#1
Which of the following is NOT a type of health insurance plan?
IRA
ExplanationIRA is a retirement savings account, not a health insurance plan.
#2
What is the purpose of a deductible in health insurance?
To limit the amount of out-of-pocket expenses the insured must pay before the insurance company starts to cover costs
ExplanationA deductible in health insurance limits the out-of-pocket expenses the insured pays before the insurance company covers costs.
#3
What is the purpose of a Health Savings Account (HSA) in the context of health insurance?
To allow individuals to save money tax-free for medical expenses
ExplanationHSAs allow individuals to save money tax-free for medical expenses.
#4
What is the term used to describe an agreement between an insurance provider and a healthcare provider to deliver services at pre-negotiated rates?
In-network
ExplanationIn-network refers to an agreement between an insurance provider and a healthcare provider to deliver services at pre-negotiated rates.
#5
In health insurance, what does the term 'out-of-pocket maximum' refer to?
The maximum amount an insured individual is required to pay for covered services in a given period
ExplanationThe out-of-pocket maximum refers to the maximum amount an insured individual is required to pay for covered services in a given period.
#6
What does 'COBRA' stand for in the context of health insurance?
Consolidated Omnibus Budget Reconciliation Act
ExplanationCOBRA stands for Consolidated Omnibus Budget Reconciliation Act, which allows continuation of employer-sponsored health insurance.
#7
Which government program provides health insurance for individuals aged 65 and older in the United States?
Medicare
ExplanationMedicare provides health insurance for individuals aged 65 and older in the United States.
#8
What is 'pre-existing condition' in the context of health insurance?
A condition that existed before a person's health insurance coverage began
ExplanationA pre-existing condition is a medical condition that existed before a person's health insurance coverage started.
#9
Which of the following is a key feature of a Health Maintenance Organization (HMO) plan?
Primary care physician coordinates all healthcare services
ExplanationIn an HMO plan, the primary care physician coordinates all healthcare services.
#10
What is the primary objective of Medicaid?
To provide health insurance coverage to low-income individuals and families
ExplanationThe primary objective of Medicaid is to provide health insurance coverage to low-income individuals and families.
#11
In health insurance, what is the term used to describe the amount an insured individual is required to pay for covered services after the deductible has been met?
Coinsurance
ExplanationCoinsurance is the amount an insured individual pays for covered services after the deductible has been met.
#12
Which of the following services is typically NOT covered by most health insurance plans?
Cosmetic surgery
ExplanationCosmetic surgery is typically not covered by most health insurance plans.
#13
What does the term 'network' refer to in the context of health insurance?
A group of healthcare providers and facilities that have contracts with an insurance company
ExplanationA network refers to a group of healthcare providers and facilities with contracts with an insurance company.
#14
Which government program provides health insurance coverage to low-income individuals and families in the United States?
Medicaid
ExplanationMedicaid provides health insurance coverage to low-income individuals and families in the United States.
#15
What is the purpose of a Certificate of Coverage in health insurance?
To provide proof of insurance coverage
ExplanationCertificates of Coverage provide proof of insurance coverage.
#16
What is the primary purpose of the Children's Health Insurance Program (CHIP) in the United States?
To provide health insurance coverage to low-income children and pregnant women
ExplanationCHIP provides health insurance coverage to low-income children and pregnant women in the United States.