#1
What is the main benefit of having health insurance?
Coverage for medical expenses
ExplanationFinancial protection against high medical costs
#2
Which of the following is not typically covered by basic health insurance plans?
Cosmetic surgery
ExplanationConsidered elective and not medically necessary
#3
Which of the following is not a type of health insurance plan?
Flexible Spending Account (FSA)
ExplanationA tax-advantaged savings account for medical expenses
#4
What is the purpose of a health insurance premium?
To provide coverage for medical expenses
ExplanationMonthly payment for insurance coverage
#5
What is the purpose of a health insurance claim?
To request coverage for medical expenses
ExplanationFormal request for insurance reimbursement
#6
What is a deductible in health insurance?
The total amount you pay out-of-pocket before insurance kicks in
ExplanationInitial amount paid by insured before insurance coverage
#7
What does COBRA stand for in the context of health insurance?
Consolidated Omnibus Budget Reconciliation Act
ExplanationAllows continuation of employer-sponsored health coverage
#8
What is a copayment in health insurance?
A fixed amount paid by the insured for a covered service
ExplanationPredetermined cost sharing between insured and insurer
#9
What is the purpose of a health insurance network?
To establish relationships with healthcare providers
ExplanationEnsures access to contracted healthcare providers
#10
What does the term 'out-of-pocket maximum' refer to in health insurance?
The total amount the insured must pay before insurance covers all costs
ExplanationMaximum amount insured has to pay for covered services
#11
What does the term 'in-network provider' mean in health insurance?
A provider who accepts insurance reimbursement
ExplanationHealthcare provider with negotiated rates with insurer
#12
What is a pre-existing condition in health insurance?
A condition present before purchasing insurance
ExplanationMedical condition diagnosed before obtaining insurance
#13
What is the purpose of coordination of benefits (COB) in health insurance?
To ensure multiple insurers don't pay more than the total cost
ExplanationProcess to determine primary and secondary payers
#14
What does the term 'medical underwriting' mean in health insurance?
The process of reviewing and assessing an individual's medical history
ExplanationEvaluation of applicant's health history for coverage