HAN 300 FINAL REVIEW EXAM
QUESTIONS AND ANSWERS 100% PASS
2026/2027
Health care - ANS the treatment of illness and maintenance of health
finance - ANS funding
health care financing - ANS funding for the treatment of illness and maintenance of health
insurance - ANS protects against risk
insured - ANS (also called beneficiary) some who is covered by insurance
beneficiary - ANS a person who derives advantage from something, especially a trust, will or
life insurance policy
insurer - ANS a person or company that underwrites an insurance risk; the party in an
insurance contract undertaking to pay compensation
@2026 ALLRIGHTS RESERVED 1
,underwriting - ANS process that insurer does to evaluate, selecting or rejecting classifying
and rating risk
o 4 types:
Risk is unpredictable for the individual insured
Reasonable can be predicted with a reasonable degree of accuracy
Insurance can transfer risk from group to individual through pooling of resources
Losses are shared by all members
experience rating - ANS premium can be unaffordable for high-risk groups most commonly
associated with worker's compensation insurance
community rating - ANS good risks subsidize poor risks
adjusted community rating - ANS (required by ACA): takes into account individual vs. family
enrollment, geographic area, age, tobacco use
benefits - ANS services covered by an insurance plan
copayment - ANS flat amount paid per service
coinsurance - ANS set proportion of medical costs insured pay out of pocket
o Ex. you pay 20% the insurance pays 80%
deductible - ANS amount the insured pays first before benefits are paid by the plan
o Applied annually
@2026 ALLRIGHTS RESERVED 2
, service description - ANS a description of the health care services you received, like a medical
visit, lab tests, or screenings
provider charges - ANS is the amount your provider bills for your visits
allowed charges - ANS is the amount your provider will be reimbursed; this may not be the
same as the provider charges.
paid by the insurer - ANS the amount your insurance plan will pay to your provider
payee - ANS the person who will receive any reimbursement for over-paying the claim
what you owe - ANS the amount the patient or insurance plan member owes after your
insurer has pay everything else. You may have already paid a portion of this amount, and
payments made directly to your provider may not be subtracted from this amount
remark code - ANS a note from the insurance plan that explains more about the costs,
charges and paid amounts for your visit.
premium - ANS amount charged by the insurer per month to prevent risk
deductible - ANS annual payment for insurance price based on the plan you choose before
they cover something
health savings account - ANS accounts you can draw from to cover health expenses
@2026 ALLRIGHTS RESERVED 3
QUESTIONS AND ANSWERS 100% PASS
2026/2027
Health care - ANS the treatment of illness and maintenance of health
finance - ANS funding
health care financing - ANS funding for the treatment of illness and maintenance of health
insurance - ANS protects against risk
insured - ANS (also called beneficiary) some who is covered by insurance
beneficiary - ANS a person who derives advantage from something, especially a trust, will or
life insurance policy
insurer - ANS a person or company that underwrites an insurance risk; the party in an
insurance contract undertaking to pay compensation
@2026 ALLRIGHTS RESERVED 1
,underwriting - ANS process that insurer does to evaluate, selecting or rejecting classifying
and rating risk
o 4 types:
Risk is unpredictable for the individual insured
Reasonable can be predicted with a reasonable degree of accuracy
Insurance can transfer risk from group to individual through pooling of resources
Losses are shared by all members
experience rating - ANS premium can be unaffordable for high-risk groups most commonly
associated with worker's compensation insurance
community rating - ANS good risks subsidize poor risks
adjusted community rating - ANS (required by ACA): takes into account individual vs. family
enrollment, geographic area, age, tobacco use
benefits - ANS services covered by an insurance plan
copayment - ANS flat amount paid per service
coinsurance - ANS set proportion of medical costs insured pay out of pocket
o Ex. you pay 20% the insurance pays 80%
deductible - ANS amount the insured pays first before benefits are paid by the plan
o Applied annually
@2026 ALLRIGHTS RESERVED 2
, service description - ANS a description of the health care services you received, like a medical
visit, lab tests, or screenings
provider charges - ANS is the amount your provider bills for your visits
allowed charges - ANS is the amount your provider will be reimbursed; this may not be the
same as the provider charges.
paid by the insurer - ANS the amount your insurance plan will pay to your provider
payee - ANS the person who will receive any reimbursement for over-paying the claim
what you owe - ANS the amount the patient or insurance plan member owes after your
insurer has pay everything else. You may have already paid a portion of this amount, and
payments made directly to your provider may not be subtracted from this amount
remark code - ANS a note from the insurance plan that explains more about the costs,
charges and paid amounts for your visit.
premium - ANS amount charged by the insurer per month to prevent risk
deductible - ANS annual payment for insurance price based on the plan you choose before
they cover something
health savings account - ANS accounts you can draw from to cover health expenses
@2026 ALLRIGHTS RESERVED 3
