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Health Insurance and Coverage Quiz

#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
Explanation

Short-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
Explanation

A 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
Explanation

Cosmetic 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
Explanation

Medicaid 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
Explanation

Dental 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
Explanation

VA 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
Explanation

Medicare 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
Explanation

HMOs 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
Explanation

The 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
Explanation

A 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
Explanation

A 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
Explanation

PPO 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
Explanation

HMO 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
Explanation

HSAs 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
Explanation

HRAs are employer-funded accounts that reimburse employees for qualified medical expenses incurred.

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