HAN 300 FINAL REVIEW EXAMS WITH 100%
CORRECT VERIFIED ANSWERS LATEST UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
health care correct answers
the treatment of illness and maintenance of health
finance correct answers
funding
health care financing correct answers
funding for the treatment of illness and maintenance of health
insurance correct answers
protects against risk
insured correct answers
(also called beneficiary) some who is covered by insurance
Beneficiary correct answers
a person who derives advantage from something, especially a trust, will
or life insurance policy
insurer correct answers
a person or company that underwrites an insurance risk; the party in an
insurance contract undertaking to pay compensation
underwriting correct answers
process that insurer does to evaluate, selecting or rejecting classifying
and rating risk
o 4 types:
,HAN 300 FINAL REVIEW EXAMS WITH 100%
CORRECT VERIFIED ANSWERS LATEST UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
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 correct answers
premium can be unaffordable for high-risk groups most commonly
associated with worker's compensation insurance
community rating correct answers
good risks subsidize poor risks
adjusted community rating correct answers
(required by ACA): takes into account individual vs. family enrollment,
geographic area, age, tobacco use
Benefits correct answers
services covered by an insurance plan
copayment correct answers
flat amount paid per service
coinsurance correct answers
set proportion of medical costs insured pay out of pocket
o Ex. you pay 20% the insurance pays 80%
, HAN 300 FINAL REVIEW EXAMS WITH 100%
CORRECT VERIFIED ANSWERS LATEST UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
deductible correct answers
amount the insured pays first before benefits are paid by the plan
o Applied annually
service description correct answers
a description of the health care services you received, like a medical
visit, lab tests, or screenings
provider charges correct answers
is the amount your provider bills for your visits
allowed charges correct answers
is the amount your provider will be reimbursed; this may not be the
same as the provider charges.
paid by the insurer correct answers
the amount your insurance plan will pay to your provider
payee correct answers
the person who will receive any reimbursement for over-paying the
claim
what you owe correct answers
the amount the patient or insurance plan member owes after your
insurer has pay everything else. You may have already paid a portion of
CORRECT VERIFIED ANSWERS LATEST UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
health care correct answers
the treatment of illness and maintenance of health
finance correct answers
funding
health care financing correct answers
funding for the treatment of illness and maintenance of health
insurance correct answers
protects against risk
insured correct answers
(also called beneficiary) some who is covered by insurance
Beneficiary correct answers
a person who derives advantage from something, especially a trust, will
or life insurance policy
insurer correct answers
a person or company that underwrites an insurance risk; the party in an
insurance contract undertaking to pay compensation
underwriting correct answers
process that insurer does to evaluate, selecting or rejecting classifying
and rating risk
o 4 types:
,HAN 300 FINAL REVIEW EXAMS WITH 100%
CORRECT VERIFIED ANSWERS LATEST UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
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 correct answers
premium can be unaffordable for high-risk groups most commonly
associated with worker's compensation insurance
community rating correct answers
good risks subsidize poor risks
adjusted community rating correct answers
(required by ACA): takes into account individual vs. family enrollment,
geographic area, age, tobacco use
Benefits correct answers
services covered by an insurance plan
copayment correct answers
flat amount paid per service
coinsurance correct answers
set proportion of medical costs insured pay out of pocket
o Ex. you pay 20% the insurance pays 80%
, HAN 300 FINAL REVIEW EXAMS WITH 100%
CORRECT VERIFIED ANSWERS LATEST UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
deductible correct answers
amount the insured pays first before benefits are paid by the plan
o Applied annually
service description correct answers
a description of the health care services you received, like a medical
visit, lab tests, or screenings
provider charges correct answers
is the amount your provider bills for your visits
allowed charges correct answers
is the amount your provider will be reimbursed; this may not be the
same as the provider charges.
paid by the insurer correct answers
the amount your insurance plan will pay to your provider
payee correct answers
the person who will receive any reimbursement for over-paying the
claim
what you owe correct answers
the amount the patient or insurance plan member owes after your
insurer has pay everything else. You may have already paid a portion of
