Healthcare Systems and Insurance Exam

Imagine Benjamin, Aiden, and Mason are planning a trip to the doctor's office. They are discussing the flat fee that an individual is expected to pay for a medical service, such as a doctor's appointment. What do they call this fee?

• co-insurance

• co-pay

• deductible

• premium

Imagine Olivia, Avery, and Noah are playing a game of 'Insurance Tycoon'. In this game, what would you call the amount of money that they and/or their virtual employers pay to the insurance company every month or year as part of their insurance plan?

• co-insurance

• co-pay

• deductible

• premium

Imagine Arjun, Ava, and Luna are playing a game of 'Health Insurance Monopoly'. In this game, what is the term for the amount of money that Arjun has to pay before the benefits of his health insurance kick in and coinsurance starts?

• out-of-pocket max

• co-pay

• deductible

• premium

Imagine this, James, Harper, and Maya are playing a game of 'Health Insurance Monopoly'. They land on a square that reads, 'After you have paid this amount of money, your health insurance will cover 100% of your costs for medical services that are included in your plan'. What is this square referring to?

• out-of-pocket max

• co-pay

• deductible

• premium

Noah, Evelyn, and Anika are playing a game of 'Insurance Trivia'. They stumbled upon a tricky question: 'What is the percentage of money that you are expected to pay after the deductible is reached?'

• out-of-pocket max

• co-insurance

• deductible

• premium

Imagine Liam, Abigail, and Charlotte are playing a trivia game. Liam pulls a card and reads, 'This is a federal health insurance program for people 65 and older and certain younger people with disabilities.' What is he talking about?

• medicare

• medicaid

• HMO

• PPO

Emma, Isla, and Mason are playing a game of 'Healthcare Heroes'. They come across a challenge where they need to identify an insurance program that provides free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Can you help them choose the right option?

• medicare

• medicaid

• HMO

• PPO

Imagine this, Ava, Luna, and Mia are best friends. Ava had a superhero year, bravely facing several major medical procedures. By August, she had paid over $10,000 and now, like a plot twist in a comic book, the insurance company will swoop in to pay 100% of the remainder of her medical bills for the year. This superhero move by the insurance company is called the:

• out-of-pocket max

• co-insurance

• co-pay

• deductible

Imagine Samuel, Noah, and Harper are playing a game of Monopoly. Samuel lands on a property owned by Noah. After Samuel paid his $500 rent, Noah's insurance company (the bank in this case) covered 80% of the remainder and Samuel paid the remaining 20%. This scenario is similar to which real-life insurance term?

• out-of-pocket max

• co-insurance

• co-pay

• deductible

Imagine this! Our friends Aria, David and Daniel are playing a game of 'Medical Bill Monopoly'. John, a character in their game, had a lot of medical bills over the course of a year. His total bill was a whopping $5,600. His insurance company, however, wouldn't pay a dime until he paid $500. This is known as a what?

• out-of-pocket max

• co-insurance

• co-pay

• deductible