Health Insurance Quiz

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Questions and Answers

What should you consider when choosing a health insurance plan?

  • The type of job you have
  • The age of your children
  • The number of hospitals in your area
  • Your current health status (correct)

If you have a known health issue, what type of plan should you consider?

  • A plan with a higher deductible and lower premium
  • A plan with a low copayment
  • A plan with a high out-of-pocket limit
  • A plan with a lower deductible and higher premium (correct)

What is not automatically covered in a health insurance plan?

  • Spouses
  • Prescription medication
  • Pre-existing conditions
  • Children (correct)

What is the relationship between premium and out-of-pocket expenses?

<p>The higher the premium, the lower the out-of-pocket expenses (C)</p> Signup and view all the answers

What is the purpose of the deductible in a health insurance plan?

<p>To determine when the insurance coverage kicks in (B)</p> Signup and view all the answers

What happens after you reach the out-of-pocket limit in a health insurance plan?

<p>The plan pays for 100% of services (C)</p> Signup and view all the answers

What is the main purpose of supplemental health insurance?

<p>To provide additional coverage for specific medical expenses (D)</p> Signup and view all the answers

What is the primary purpose of a copayment in a health insurance plan?

<p>To split costs with the insurer after the deductible is met (C)</p> Signup and view all the answers

What type of supplemental insurance helps cover out-of-pocket expenses?

<p>GAP (C)</p> Signup and view all the answers

What is an example of a supplemental insurance policy that pays a lump sum in the event of a serious illness?

<p>Critical Illness (C)</p> Signup and view all the answers

What is the maximum amount you would need to pay for covered health care services in a year?

<p>Maximum Out-of-Pocket (C)</p> Signup and view all the answers

What factor should be considered when picking a health insurance plan, aside from the cost?

<p>Whether the plan covers your current doctor (B)</p> Signup and view all the answers

What is the purpose of dental supplemental insurance?

<p>To cover routine dental care and checkups (C)</p> Signup and view all the answers

What is not a type of supplemental insurance mentioned in the text?

<p>Life (D)</p> Signup and view all the answers

What is the percentage of the cost that you pay for covered services in a health insurance plan?

<p>Coinsurance (D)</p> Signup and view all the answers

What is the fixed amount you pay for a specific service or prescription medication in a health insurance plan?

<p>Copayment (D)</p> Signup and view all the answers

What does not count towards your maximum out-of-pocket amount in a health insurance plan?

<p>Monthly premium payments (C)</p> Signup and view all the answers

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Study Notes

Health Insurance Costs

  • A health insurance plan's cost includes the deductible and part of the medical bills.
  • Copayment is a fixed amount paid for a specific service or prescription medication.
  • Copayments are one of the ways health insurers split costs with the policyholder after the deductible is hit.
  • Copayments may also be required for specific services before reaching the deductible.
  • The policyholder will pay copayments until they reach the maximum out-of-pocket amount.

Coinsurance and Out-of-Pocket

  • Coinsurance is a percentage of the cost that the policyholder pays for covered services.
  • Coinsurance is typically a percentage of the cost, e.g., 20% of the cost of covered services until the out-of-pocket maximum is reached.
  • Maximum out-of-pocket is the most a policyholder will have to pay for covered health care services in a year.
  • Payments made towards the deductible, copayments, and coinsurance payments go towards the out-of-pocket limit.

Picking a Health Insurance Plan

  • Factors to consider when picking a plan include more than just cost.
  • Not all plans cover all doctors, so it's essential to check if a doctor is part of the plan.
  • The policyholder should ensure their preferred doctor is part of the plan.

Supplemental Insurance

  • Health insurance may not always cover every aspect, and supplemental insurance can be helpful.
  • Supplemental insurance policies can be bought in addition to a health insurance plan.
  • Examples of supplemental insurance policies include dental, vision, GAP, and critical illness insurance.

Health Insurance Plan Options

  • There are different health insurance plan options to choose from, depending on individual needs.
  • A policyholder with no known medical issues may opt for a lower premium payment with a higher deductible and copay option.
  • A policyholder with a known health issue may want to search for a lower deductible.

What's Covered with Health Insurance

  • Health insurance doesn't cover everything.
  • There are four ways health insurance companies might share costs with the policyholder: deductible, copayment, coinsurance, and out-of-pocket limit.

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