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- 1. Multiple ChoiceYou 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?$150$30$120$0
- 2. Multiple ChoiceYou 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?$1700$0$1360
- 3. Multiple Choicea fixed amount you pay for a serviceco-insuranceco-paypremiumclaim
- 4. Multiple Choicecost of your insurance that you pay each monthco-paydeductiblepremiumco-insurance
- 5. Multiple ChoiceThe amount you owe before your health insurance begins to reimburse a claim.deductiblepremiumowed amount
- 6. Multiple ChoiceInsuredThe policy holder or subscriberFee paid for the health insuranceA person designated to receive the benefits of an insurance policyThe insurance company
- 7. Multiple ChoiceCo-paymentCoordination of benefitsPortion of the cost of service to be paid by the insured (a set dollar amount)Term of conditions not covered by the insurance companyProvider bill for service
- 8. Multiple ChoiceHealth insurance policyInsurance which covers your health, teeth and eyesA law which allows you insurance even if you lose your jobA contract between you and an insurance companyA policy you purchase only for children
- 9. Multiple ChoiceProviderFederal program that provides insurance for the elderlyA health professional who provides servicesTreatment of conditions not covered by the insurance companyComprehensive health benefit program
- 10. Multiple ChoiceGroup InsuranceInsurance coverage offered to employees by the employerInsurance policy an individual must purchase on their ownInsurance offered by the governmentInsurance offered to a special group of people
- 11. Multiple ChoiceHMOHealth Maintenance OrganizationHealth Managed OrganizationHealth Maintained OperationHealth Managed Operation
- 12. Multiple ChoiceManaged CareInsurance plans designed specifically to control the cost of healthcareAlso known as PPOAlso known as HMOA referral to see a specialist
- 13. Multiple ChoiceHealth InsurancePortion of the cost of service to be paid by the employerProtection against financial lost by unplanned health related eventsTreatments for conditions not covered by insurance policiesServices rendered by providers
- 14. Multiple ChoiceA 30 year woman broke her arm and went to the ER for treatment. Her health insurance plan has a $1,500 deductible. What does this meanShe can deduct $1,500 from the hospital bill, but must pay the restThe hospital will only charge her $1,500She is resoponsible for paying, $1,500 of her medical expenses before her insurance starts to payHer insurance company will only pay $1,500 and she must pay the rest
- 15. Multiple ChoicePPOPreferred Plan OperationPreferred Provider OrganizationPreferred Practice OrganizationPreferred Participation Operation
- 16. Multiple ChoiceWhat is the definition of out-of-pocket maximum?The amount of money your pockets can holdThe deductible you have to pay for insuranceMaximum money you can pay out of pocket before insurance pays the restThe amount of money you pay to your insurance company every month
- 17. Multiple ChoiceValerie 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?$275$200$25$225
- 18. Multiple ChoiceCo-insurance and co-payment refer to the
same thing.TrueFalse - 19. Multiple ChoiceYour health insurance has a $2000 deductible and a $100 per day co-payment for hospital stays. You get sick and are hospitalized for 2 days. The bill comes to $4000. How much of this bill do you have to pay?$2000$4000$2200$1800
- 20. Multiple ChoiceMax has a premium of $180 for his coverage. He broke his foot and had surgery on his foot. The deductible was $1,000. What were his medical expenses for the month?$180$1,000$1,180$8,000
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