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Worksheets

Ch 14

Total questions: 24

Worksheet time: 12mins

Name
Class
Date
1.

Which term refers to a type of cost-sharing in a health insurance policy that requires the insured individual to pay a share of the cost of covered services up to a certain point?

a)

Preauthorization

b)

Coinsurance

c)

Exclusion

d)

Regular medical insurance

2.

Which type of insurance specifically covers eye care and related services?

a)

Dental insurance

b)

Health insurance

c)

Vision care insurance

d)

Comprehensive medical insurance

3.

What is the term used for a marketplace that offers standardized health insurance plans to individuals, families, and small businesses?

a)

Regular medical insurance

b)

Health insurance exchange

c)

Major medical insurance

d)

Preauthorization

4.

What type of insurance is specifically designed to cover the costs associated with long-term medical and non-medical care for individuals with chronic illnesses, disabilities, or other conditions that prevent them from caring for themselves for long periods?

a)

Cancer insurance

b)

Long-term care (LTC) insurance

c)

Shared responsibility payment

d)

Copayment

5.

Which term is used to describe a fixed amount a patient pays for covered health care services, usually when receiving the service?

a)

Shared responsibility payment

b)

Indemnity plan

c)

Health savings account (HSA)

d)

Copayment

6.

Which type of insurance plan provides a cash benefit to the insured if they are diagnosed with cancer, to help cover the costs associated with cancer treatment?

a)

Long-term care (LTC) insurance

b)

Health savings account (HSA)

c)

Cancer insurance

d)

Managed care plan

7.

What does health insurance provide protection against?

a)

Job loss

b)

Theft

c)

Financial loss due to illness or injury

d)

Natural disasters

8.

Who can be considered a dependent in the context of health insurance?

a)

A neighbor

b)

A child, a spouse, or an elderly parent

c)

A distant relative

d)

A co-worker

9.

What is a deductible in health insurance?

a)

A fixed fee for a medical service

b)

The amount paid after insurance covers its share

c)

The amount that must be paid before the insurance starts to pay

d)

The total cost of health insurance per year

10.

What is coinsurance?

a)

A fixed annual fee for health insurance

b)

The percentage of medical expenses paid by the insurance

c)

The percentage of the service costs that patients pay after the annual deductible is met

d)

The total amount of money that can be spent on medical services in a year

11.

What is an exclusion in the context of health insurance?

a)

A medical service that is fully covered by an insurance plan

b)

A medical service that is not covered in an insurance plan

c)

A discount provided by the insurance company

d)

A bonus coverage for regular health check-ups

12.

Which of the following is an example of an exclusion?

a)

Emergency medical services

b)

Elective cosmetic surgery

c)

Vaccination programs

d)

General physician consultations

13.

What is a preexisting condition in the context of health insurance?

a)

A new illness diagnosed after signing up for health insurance

b)

A routine check-up requirement

c)

An illness or an injury a person has before signing up for health insurance

d)

A health condition that is covered by insurance

14.

What is a preauthorization in the context of health insurance?

a)

A confirmation of payment after medical procedures are completed

b)

An approval from the plan before receiving certain procedures and treatments

c)

A review of medical expenses by the patient

d)

A medical assessment performed by a doctor before treatment

15.

What is an inpatient?

a)

A person who is treated at home

b)

A person whose care does not require staying in a hospital

c)

A person whose care requires a stay in a hospital

d)

A person who only needs outpatient tests

16.

What is comprehensive medical insurance?

a)

Insurance that covers only basic medical needs

b)

Insurance that combines basic and major medical protection in one policy

c)

Insurance that provides coverage for injuries only

d)

Insurance that is limited to high-cost procedures

17.

What services are typically covered by vision care insurance?

a)

Teeth cleaning and dental exams

b)

Surgery and hospital stays

c)

Eye exams, glasses, and contact lenses

d)

Prescription medications and physical therapy

18.

What is another way that health insurance can be purchased apart from group health insurance?

a)

Family health insurance

b)

Individual health insurance

c)

Pet health insurance

d)

Life insurance

19.

Group health insurance is usually offered through which of the following?

a)

Only through an employer

b)

An employer, union, or trade association

c)

Solely through a trade association

d)

Only online marketplaces

20.

Group plan rates for health insurance usually cost _______ than individual policies for the same amount of coverage.

a)

more

b)

the same as

c)

less

d)

twice as much as

21.

Individual health insurance policies are generally:

a)

Less expensive than group plans and offer more benefits

b)

More expensive than group plans and offer fewer benefits

c)

The same price as group plans and offer the same benefits

d)

Less expensive than group plans and offer the same benefits

22.

What may be required as part of an individual health insurance application?

a)

A medical history questionnaire only

b)

A complete physical exam only

c)

Medical tests or a complete physical exam

d)

A letter of recommendation from a doctor

23.

Who usually qualifies for reasonable premiums in individual health insurance?

a)

Elderly applicants with chronic health problems

b)

Healthy, young applicants

c)

People with serious injuries

d)

All applicants regardless of health or age

24.

Who may pay high premiums for individual health insurance?

a)

Healthy, young applicants

b)

Applicants with no medical history

c)

People with serious injuries, illnesses, or chronic health problems

d)

Applicants who complete a physical exam