Health Insurance Vocabulary Review

What is the term for the money you pay each month for insurance?

• Deductible

• Premium

• Copay

• Claim

What does 'deductible' refer to in health insurance?

• The bill sent by the doctor to the insurance company

• The amount paid at the time of receiving medical services

• The amount of money you have to spend out of pocket before your insurance pays

• The money paid each month for insurance

What is a 'copay'?

• A type of insurance plan

• The amount of money that a person pays at the time of receiving medical services

• The monthly fee for insurance

• A health condition not covered by insurance

Who is considered a 'provider' in the context of health insurance?

• The insurance company

• The person paying for the insurance

• Any person that provides care such as a doctor, nurse, dentist, hospital

• The government

Imagine you're choosing a doctor for a routine check-up. What is the difference between choosing an 'in-network doctor' and an 'out-of-network doctor'?

• In-network doctors are less qualified than out-of-network doctors

• In-network doctors are covered by your insurance, while out-of-network doctors are not

• Out-of-network doctors are part of the insurance company, while in-network doctors are independent

• In-network doctors send claims directly to the patient, while out-of-network doctors send claims to the insurance company

Imagine you've just signed up for a new health insurance policy. What does the term 'out-of-pocket maximum' mean in this context?

• The maximum amount the insurance company will pay for covered services

• The maximum amount you can spend on health care services in a year

• The total amount you must pay out of your pocket before the insurance covers 100% of your expenses

• The annual limit on the amount of copays you are required to pay

Imagine John recently switched jobs and is in the process of enrolling in a new health insurance plan. What does 'pre-existing condition' mean in this context?

• A health issue that occurred after the insurance policy started

• A medical condition that is not covered by health insurance

• A health issue that was diagnosed or treated before the start of an insurance policy

• A temporary health condition that does not require medical treatment

Imagine you've just visited a doctor for a minor surgery, and your health insurance policy includes coinsurance. How does 'coinsurance' work in this context?

• It is the fixed amount you pay for the doctor's visit after you've paid your deductible

• It is the total amount the insurance company will pay for the surgery and any related services

• It is a percentage of the cost of the surgery that you pay after your deductible has been met

• It is the monthly fee you pay to keep your health insurance active