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Health Insurance Fundamentals: Key Concepts and Policies Exam UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

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Health Insurance Fundamentals: Key Concepts and Policies Exam UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS What is the traditional kind of health insurance where patients can choose any provider? - CORRECT ANSWER Indemnity and fee-for-service. What is the monthly fee paid for health insurance called? - CORRECT ANSWER Premium. What is the dollar amount a patient must pay each year before insurance benefits begin? - CORRECT ANSWER Deductible. What is the charge that patients pay as a portion of the cost for professional services? - CORRECT ANSWER Coinsurance. What are health insurance payments sometimes based on? - CORRECT ANSWER What is the term for the limit on what a patient must pay out-of-pocket? - CORRECT ANSWER Out-of-pocket maximum. UCR rates. What is the most commonly used form for insurance claims submitted on paper? - CORRECT ANSWER CMS-1500. What level of health plan is most like the former 'basic' coverage? - CORRECT ANSWER Bronze plan. What are medical illnesses or injuries that a patient has before purchasing a health insurance policy called? - CORRECT ANSWER Preexisting conditions. What are people covered under managed care plans commonly referred to as? - CORRECT ANSWER Enrollees.

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Health Insurance Fundamentals: Key
Concepts and Policies Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
What is the traditional kind of health insurance where patients can choose any provider? - CORRECT
ANSWER Indemnity and fee-for-service.



What is the monthly fee paid for health insurance called? - CORRECT ANSWER Premium.



What is the dollar amount a patient must pay each year before insurance benefits begin? - CORRECT
ANSWER Deductible.



What is the charge that patients pay as a portion of the cost for professional services? - CORRECT
ANSWER Coinsurance.



What are health insurance payments sometimes based on? - CORRECT ANSWER UCR rates.



What is the term for the limit on what a patient must pay out-of-pocket? - CORRECT
ANSWER Out-of-pocket maximum.



What is the most commonly used form for insurance claims submitted on paper? - CORRECT
ANSWER CMS-1500.



What level of health plan is most like the former 'basic' coverage? - CORRECT
ANSWER Bronze plan.



What are medical illnesses or injuries that a patient has before purchasing a health insurance policy
called? - CORRECT ANSWER Preexisting conditions.



What are people covered under managed care plans commonly referred to as? - CORRECT
ANSWER Enrollees.
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