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- 1. Multiple Choice
Which of the following best describes a health plan “provider network?"
The hospitals and doctors that contract with your health plan to provide services for an agreed-upon rate or fee schedule.
The computer system doctors and hospitals use to submit bills to insurance companies.
A website where consumers can find information about the best doctors.
- 2. Multiple Choice
True or false: If you receive inpatient care at a hospital that participates in your health plan’s provider network, all the doctors who care for you while you’re in the hospital will also be in network.
True
False
- 3. Multiple Choice
Suppose your health plan covers lab tests in full if you go to an in-network lab, but only pays 60% of allowed charges if you go out of network. You forget to check and go get your blood test at a lab that turns out to be out of network. The lab bills you $100 for the blood test. Your health insurance allows only a $20 charge for that test. How much would you have to pay out of pocket for that lab test?
$0
$40
$60
$88
- 4. Multiple Choice
True or false? If your health insurance or health plan refuses to pay for a service that you think is covered and your doctor says you need, you can appeal the denial and possibly get the insurance company to pay the claim.
True
False
- 5. Multiple Choice
What happens if you don't have health insurance (Select all that are true)
You can be refused treatment unless it is a life threatening situation
You have to pay for all of your healthcare expenses at full cost
You have to pay a fine when you do your taxes, or your tax refund is garnished
You can't go to the doctor because you cannot pay your bill
You may qualify for coverage through your state, if you have a low income
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