Question

Question 1
4
Points
Question 1
The portion of charges an insured person must pay for health care services after meeting the deductible, usually stated as a percentage, is called:

Deductible

Coinsurance

Maximum out-of-pocket

Self-pay

Copay

Question 2
Question 2
4
Points
Question 2
Which of the following statements best describes a health plan deductible?

A determination of benefits for issuing reimbursement

A health plan-approved notice for seeking services out of network

A predetermined dollar amount that must be paid by the patient before the health plan begins reimbursement for services rendered

A preset dollar amount that must be paid by the patient, generally at the time medical service is rendered

Question 3
Question 3
4
Points
Question 3
A set dollar amount a health plan requires an insured person to pay at the time of service for each health care encounter is called:

Deductible

Self-pay

Maximum out-of-pocket

Copay

Coinsurance

Question 4
Question 4
4
Points
Question 4
Which of the following will a patient without insurance pay for each health care encounter?

Maximum out-of-pocket

Coinsurance

Deductible

Copay

Self-pay

Question 5
Question 5
4
Points
Question 5
True or False: A health plan premium is the amount a member pays for coverage for a specific period of time.

True

False

Question 6
Question 6
4
Points
Question 6
Which of the following terms refers to the most an insured person will have to pay for covered health care services in a policy period? Until this amount is met, the health care plan and insured person share costs.

Copay

Maximum out-of-pocket

Coinsurance

Self-pay

Deductible

Question 7
Question 7
4
Points
Question 7
Which of the following statements best describes a health plan copayment?

A percentage-based amount that must be paid by the patient

A health plan-approved notice for seeking services out of network

A preset dollar amount that must be paid by the patient, generally at the time medical service is rendered

The amount a health plan member pays for coverage for a specific period of time

Question 8
Question 8
4
Points
Question 8
True or False: Health care providers often have financial policies requiring patients to pay their copayment at the time services are rendered.

False

True

Question 9
Question 9
4
Points
Question 9
The amount owed for covered health care services before the health insurance plan begins to pay is called:

Maximum out-of-pocket

Coinsurance

Self-pay

Deductible

Copay

Question 10
Question 10
4
Points
Question 10
Which of the following terms best describes a patient who pays for services out of pocket using their own funds?

Preferred provider organization members

Self-pay patients

Patients referred by another physician

Medicare members

Answer 1

1. Coinsurance
2. A predetermined dollar amount that must be paid by the patient before the health plan begins reimbursement for services rendered
3. Copay
4. Self-pay
5. True
6. Maximum out-of-pocket
7. A preset dollar amount that must be paid by the patient, generally at the time medical service is rendered
8. True
9. Deductible
10. Self-pay patients