#1
Which of the following is a type of health insurance plan that provides coverage for a specific period of time?
Short-term health insurance
ExplanationShort-term health insurance provides coverage for a limited duration, typically less than a year.
#2
What does the term 'co-pay' refer to in health insurance?
A fixed amount the insured person pays for covered services at the time of service
ExplanationA co-pay is a predetermined amount an insured individual pays at the time of receiving medical services.
#3
Which of the following is NOT typically covered by health insurance?
Cosmetic surgery
ExplanationCosmetic surgery is usually not covered by health insurance unless deemed medically necessary.
#4
Which government program provides health coverage to low-income individuals and families?
Medicaid
ExplanationMedicaid is a joint federal and state program that provides health coverage to low-income individuals and families.
#5
Which of the following is typically covered by dental insurance?
Routine cleanings and check-ups
ExplanationDental insurance typically covers preventive services like routine cleanings and check-ups.
#6
Which government program provides health coverage to eligible military veterans?
VA Health Care
ExplanationVA Health Care provides medical benefits to eligible military veterans.
#7
Which government program provides health insurance to individuals aged 65 and older, as well as certain younger people with disabilities?
Medicare
ExplanationMedicare is a federal health insurance program primarily for people 65 or older.
#8
What is a Health Maintenance Organization (HMO) known for in terms of health insurance?
Having a primary care physician who coordinates care
ExplanationHMOs require members to select a primary care physician who manages and coordinates their healthcare services.
#9
What is the term used to describe the maximum amount an insurance company will pay for covered healthcare services in a policy period?
Out-of-pocket maximum
ExplanationThe out-of-pocket maximum is the most a policyholder is required to pay for covered healthcare services in a policy period.
#10
In health insurance, what does the term 'network' refer to?
A group of healthcare providers who have contracts with the insurance company
ExplanationA network consists of healthcare providers who have agreed to provide services to members of a specific insurance plan at negotiated rates.
#11
What does the term 'pre-existing condition' mean in health insurance?
A condition that was previously diagnosed or treated before the insurance policy start date
ExplanationA pre-existing condition refers to a health issue that existed before the start of an insurance policy.
#12
Which of the following is an advantage of having a Preferred Provider Organization (PPO) health insurance plan?
No need for referrals to see specialists
ExplanationPPO plans allow individuals to see specialists without obtaining a referral from a primary care physician.
#13
What is the purpose of a Health Maintenance Organization (HMO) referral?
To authorize access to specialist care
ExplanationHMO referrals are required to obtain authorization for specialist care.
#14
What is the purpose of a Health Savings Account (HSA) in relation to health insurance?
To pay for out-of-pocket medical expenses tax-free
ExplanationHSAs allow individuals to save money for medical expenses on a tax-free basis.
#15
What is the purpose of a Health Reimbursement Arrangement (HRA) in relation to health insurance?
To reimburse employees for qualified medical expenses
ExplanationHRAs are employer-funded accounts that reimburse employees for qualified medical expenses incurred.