Font size
WorksheetsHealth Insurance Assessment Review
Total questions: 30
Worksheet time: 53mins
A(n) _________ is the amount of money you must pay each year before your insurance company starts paying
life
beneficiary
deductible
health
_______________ requires you to pay either a set amount or a certain percent of medical expenses
co-insurance
co-payment
life term
term life
A(n) ____________ is a predetermined flat fee you pay for health care services
co-insurance
whole life
co-payment
term
You have met 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 80/20. How much do you have to pay if you go to the doctor and the visit is $150?
You have reached your $5000 out-of-pocket limit. Your co-insurane is 90/10. You need to go to the emergency room and it costs $1700. How much will the insurance co. pay?
$170
A person who sells insurance policies
Maximum money you pay out of pocket before insurance pays 100% of medical costs
same thing.
Deductibles are calculated on a(n) ________ basis.
daily
monthly
annual (yearly)
throughout the life of the policy
The government health plan that covers individuals who have a limited or low income is:
Medicare.
TRICARE.
Medicaid.
Social Security.
Coinsurance is the sharing of costs between the individual and the health insurance company. Which of the following statements are also TRUE about coinsurance?
I. the maximum amount an individual must pay is called the out-of-pocket maximum
II. common coinsurance rates are 80/20
III. the total coinsurance paid by individuals is capped
IV. coinsurance is sometimes called a copay or copayment
II, III, and IV
I, III, and IV
I, II, and IV
I, II, and III
Which of the following statements are TRUE?
health care is free if you have health insurance
receiving healthcare services is more affordable if you have health insurance
coinsurance and copayments are waived in the event of a true medical emergency
individuals who purchase their health insurance through an employer are eligible for the Advanced Premium Tax Credit
Domingo has a health insurance policy with the following provisions: $5000 Out of Pocket Maximum, $500 deductible, $50 copay, and 80/20 coinsurance provision. If Domingo has an accident that costs $3,000 in medical expenses, how much will he have to pay out of pocket?
$450
$550
$1,050
$2,450
The Bronze Plan has the (a) monthly premium.
The (a) will have the (b) monthly premium.
With an HMO
you need a referral to see an outside doctor.
you DON'T need a referral to see an outside doctor
What is the purpose of health insurance?
To protect individuals and families from unexpected healthcare expenses
To increase the profits of the healthcare industry
To burden individuals and families with healthcare expenses
To reduce the number of uninsured individuals
Insurance plan will Not pay if you go out-of-network.
Health Maintenance Organization (HMO)
Point of Service (POS)
Preferred Provider Organization (PPO)
(EPO)
What is one factor that affects the cost of your monthly health insurance premium?
Preexisting conditions
Type of plan (Platinum, Gold, etc.)
Doctor preference
Gender
Your health insurance premium is $100 per month. How much will you pay annually?
$3000
$$1000
$1200
$100
Your health care policy deductible starts over every year.
True
False
Your deductible is $550. Your Out of Pocket Max is $2000. Your Co-insurance is 80/20. So far this year you have paid $300 towards your deductible. If your medical bill is $100 for a small medical procedure this month, how much will you owe?
(a)
If a person has 80/20 co-insurance, what percent does the insurance company pay?
(a)
An insurance ___________ is a request that the insurance company pay a bill.
claim
cliam
clam
claam
If you pay higher premiums, your deductible should be (a)
I will be dropped from my parent's health insurance at age
18
21
26
24
