to an insurance company asking for payment for medical services

• A law that protects patient privacy

• An appeal against insurance

Comorbidities occur when:

• A patient has two or more medical conditions at the same time

• A patient files multiple claims at once

• A drug has multiple active ingredients

• An insurance company covers more than one family member

A Contract in healthcare is:

• A written agreement between a doctor and pharmacist

• A legal agreement between a patient, doctor, or insurance company about coverage

• A list of covered medical procedures

• A monthly insurance payment

A Copayment (Copay) is:

• The amount you pay before insurance begins

• A fixed amount of money a patient pays at each doctor visit or prescription

• The maximum insurance will pay

• The list of covered services

CPT Codes are used for:

• Diagnosing conditions

• Filing grievances

• Describing medical services and procedures for billing

• Tracking insurance premiums

A Deductible is:

• A percentage of the bill patients pay

• The amount of money a patient must pay each year before insurance starts paying

• A fixed fee at each visit

• The monthly premium