The amount of money you pay out of pocket for covered services before your insurance starts paying.
The fee you pay for each doctor's visit.
The maximum amount of money you can pay for covered services in a year.
The total amount your insurance company pays for your medical bills.
#2
What is a copayment (copay) in health insurance?
A fixed amount you pay for a covered healthcare service, usually when you receive the service.
The percentage of costs of a covered healthcare service you pay (20%, for example) after you've paid your deductible.
The maximum amount of money you can pay for covered services in a year.
The total amount your insurance company pays for your medical bills.
#3
What is a pre-existing condition in health insurance?
A condition that occurs after you purchase a health insurance policy.
A condition that existed before you applied for or enrolled in a new health insurance plan.
A condition that is not covered by your health insurance policy.
A condition that requires immediate medical attention.
#4
What is Medicaid?
A federal health insurance program for people age 65 or older.
A federal health insurance program for low-income individuals and families.
A type of health insurance plan that combines features of HMOs and PPOs.
A state-run health insurance program for individuals with disabilities.
#5
What is a provider network in health insurance?
A group of healthcare providers and facilities that have contracted with your insurance company to provide services at a discounted rate.
A federal website where individuals and small businesses can shop for and buy health insurance plans.
A type of health insurance plan that combines features of HMOs and PPOs.
A tax credit available to employers who provide health insurance coverage to their employees.
#6
What is a formulary in health insurance?
A list of prescription drugs covered by a health insurance plan.
A document that explains the coverage of a particular health insurance policy.
A notice from your insurance company that lists what they paid and what you must pay for medical care you received.
A statement outlining the reasons why a health insurance claim was denied.
#7
What is coinsurance in health insurance?
A fixed amount you pay for a covered healthcare service, usually when you receive the service.
The percentage of costs of a covered healthcare service you pay (20%, for example) after you've paid your deductible.
The maximum amount of money you can pay for covered services in a year.
The total amount your insurance company pays for your medical bills.
#8
What is an Explanation of Benefits (EOB) statement in health insurance?
A summary of the costs covered by your insurance plan after a healthcare visit or service.
A document that explains the coverage of a particular health insurance policy.
A notice from your insurance company that lists what they paid and what you must pay for medical care you received.
A statement outlining the reasons why a health insurance claim was denied.
#9
What is a health insurance network?
A group of healthcare providers and facilities that have contracted with your insurance company to provide services at a discounted rate.
A document that explains the coverage of a particular health insurance policy.
A notice from your insurance company that lists what they paid and what you must pay for medical care you received.
A statement outlining the reasons why a health insurance claim was denied.
#10
What is an out-of-pocket maximum in health insurance?
The amount of money you pay out of pocket for covered services before your insurance starts paying.
The fee you pay for each doctor's visit.
The maximum amount of money you can pay for covered services in a year.
The total amount your insurance company pays for your medical bills.
#11
What is a health savings account (HSA)?
A type of savings account that allows you to set aside money on a pre-tax basis to pay for qualified medical expenses.
A document that explains the coverage of a particular health insurance policy.
A notice from your insurance company that lists what they paid and what you must pay for medical care you received.
A statement outlining the reasons why a health insurance claim was denied.
#12
What is a health maintenance organization (HMO)?
A type of health insurance plan that combines features of HMOs and PPOs.
A group of healthcare providers and facilities that have contracted with your insurance company to provide services at a discounted rate.
A notice from your insurance company that lists what they paid and what you must pay for medical care you received.
A statement outlining the reasons why a health insurance claim was denied.
#13
What is a health insurance premium?
The amount of money you pay out of pocket for covered services before your insurance starts paying.
The fee you pay for each doctor's visit.
The monthly payment you make to your insurance company for your coverage.
The total amount your insurance company pays for your medical bills.
#14
What is Medicare?
A federal health insurance program for people age 65 or older.
A federal health insurance program for low-income individuals and families.
A type of health insurance plan that combines features of HMOs and PPOs.
A state-run health insurance program for individuals with disabilities.
#15
What is an insurance premium tax credit?
A refundable tax credit designed to help eligible individuals and families with low or moderate income afford health insurance coverage purchased through the Health Insurance Marketplace.
A tax on insurance companies that offer high-cost plans.
A tax credit available to employers who provide health insurance coverage to their employees.
A tax deduction for medical expenses paid out of pocket.
#16
What is a Health Insurance Marketplace (Exchange)?
A state-run health insurance program for low-income individuals and families.
A federal website where individuals and small businesses can shop for and buy health insurance plans.
A type of health insurance plan that combines features of HMOs and PPOs.
A state-run health insurance program for individuals with disabilities.
#17
What is a lifetime maximum in health insurance?
The maximum amount of money you can pay for covered services in a year.
The maximum amount of time an individual can spend in a hospital for a single illness or injury.
The total amount your insurance company pays for your medical bills over the course of your lifetime.
The maximum amount of time an individual can be covered by health insurance.