#1
Which of the following is NOT typically covered by a basic health insurance policy?
Doctor's visits
Prescription drugs
Cosmetic surgery
Hospitalization expenses
#2
What does the term 'co-pay' refer to in health insurance?
The total amount you pay out-of-pocket for covered services
A fixed amount you pay for a covered health care service, usually when you receive the service
The maximum amount you will pay in a policy period before your insurance starts to pay 100% of the allowed amount
A fee you pay for each prescription medication
#3
In the context of health insurance, what does 'network' refer to?
A group of doctors and hospitals that have agreed to provide services at negotiated rates
The total number of people covered by a particular insurance plan
The amount of money you must pay before your insurance starts to cover costs
A type of health insurance plan
#4
Which government program provides health insurance for individuals aged 65 and older in the United States?
Medicaid
CHIP (Children's Health Insurance Program)
Medicare
ACA (Affordable Care Act)
#5
What is 'premium' in the context of health insurance?
The amount you must pay each month for your insurance coverage
The total amount you pay out-of-pocket for covered services
The maximum amount you will pay in a policy period before your insurance starts to pay 100% of the allowed amount
A fee you pay for each prescription medication
#6
Which of the following statements about 'dependent coverage' in health insurance is true?
Dependent coverage is only available for children under the age of 12
Dependent coverage is not offered by most health insurance plans
Dependent coverage allows individuals to add family members to their health insurance plan
Dependent coverage is always more expensive than individual coverage
#7
What does the term 'deductible' mean in health insurance?
The total amount you pay out-of-pocket for covered services
A fixed amount you pay for a covered health care service, usually when you receive the service
The maximum amount you will pay in a policy period before your insurance starts to pay 100% of the allowed amount
A fee you pay for each prescription medication
#8
Which of the following is an example of a 'pre-existing condition' that might affect your health insurance coverage?
A broken arm sustained two years ago
High cholesterol diagnosed last month
A cold you had last winter
A surgery scheduled for next month
#9
What is the 'out-of-pocket maximum' in health insurance?
The total amount you pay out-of-pocket for covered services
A fixed amount you pay for a covered health care service, usually when you receive the service
The maximum amount you will pay in a policy period before your insurance starts to pay 100% of the allowed amount
A fee you pay for each prescription medication
#10
Which type of health insurance plan typically offers the most flexibility in choosing healthcare providers?
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Exclusive Provider Organization (EPO)
Point of Service (POS)
#11
What is the purpose of a 'health savings account' (HSA)?
To provide coverage for preventive care services
To save money for medical expenses on a tax-advantaged basis
To limit the total amount you pay out-of-pocket for covered services
To share the cost of covered services between you and your insurance provider
#12
Which of the following is a potential advantage of having a high-deductible health plan (HDHP)?
Lower premiums
Higher coverage for prescription drugs
More comprehensive coverage
No out-of-pocket expenses
#13
What is the purpose of 'coinsurance' in health insurance?
To limit the total amount you pay out-of-pocket for covered services
To share the cost of covered services between you and your insurance provider
To provide coverage for preventive care services
To provide coverage for prescription drugs
#14
What is the purpose of 'prior authorization' in health insurance?
To obtain permission from your insurance company before receiving certain services or medications
To determine eligibility for coverage under the policy
To negotiate lower prices with healthcare providers
To file a complaint about denied coverage
#15
What is the purpose of 'catastrophic health insurance'?
To cover routine medical expenses
To provide coverage for preventive care services
To protect against high medical costs from severe accidents or illnesses
To cover pre-existing conditions
#16
What is the purpose of 'renewability' in health insurance policies?
To specify the services or conditions that are not covered by the policy
To determine whether the policy can be continued after its expiration date
To limit the total amount you pay out-of-pocket for covered services
To provide coverage for preventive care services
#17
What is the purpose of 'lifetime maximum' in health insurance?
To limit the total amount you pay out-of-pocket for covered services
To specify the maximum amount the insurance company will pay over the insured's lifetime
To provide coverage for preventive care services
To share the cost of covered services between you and your insurance provider