I Medi-care About You
What's My Monthly?
Copay vs Coinsurance
Deductibles & Percentages
In vs Out of Network
100

This Medicare part primarily covers hospital stays, skilled nursing facilities, and hospice care.

What is Medicare Part A?

100

Maria pays $250 each month for health insurance. What is her annual premium cost?

What is $3,000?

100

This is a fixed dollar amount paid for a healthcare visit.

What is a copay?

100

This is the amount a patient must pay before insurance begins sharing costs.

What is a deductible?

100

Providers contracted with an insurance company are considered what?

What is in-network?

200

This Medicare part covers doctor visits, outpatient services, and preventive care.

What is Medicare Part B?

200

James pays $180 monthly for insurance. How much does he pay in premiums over 6 months?

What is $1,080?

200

A patient pays $30 every time they see their primary care provider. This is an example of what?

What is a copay?

200

A patient has a $1,000 deductible and has already paid $700. How much remains?

What is $300?

200

Patients usually pay less when using these providers.

What are in-network providers?

300

This Medicare part is also known as Medicare Advantage.

What is Medicare Part C?

300

A family pays $425 per month for insurance. What is the total premium for one year?

What is $5,100?

300

A patient owes 20% of a $200 bill after insurance processes the claim. What type of cost-sharing is this?

What is coinsurance?

300

A patient has met their deductible and owes 20% coinsurance on a $400 procedure. How much do they pay?

What is $80?

300

Providers without a contract with the insurance company are considered what?

What is out-of-network?

400

This Medicare part helps pay for prescription medications.

What is Medicare Part D?

400

A patient pays $220 monthly. The employer pays $380 monthly. What is the total monthly premium?

What is $600?

400

A patient has 10% coinsurance and receives a service costing $800. How much do they owe?

What is $80?

400

A patient has a $2,500 deductible and has paid 60% of it. How much has been paid?

What is $1,500?

400

A patient sees a provider who is not contracted with their insurance plan. This provider is considered what?

What is out-of-network?

500

If a patient was discharged from the hospital, received follow up care outpatient with his doctor and had to pick up a prescription, which parts of Medicare have been used?

What is Part A, B, and D?

500

A patient pays $175 monthly for insurance and keeps the policy for 18 months. What is the total premium paid?

What is $3,150?

500

A patient has a $40 specialist copay and receives a service costing $500. Which amount remains the same regardless of the service cost?

What is the copay?

500

A patient has a $1,200 deductible. They have paid $900. They receive a service costing $500. How much must they pay before coinsurance begins?

What is $300?

500

A patient's plan covers 80% in-network and 50% out-of-network. A $1,000 service is performed. How much more does the patient pay if they go out-of-network?

What is $300 more?

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