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Health Insurance Terminology Quiz

Total questions: 21

Worksheet time: 15mins

Name
Class
Date
1.

(a)   – The amount of money you pay each month to keep your insurance active.

2.

(a)   – The amount you must pay out of pocket for health care services before insurance begins to pay.

3.

(a)   – A set dollar amount you pay for a specific health care service, such as a doctor’s visit or prescription.

4.

(a)   – The percentage of costs you share with your insurance company after your deductible is met.

5.

What is insurance?

a)

A service purchased to protect assets and income against financial loss.

b)

A type of savings account where you put aside money for emergencies.

c)

A type of investment account where you can buy shares of stock.

d)

A kind of taxes charged by the government.

6.
This type of insurance pays the fees of other doctors who see you in or out of the hospital.
a)
hospitalization insurance
b)
disability insurance
c)
medical insurance
d)
life insurance
7.
The amount you owe before your health insurance begins to reimburse a claim.
a)
deductible
b)
premium
c)
owed amount
8.
Requires the insured individual to pay a fixed percentage of the loss after the deductible has been paid
a)
employee benefits
b)
co-insurance
c)
deductible
d)
coverage
9.
Generally, the higher the deductible on an insurance policy, the
a)
greater the premium.
b)
lower the premium.
c)
more frequently the premium has to be paid.
d)
less frequently the premium has to be paid. 
10.

Identify a characteristic of a Preferred Provider Organization (PPO) plan.

a)

Requires referrals for specialists

b)

Offers a network of preferred doctors and hospitals

c)

Does not cover out-of-network care

d)

Has no monthly premiums

11.

What is the main difference between an HMO and a PPO?

a)

HMOs have higher premiums than PPOs

b)

PPOs require referrals for specialists, while HMOs do not

c)

HMOs require you to choose a primary care physician, while PPOs do not

d)

PPOs do not cover preventive care, while HMOs do

12.

Which of the following is a type of health insurance plan?

a)

Homeowners insurance

b)

Auto insurance

c)

Health Maintenance Organization (HMO)

d)

Life insurance

13.

What kinds of insurance are there?

a)

Private and public.

b)

Premium and Non-Premium

c)

All expenses and Partial coverage

d)

Government Issued and Independent

14.

The amount of money you agree to pay towards your losses before your insurance coverage will begin paying

a)

deductible

b)

claim

c)

coverage

d)

premium

15.

The percentage of costs the insured pays for medical services after paying the policy deductible.

a)

Premium

b)

Coinsurance

c)

Copay

d)

Percentage Premium

16.
Provides money to pay for health care for illness, injury, or, in some cases, preventative care
a)
automobile insurance
b)
disability insurance
c)
health insurance
d)
personal insurance
17.
cost of your insurance that you pay each month
a)
co-pay
b)
deductible
c)
premium
d)
co-insurance
18.
a fixed amount you pay for a service
a)
co-insurance
b)
co-pay
c)
premium
d)
claim
19.
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
20.
You have reached your $5000 out-of-pocket limit. You need to go to the emergency room and it cost $1700. How much will your insurance pay?
a)
$1700
b)
$0
c)
$1360
21.

Which is TRUE of health insurance?

a)

you can only use only the doctors in your state

b)

you might get a lower standard of care if you don't have insurance

c)

you won't be able to go to a hospital without insurance

d)

selecting in-network doctors instead of out-of-network doctors can save you money