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WorksheetsHealth Insurance
Total questions: 20
Worksheet time: 12mins
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.
a fixed amount you pay for a service
a)
co-insurance
b)
co-pay
c)
premium
d)
claim
3.
cost of your insurance that you pay each month
a)
co-pay
b)
deductible
c)
premium
d)
co-insurance
4.
The amount you owe before your health insurance begins to reimburse a claim.
a)
deductible
b)
premium
c)
owed amount
5.
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
6.
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
7.
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
8.
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
9.
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
10.
HMO
a)
Health Maintenance Organization
b)
Health Managed Organization
c)
Health Maintained Operation
d)
Health Managed Operation
11.
PPO
a)
Preferred Plan Operation
b)
Preferred Provider Organization
c)
Preferred Practice Organization
d)
Preferred Participation Operation
12.
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
13.
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
14.
Co-insurance and co-payment refer to the
same thing.
same thing.
a)
True
b)
False
15.
Which of the following plans will your insurance NOT pay if you go out-of-network?
a)
PPO
b)
HMO
16.
Amount you pay for covered health care after you meet your deductible. A percentage of the total cost of care—for example, 20%
a)
Co-pay
b)
Premium
c)
Co-insurance
d)
Deductible
17.
Health insurance premiums are charged only when you use health care services
a)
True
b)
False
18.
Once you buy a health insurance policy, your premium cannot change
a)
True
b)
False
19.
Is a state and federal program that provides health coverage if you have very low income
a)
Medicare
b)
Medicaid
20.
Typically an additional type of insurance needed as regular health insurance doesn't cover these expenses
a)
Vision & Dental Insurance
b)
Open Enrollment
c)
Co-Insurance
d)
Medicare
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