Medical Insurance Terminology Quiz
Test your knowledge on medical insurance terms with this quiz. Learn about premiums, deductibles, co-payments, and more in less than 160 characters!
#1
What does the term 'premium' refer to in medical insurance?
The amount paid by the insured to the insurance company for coverage
The maximum amount the insured can claim
The deductible amount
The co-payment amount
#2
Which of the following best describes 'co-payment' in medical insurance?
A fixed amount the insured pays for covered services
The total amount the insured pays before the insurance coverage kicks in
The amount the insured must pay before the insurance company covers the rest
The percentage of covered expenses the insured pays after meeting the deductible
#3
What is 'deductible' in medical insurance?
The maximum amount the insured can claim
The amount paid by the insured to the insurance company for coverage
The fixed amount the insured pays for covered services
The amount the insured must pay before the insurance company covers the rest
#4
What does 'coinsurance' mean in medical insurance terminology?
A fixed amount the insured pays for covered services
The total amount the insured pays before the insurance coverage kicks in
The percentage of covered expenses the insured pays after meeting the deductible
The amount paid by the insured to the insurance company for coverage
#5
What is the 'Explanation of Benefits (EOB)' statement in medical insurance?
A document that outlines the benefits covered by the insurance policy
A statement detailing the costs and services provided by healthcare providers
A summary of medical expenses paid by the insured and the insurance company
A document explaining the terms and conditions of the insurance policy
#6
What does 'in-network' mean in the context of medical insurance?
Healthcare providers who are not covered by the insurance plan
Healthcare providers who have a contract with the insurance company
Healthcare providers who are covered by the insurance plan
Healthcare providers who offer specialized services
#7
What is a 'pre-existing condition' in medical insurance?
A medical condition that arises during the insurance coverage period
A condition that was diagnosed before the start of the insurance coverage
A condition that requires immediate medical attention
A condition that is not covered by the insurance policy
#8
In medical insurance, what does 'out-of-pocket maximum' signify?
The maximum amount the insured can claim
The maximum amount the insured is required to pay during a policy period
The amount the insured must pay before the insurance company covers the rest
The total amount the insured pays before the insurance coverage kicks in
#9
What is the purpose of 'prior authorization' in medical insurance?
To ensure the insured receives medical treatment before payment
To determine the eligibility of the insured for coverage
To obtain approval from the insurance company for certain medical services
To file a claim for medical expenses incurred
#10
What does 'underwriting' involve in the context of medical insurance?
The process of assessing risk and determining premium rates
The process of filing a claim for medical expenses
The process of negotiating contracts with healthcare providers
The process of investigating fraudulent insurance claims
#11
What is 'network adequacy' in medical insurance?
The extent to which healthcare providers accept insurance plans
The quality of services provided by healthcare networks
The number of healthcare providers within a specific area
The process of expanding healthcare provider networks
#12
What is 'utilization review' in medical insurance?
The process of reviewing medical claims for accuracy
The process of reviewing healthcare provider credentials
The process of reviewing the necessity and appropriateness of medical care
The process of reviewing insurance policy documents
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