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Health Insurance Policy Provisions and Coverage Quiz

#1

What is the maximum age limit for dependents under most health insurance policies in the USA?

26 years
Explanation

Maximum age limit for dependents under health insurance policies in the USA.

#2

Which of the following is NOT typically covered by a standard health insurance policy?

Cosmetic Surgery
Explanation

Cosmetic Surgery is not typically covered by standard health insurance policies.

#3

What is the term for the percentage of the total cost of a covered healthcare service that a policyholder must pay?

Co-insurance
Explanation

Co-insurance is the percentage of the total cost paid by the policyholder for covered healthcare services.

#4

What is the term for the specific amount of money a policyholder must pay for a covered healthcare service before the insurance company pays the rest?

Deductible
Explanation

Deductible is the specific amount paid by the policyholder before insurance coverage begins.

#5

What is a 'deductible' in a health insurance policy?

The amount the policyholder pays before the insurance kicks in
Explanation

Deductible is the amount paid by the policyholder before insurance coverage begins.

#6

What is the term for the maximum amount of money an insurer will pay for a covered medical service?

Lifetime maximum
Explanation

Lifetime maximum is the maximum amount an insurer will pay for a covered medical service.

#7

What is the term for a healthcare provider or facility that has a contract with an insurance company to provide services at a reduced cost?

In-network provider
Explanation

In-network provider is a healthcare provider with a contract for reduced-cost services with an insurance company.

#8

What is the term for the maximum amount of money a policyholder will have to pay for covered healthcare services in a given year?

Out-of-pocket maximum
Explanation

Out-of-pocket maximum is the maximum amount a policyholder pays for covered healthcare services in a year.

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