Health Insurance Basics Quiz

Test your knowledge on health insurance fundamentals. Explore terms like deductible, copayment, premium, ACA impact, and more.

#1

What is the deductible in health insurance?

The amount you pay for covered health care services before your insurance plan starts to pay.
The total amount you pay for health care services
The percentage of covered expenses you pay after meeting your deductible
The maximum amount your insurance plan will pay for covered services in a policy period.
#2

What does the term 'co-payment' refer to in health insurance?

The amount you pay for covered health care services after meeting your deductible
The fixed amount you pay for a covered health care service, usually when you receive the service
The percentage of covered expenses you pay after meeting your deductible
The maximum amount your insurance plan will pay for covered services in a policy period.
#3

What is a premium in health insurance?

The amount you pay for covered health care services before your insurance plan starts to pay.
The total amount you pay for health care services
The amount you pay to have health insurance coverage
The maximum amount your insurance plan will pay for covered services in a policy period.
#4

What is a Health Maintenance Organization (HMO) in health insurance?

A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO
A plan that offers more choices of doctors and hospitals
A plan that allows you to see any doctor without a referral
A plan that covers preventive services at 100%, with no cost-sharing
#5

What is the 'out-of-pocket maximum' in health insurance?

The total amount you pay for health care services
The maximum amount your insurance plan will pay for covered services in a policy period.
The most you have to pay for covered services in a plan year
The fixed amount you pay for a covered health care service, usually when you receive the service
#6

What is a Preferred Provider Organization (PPO) in health insurance?

A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO
A plan that allows you to see any doctor without a referral
A plan that offers more choices of doctors and hospitals
A plan that covers preventive services at 100%, with no cost-sharing
#7

What is a pre-existing condition in health insurance?

A condition that occurs after purchasing health insurance
A medical condition that existed before applying for or enrolling in a health insurance plan
A condition that is not covered by health insurance
A condition that only affects older individuals
#8

What is a Health Savings Account (HSA) in health insurance?

A savings account used in conjunction with a high-deductible health plan (HDHP) that allows you to save money on a pre-tax basis to pay for qualified medical expenses
A plan that offers more choices of doctors and hospitals
A plan that allows you to see any doctor without a referral
A plan that covers preventive services at 100%, with no cost-sharing
#9

What is the purpose of a Health Reimbursement Account (HRA) in health insurance?

A plan that covers preventive services at 100%, with no cost-sharing
A savings account used in conjunction with a high-deductible health plan (HDHP) that allows you to save money on a pre-tax basis to pay for qualified medical expenses
An employer-funded account that helps employees pay for qualified medical expenses not covered by their health plans
A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO
#10

What is the difference between coinsurance and copayment in health insurance?

Coinsurance is a fixed amount you pay for a covered health care service, usually when you receive the service; copayment is the percentage of covered expenses you pay after meeting your deductible
Copayment is a fixed amount you pay for a covered health care service, usually when you receive the service; coinsurance is the percentage of covered expenses you pay after meeting your deductible
Coinsurance is the fixed amount you pay for health care services before your insurance plan starts to pay; copayment is the maximum amount your insurance plan will pay for covered services in a policy period
There is no difference between coinsurance and copayment
#11

What is the Affordable Care Act (ACA) and how does it impact health insurance?

The ACA is a law that regulates the amount insurance companies can charge for premiums
The ACA is a law that provides tax credits to individuals and families to help them afford health insurance purchased through the Health Insurance Marketplace
The ACA is a law that eliminated the need for health insurance
The ACA is a law that only applies to large corporations
#12

What is a waiting period in health insurance?

The time a policyholder must wait before receiving coverage for pre-existing conditions
The time a policyholder must wait before purchasing health insurance
The time a policyholder must wait before using any health insurance benefits
The time a policyholder must wait before renewing their health insurance policy

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