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WorksheetsHealth Insurance Test
Total questions: 25
Worksheet time: 44mins
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
Maximum money you pay out of pocket before insurance pays the rest
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
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
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
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
Calculate the following:
Deductible: $500
Co-insurance: 80/20
Out of pocket limit: $3000
If Sandy receives a medical bill for $25,000, what is her TOTAL amount she must pay?
Calculate the following:
Deductible: $250
Co-insurance: 70/30
Out of pocket limit: $7000
If Sandy receives a medical bill for $15,000, what is her TOTAL amount she must pay?
Calculate the following:
Deductible: $1000
Co-insurance: 90/10
Out of pocket limit: $8000
If Sandy receives a medical bill for $80,000, what is her TOTAL amount she must pay?
Calculate the following:
Deductible: $1000
Co-insurance: 90/10
Out of pocket limit: $8000
If Sandy receives a medical bill for $80,000, what is her TOTAL amount she must pay?
A formal request from the customer to an insurance company asking for a payment based on the terms of the insurance policy
claim
premium
deductible
policy
Which is TRUE of health insurance?
you can only use only the doctors in your state
you might get a lower standard of care if you don't have insurance
you won't be able to go to a hospital without insurance
selecting in-network doctors instead of out-of-network doctors can save you money
