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WorksheetsHealth Insurance Quizziz
Total questions: 15
Worksheet time: 18mins
An insurance policy is a contract between the
policyholder and the injured person.
policyholder and the insurance company.
driver and the government.
consumer and the insurance agent.
A health insurance co-pay is
an amount paid out of pocket before your insurance coverage begins.
paid by the insurer.
applied on an annual basis.
a fixed amount of money you pay each time you use your plan.
If you do not have health insurance and you get seriously ill, you can possibly go into medical debt or bankruptcy.
True
False
Which is NOT true of HMOs?
HMOs offer the cheapest health insurance option
HMOs are the most restrictive. You can only choose in-network providers.
HMO's require a referral from your Primary Care Physician.
HMO's allow you to choose providers out-of-network
The amount an individual pays monthly, quarterly, semiannually, or annually to purchase different types of insurance is called:
premium
out-of-pocket expense
deductible
liability
The maximum amount of money a person will have to spend on medical expenses...beyond this amount, the insurance company agrees to cover all costs.
minimum liability amount
out-of-pocket max expenses
out of network provider
uninsured coverage limit
Let’s say that your health insurance plan has the following features:
Deductible: $2,000
Coinsurance: 80/20 (you pay the 20%, insurance company pays 80%)
Out-of-pocket Maximum: $5000
Now, let’s say you go to the hospital and incur $10,000 worth of medical expenses. How much do you pay out of pocket?
$3,600.00
$6,400.00
$2,000.00
$1,600.00
Let’s say that your health insurance plan has the following features:
Deductible: $3,000
Coinsurance: 80/20 (you pay the 20%, insurance company pays 80%)
Out-of-pocket Maximum: $6,000
Now, let’s say you go to the hospital an incur $17,000 worth of medical expenses. How much did the insurance have to pay?
$5,800.00
$11,200.00
$3,000.00
$2,800.00
Let’s say that your health insurance plan has the following features:
Deductible: $2,000
Coinsurance: 70/30 (you pay the 30%, insurance company pays 70%)
Out-of-pocket Maximum: $7,000
Now, let’s say you go to the hospital an incur $18,000 worth of medical expenses.
How much do you pay out of pocket?
Let’s say that your health insurance plan has the following features:
Deductible: $2,000
Coinsurance: 70/30 (you pay the 30%, insurance company pays 70%)
Out-of-pocket Maximum: $7,000
Now, let’s say you go to the hospital an incur $18,000 worth of medical expenses.
HOW MUCH DID THE INSURANCE PAY?
What type of Insurance am I? I give you choice to choose between in-network and out-of-network providers but I can be expensive.....
PPO
HMO
EPO
POS
Provider is a term used for health professionals who provide health care services.
True
False
What is NOT true about in-network providers?
Doctors agree to a certain fee with insurance companies
You only have to pay a copay for every visit.
In-network providers are cheaper
In-network providers require you to pay the full amount for each visit.
The amount of money an individual pays for medical or hospital bill before the insurance company starts to pay their share
Deductible
Coinsurance
Copay
Premium
When an insurance company requires a primary care doctor to authorize any visits to other doctors or specialists. If an individual doesn't get this under HMO, a visit may not be covered.
Referral
Copay
Coinsurance
Coverage
