Health Insurance Plans and Managed Care Quiz Test your knowledge on health insurance plans, deductibles, HMOs, copayments, and more. Explore the world of managed care with this comprehensive quiz.
#1
The amount of money you must pay out-of-pocket for covered services before the insurance company starts to pay.
The amount of money the insurance company pays for covered services.
The maximum amount of money you can pay for covered services in a year.
The total cost of the insurance premium.
#2
A type of health insurance plan that offers more flexibility in choosing healthcare providers.
A managed care organization that provides healthcare services for a fixed monthly premium.
A government-funded health insurance program for individuals over 65 years old.
An insurance plan that covers only emergency medical care.
#3
Medicare
Medicaid
TRICARE
CHIP
#4
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Exclusive Provider Organization (EPO)
Fee-for-Service Plan (FFS)
#5
Consolidated Omnibus Budget Reconciliation Act
Consolidated Options for Benefits and Retirement Assistance
Comprehensive Oversight of Benefits and Retirement Arrangements
Coverage for Out-of-pocket and Benefits Requirements Act
#6
Prescription drugs
Preventive care services
Cosmetic surgery
Emergency room visits
#7
To cover the cost of preventive care services
To reduce the out-of-pocket expenses for healthcare services
To provide financial protection against high medical costs
To pay for administrative expenses of the insurance company
#8
A fixed amount you pay for covered healthcare services, usually at the time of service.
The percentage of covered healthcare costs you pay after meeting your deductible.
A monthly fee you pay to have health insurance coverage.
The total amount you can pay for covered services in a year before insurance kicks in.
#9
Requires referrals to see specialists.
Limits coverage to only in-network providers.
Provides coverage for out-of-network care, usually at a higher cost.
Does not require primary care physicians.
#10
To prevent the occurrence of any diseases.
To manage and improve the health outcomes of individuals with chronic conditions.
To provide emergency care services to all individuals.
To promote healthy lifestyle choices.
#11
The maximum amount you can pay for covered services in a year before insurance kicks in.
The amount you must pay out-of-pocket for covered services before the insurance company starts to pay.
The total cost of the insurance premium.
The amount of money the insurance company pays for covered services.
#12
To pay for premiums of health insurance plans.
To save money for future medical expenses, often in conjunction with a high-deductible health plan.
To pay for copayments and coinsurance.
To cover expenses related to dental and vision care.
#13
A list of preferred healthcare providers within a network.
A list of covered prescription drugs and their respective copayment amounts.
The process of pre-authorizing medical procedures before they are performed.
The maximum amount of money you can pay for covered services in a year.
#14
Health Insurance Portability and Accountability Act (HIPAA)
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Affordable Care Act (ACA)
Americans with Disabilities Act (ADA)
#15
To determine if a healthcare service is medically necessary and appropriate.
To enroll individuals in health insurance plans.
To negotiate payment rates with healthcare providers.
To manage investments for the insurance company.
#16
To negotiate payment rates with healthcare providers.
To determine if a healthcare service is medically necessary and appropriate.
To manage and coordinate the care of individuals with complex medical needs.
To provide emergency care services to all individuals.
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