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WorksheetsHealth Insurance Basics
Total questions: 20
Worksheet time: 10mins
What is the monthly cost of your insurance called?
co-pay
deductible
premium
co-insurance
What is a fixed amount you pay for a service, such as $25 for office visits?
co-insurance
co-pay
premium
claim
The amount you must pay before your health insurance begins to pay is called
deductible
premium
owed amount
co-insurance
What is a co-payment (co-pay)?
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 a provider?
federal program that provides insurance for the elderly
a health professional, such as a doctor or specialist, who provides services
treatment of conditions not covered by the insurance company
comprehensive health benefit program
What does HMO stand for?
Health Maintenance Organization
Health Managed Organization
Health Maintained Operation
Health Managed Operation
A 30 year old 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 responsible 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.
What does PPO stand for?
Preferred Plan Operation
Preferred Provider Organization
Preferred Practice Organization
Preferred Participation Operation
What is the definition of out-of-pocket maximum?
The amount of money your pockets can hold.
The deductible you have to pay for insurance.
The maximum amount you can pay out of pocket before insurance pays the rest.
The amount of money you pay to your insurance company every month.
Valerie had to go to the doctor 3 times with the co-payments being $25 each time she went. Her premium is $200/month. What was her medical bill for the month?
$275
$200
$25
$225
same thing.
What is the Affordable Care Act?
a law that states everyone's healthcare is free
an act in a play by Shakespeare that makes fun of doctors
a law that requires all Americans to have health insurance
a law that requires all Americans to pay all health costs out of pocket
Medicare is used by:
children under 5
anyone older than 65 and younger than 2
only retired people
children with certain disabilities and people over 65
When can I change my health plan?
when I turn 30
only when the boss of the company allows it
at any time
during the open enrollment period
Co-insurance is usually figured as a
set amount
percentage
quotient
product
Keith's insurance year has just started. He has a deductible of $2,000, no co-pays and 100/0 co-insurance. How much of his $46,434 surgery bill will he have to pay?
none at all
$44,434
20% of the bill
$2000
Most insurance plans include dental and vision insurance.
false
true
Steve has already paid his $1,000 deductible this year. He has no co-pay and 80/20 co-insurance. How much does he have to pay of a $278 doctor bill?
$222.40
$1,000
$55.60
none at all
Why is health insurance in the United States so poor overall?
It is "for profit," so hospitals and insurance companies put money before people.
It is regulated by Congress, and you know how they are...
Hospitals are poorly run and doctors are not trained well.
The Roosevelt Administration set federal laws that could not be changed for 83 years.
The next time you break your glasses or throw your retainer in the trash at school, you should...
call the insurance company and cry
dive in the trash to get them out
call Obama and yell about the Affordable Care Act
realize that the person who pays for your insurance might have to pay out of pocket to get them replaced
