Plan Types
A Health insurance plan that provides national coverage
PPO- Proffered Provider Organization
Deductible
The amount of money you must pay each year to cover your medical expenses before your insurance starts paying.
A health problem that happened before the date your insurance coverage became effective
Pr-existing conditions
Co payment
You pay a flat fee every time you receive a medical service. The insurance company pays the rest.
True or False, All HMO plans require referrals to see a specialist
False
A medical bank account that allows you to save money and pay for current and future medical expenses on a tax free basis.
Health Savings Account
The maximum money you will be required to pay each year for deductibles, coinsurance, and co payments
Maximum out of Pocket
services designed to keep patients healthy (generally Annually)
Preventative care
Dependent
A child covered under their guardians insurance policy.
True or False: Health insurance plans are categorized as Bronze, Silver, and Gold levels options?
True
What insurance plan requires you to stay with providers that are in your plans network?
HMO- Health Maintenance Organization
Exclusions
Specific conditions or circumstances for which the policy will not provide benefits
The amount paid by you or your employer play monthly
Premium
The age is which you can no longer be on your parents health insurance?
26 Years Old
True or False: Having a baby is a qualified event?
True
What type of health insurance plan allows for a line item tax deduction?
HSA (Health Savings account)
the amount you are required to pay for medical care after you have met your deductible.
Coinsurance
Your main doctor who monitors your health, diagnoses and treats minor health problems
Primary care Physician
What is typically shown as a percentage of what's covered on your plan?
Coinsurance
True or False: All family members must join an employer group plan if one is offered
False