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.
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.
