#1
Which government program provides health insurance coverage for individuals aged 65 and older in the United States?
Medicare
ExplanationGovernment health insurance for seniors.
#2
Which of the following is not typically covered by a standard health insurance plan?
Routine dental check-ups
ExplanationExcluded dental services.
#3
What is the main purpose of a Health Maintenance Organization (HMO) in health insurance?
To emphasize preventive care and use a network of healthcare providers
ExplanationEmphasizes preventive care within provider network.
#4
What is the purpose of a health insurance premium?
To share costs between the insured and the insurer
ExplanationCost-sharing for coverage.
#5
What is the purpose of a Flexible Spending Account (FSA) in health insurance?
To accumulate tax-free funds for qualified medical expenses
ExplanationTax-advantaged savings for medical costs.
#6
What is the purpose of a health insurance deductible?
To share costs between the insured and the insurer
ExplanationCost-sharing mechanism.
#7
In the context of health insurance, what does the term 'co-payment' refer to?
A fixed amount the insured pays for a covered healthcare service
ExplanationFixed payment for services.
#8
What does the term 'open enrollment' mean in the context of health insurance?
The period during which individuals can apply for health insurance coverage
ExplanationDesignated period for enrollment.
#9
In health insurance, what is a 'network'?
A group of hospitals and healthcare providers that have contracts with an insurance company
ExplanationProvider network contracted by insurer.
#10
In health insurance terminology, what does the term 'exclusion' refer to?
A specific healthcare service not covered by the insurance plan
ExplanationServices not covered by the plan.
#11
What is the primary purpose of the Children's Health Insurance Program (CHIP) in the United States?
To offer health insurance for children in low-income families
ExplanationInsurance for low-income children.
#12
Which type of health insurance plan typically has a higher level of flexibility in choosing healthcare providers?
Preferred Provider Organization (PPO)
ExplanationFlexible provider choice.
#13
Which federal agency administers the Affordable Care Act (ACA) in the United States?
Centers for Medicare & Medicaid Services (CMS)
ExplanationGovernment agency overseeing ACA.
#14
What is the purpose of a Health Savings Account (HSA) in the context of health insurance?
To accumulate tax-free funds for qualified medical expenses
ExplanationTax-advantaged savings for medical costs.
#15
What is the primary purpose of the Consolidated Omnibus Budget Reconciliation Act (COBRA) in the United States?
To extend health coverage for certain individuals after a qualifying event
ExplanationContinuation of coverage after specific events.
#16
In the context of health insurance, what is 'underwriting'?
The process of determining an individual's risk and eligibility for coverage
ExplanationRisk assessment for insurance.
#17
What does the term 'out-of-pocket maximum' mean in health insurance?
The maximum amount an insured has to pay for covered services in a policy period
ExplanationMaximum cost for covered services.
#18
In the context of health insurance, what is a 'pre-existing condition'?
A condition that existed before the start of a health insurance policy
ExplanationExisting condition before coverage.
#19
In the United States, what government program provides health coverage for low-income individuals and families?
Medicaid
ExplanationGovernment insurance for low-income.