#1
What does HMO stand for in the context of health insurance?
Health Management Organization
Highly Maintained Operation
Hospital and Medical Oversight
Healthcare Maintenance Order
#2
In a PPO health insurance plan, what does 'PPO' stand for?
Preferred Provider Organization
Public Patient Option
Primary Physician Oversight
Private Practice Order
#3
What is the purpose of a deductible in health insurance?
The amount the insured person pays before the insurance coverage starts
The maximum amount the insurance company will pay for a covered claim
A fixed monthly payment for insurance coverage
A discount on prescription medications
#4
Which government program provides health insurance for individuals aged 65 and older in the United States?
Medicaid
CHIP (Children's Health Insurance Program)
Obamacare
Medicare
#5
What is the role of a health insurance premium?
To cover routine medical expenses
To provide coverage for catastrophic events
To determine the policyholder's age
To generate profits for the insurance company
#6
In health insurance terminology, what does the term 'network' refer to?
A group of healthcare providers working for the insurance company
The set of covered medical services
The group of policyholders with the same insurance company
A list of preferred hospitals and doctors where the insured can receive discounted services
#7
What is the main difference between a health maintenance organization (HMO) and a preferred provider organization (PPO)?
HMOs have a wider network of healthcare providers
PPOs require referrals to see specialists
HMOs generally have lower out-of-pocket costs but limit the choice of healthcare providers
PPOs are government-funded and provide coverage to low-income individuals
#8
What does the term 'catastrophic health insurance' typically refer to?
Insurance coverage for pre-existing conditions
Coverage for major medical expenses and emergencies
Insurance plans with extremely high premiums
Coverage for routine preventive care
#9
What is the purpose of a pre-existing condition exclusion in health insurance?
To deny coverage for any medical conditions diagnosed before the insurance policy starts
To limit coverage for certain conditions for a specified time after the policy starts
To exclude coverage for all pre-existing conditions regardless of when they were diagnosed
To provide additional coverage for pre-existing conditions at no extra cost
#10
What is a co-payment in health insurance?
A fixed amount paid by the insured for covered services
The total amount the insured person pays before insurance coverage starts
A percentage of covered medical expenses paid by the insured
The maximum amount the insurance company will pay for a covered claim
#11
What is the main purpose of the Affordable Care Act (ACA) in the United States?
To provide financial assistance for medical bills
To regulate the health insurance industry and expand access to healthcare
To establish a government-run healthcare system
To eliminate private health insurance options
#12
What is the 'donut hole' in the context of Medicare Part D?
A gap in coverage where the insured pays more for prescription drugs
A preventive care benefit for Medicare beneficiaries
A term used for Medicare Advantage plans
A period during which Medicare coverage is temporarily suspended
#13
What is the primary purpose of long-term care insurance?
To cover short-term medical expenses
To provide coverage for catastrophic events
To cover the costs of extended healthcare services and assistance with daily activities
To offer financial assistance for prescription medications
#14
In health insurance, what is the grace period?
The time during which a policyholder can enroll in a new insurance plan
A period after the due date during which a policy remains in force with payment
The waiting period for coverage to begin after enrolling in a plan
The duration for which coverage continues after a policy is terminated
#15
What is Medicaid's primary focus in terms of the population it serves?
Low-income individuals and families
Seniors aged 65 and older
Military veterans
Individuals with high credit scores
#16
What is the purpose of a health savings account (HSA) in the context of healthcare coverage?
To provide free healthcare services to low-income individuals
To save money for future medical expenses with tax advantages
To offer financial assistance for long-term care
To cover emergency medical expenses only