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WorksheetsHealth Insurance
Total questions: 20
Worksheet time: 14mins
Name
Class
Date
1.
You have reached 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 20%. How much do you have to pay if you go to the doctor and the visit is $150?
a)
$150
b)
$30
c)
$120
d)
$0
2.
You have reached your $5000 out-of-pocket limit. You need to go to the emergency room and it cost $1700. How much will your insurance pay?
a)
$1700
b)
$0
c)
$1360
3.
a fixed amount you pay for a service
a)
co-insurance
b)
co-pay
c)
premium
d)
claim
4.
cost of your insurance that you pay each month
a)
co-pay
b)
deductible
c)
premium
d)
co-insurance
5.
The amount you owe before your health insurance begins to reimburse a claim.
a)
deductible
b)
premium
c)
owed amount
6.
Insured
a)
The policy holder or subscriber
b)
Fee paid for the health insurance
c)
A person designated to receive the benefits of an insurance policy
d)
The insurance company
7.
Co-payment
a)
Coordination of benefits
b)
Portion of the cost of service to be paid by the insured (a set dollar amount)
c)
Term of conditions not covered by the insurance company
d)
Provider bill for service
8.
Health insurance policy
a)
Insurance which covers your health, teeth and eyes
b)
A law which allows you insurance even if you lose your job
c)
A contract between you and an insurance company
d)
A policy you purchase only for children
9.
Provider
a)
Federal program that provides insurance for the elderly
b)
A health professional who provides services
c)
Treatment of conditions not covered by the insurance company
d)
Comprehensive health benefit program
10.
Group Insurance
a)
Insurance coverage offered to employees by the employer
b)
Insurance policy an individual must purchase on their own
c)
Insurance offered by the government
d)
Insurance offered to a special group of people
11.
HMO
a)
Health Maintenance Organization
b)
Health Managed Organization
c)
Health Maintained Operation
d)
Health Managed Operation
12.
Health Insurance
a)
Portion of the cost of service to be paid by the employer
b)
Protection against financial lost by unplanned health related events
c)
Treatments for conditions not covered by insurance policies
d)
Services rendered by providers
13.
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
a)
She can deduct $1,500 from the hospital bill, but must pay the rest
b)
The hospital will only charge her $1,500
c)
She is resoponsible for paying, $1,500 of her medical expenses before her insurance starts to pay
d)
Her insurance company will only pay $1,500 and she must pay the rest
14.
PPO
a)
Preferred Plan Operation
b)
Preferred Provider Organization
c)
Preferred Practice Organization
d)
Preferred Participation Operation
15.
What is the definition of out-of-pocket maximum?
a)
The amount of money your pockets can hold
b)
The deductible you have to pay for insurance
c)
Maximum money you can pay out of pocket before insurance pays the rest
d)
The amount of money you pay to your insurance company every month
16.
Valerie had to go to the doctor 3 times with the co-payments being $25 each time she went. Her premium is $200. What was her medical bill for the month?
a)
$275
b)
$200
c)
$25
d)
$225
17.
Co-insurance and co-payment refer to the
same thing.
same thing.
a)
True
b)
False
18.
Your health insurance has a $2000 deductible and a $100 per day co-payment for hospital stays. You get sick and are hospitalized for 2 days. The bill comes to $4000. How much of this bill do you have to pay?
a)
$2000
b)
$4000
c)
$2200
d)
$1800
19.
Max has a premium of $180 for his coverage. He broke his foot and had surgery on his foot. The deductible was $1,000. What were his medical expenses for the month?
a)
$180
b)
$1,000
c)
$1,180
d)
$8,000
20.
Medicaid
a)
Federal health insurance program administered by the state for people with income below the poverty level
b)
Federal health insurance for the elderly
c)
Fee paid for services rendered
d)
Health insurance for members of the military and their families
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