Health Insurance Answers

The monthly amount an individual pays for a health insurance plan is called a:

The amount an individual must pay annually for healthcare services before the insurance company begins to pay is called a:

An individual visits a doctor for a routine checkup. The visit most likely will require the individual to pay a/an:

The amount of money the insurance company pays after an individual’s contribution is slightly lower than the actual cost of the healthcare services. That likely is due to a/an

Which of the following is a limitation of PPO plans?

Which of the following health insurance plans offers the most comprehensive coverage?

For an individual with minimal healthcare expenses and a small budget, which of the following plans could be an appropriate health insurance option? (Select all that apply.)

An individual covered by a PPO plan makes a routine visit to the doctor.Every month, the individual pays a $50 ✔ premiumco-paydeductibleadjustment to an insurance company to have health insurance plan.The visit to the doctor costs $125. The individual has to make a payment, called a premium✔ a co-paya deductiblean adjustment, directly to the doctor’s officeDuring the visit, the doctor determines the individual will require a procedure costing $4,500. Before the individual agrees to the procedure, he checks to see what his annual premiumco-pay✔ deductibleadjustment is to determine how much he will have to pay.The health insurance company does not have to pay the full remaining amount for the procedure because of a premiuma co-paya deductible✔ an adjustment.

A 75-year-old woman with a low income who has never been in the military needs frequent home visits from a nurse for ongoing healthcare services.This individual is most likely eligible for ✔ MedicareX workers’ compensationTRICARE.To have additional coverage, she also could purchase a TRICARE✔ Medigapworkers’ compensation plan.

Choose the best health insurance plan for each individual.An individual who has minimal healthcare expenses, is not worried about medical emergencies, and does not want to spend much most likely would purchase an HMO plana PPO plana temporary health insurance plan✔ a fixed-benefit plan.An individual who is not concerned about cost and would prefer to pick his providers within a network most likely would purchase an HMO plan✔ a PPO plana temporary health insurance plana fixed-benefit plan.An individual who is between jobs might benefit from purchasing HMO insurancePPO insurance✔ temporary health insurancefixed-benefit insurance.An individual who requires a large amount of medication not covered by her insurance plan may benefit from purchasing a PPO plana temporary health insurance plana fixed-benefit plan✔ a discount plan.An individual who is looking for an affordable insurance plan and does not require anything beyond basic medical procedures may benefit from purchasing ✔ an HMO plana PPO plana temporary health insurance plana discount plan.