Health Insurance Basics
This term refers to the monthly payment you make to keep your health insurance active.
What is a premium?
The ACA was signed into law by which president?
Who is Barack Obama?
This is the annual time period when anyone can sign up for health insurance through the marketplace.
What is the Open Enrollment Period?
This is the total amount you pay for covered healthcare services each time you visit a doctor or get a prescription.
What is a copay?
This type of care includes regular check-ups and screenings to prevent illness.
What is preventive care?
The amount you pay out of pocket before your insurance starts covering expenses is called this.
What is a deductible?
Under the ACA, children can stay on their parents' insurance plan until this age.
What is 26?
This special period allows you to enroll in a health plan outside of the regular enrollment time due to life events like marriage or the birth of a child.
What is a Special Enrollment Period?
If you want to pay the lowest cost for a doctor’s visit, make sure the doctor is this.
What is in-network?
This vaccination is recommended for children and adults to prevent a serious respiratory infection.
What is the flu shot?
This is the portion of medical costs you share with your insurance company after the deductible is met.
What is coinsurance?
This term refers to the period when you can enroll in a health plan through the ACA without needing a qualifying event.
What is the Open Enrollment Period?
True or False: You can change your health insurance plan at any time during the year.
What is False?
A document showing what your insurance will cover and what you owe after a claim is called this.
What is an Explanation of Benefits (EOB)?
This screening test is commonly done to check for breast cancer in women.
What is a mammogram?
he maximum amount you will pay for covered services in a plan year is called this.
What is the out-of-pocket maximum?
Name one type of essential care the ACA must cover
What is:
This is the month when Open Enrollment typically ends for coverage starting the following year.
What is December?
This type of prescription drug coverage is the lowest tier (tier 1) and typically has the lowest cost for prescriptions.
What are generic drugs?
These types of routine, but non medical care services are typically covered for minors under the age of 18 to maintain their overall health.
What are dental and vision care?
This type of plan generally requires you to choose a primary care physician and get referrals for specialists.
What is an HMO (Health Maintenance Organization)?
This type of health plan is available to low-income individuals and families and is funded jointly by states and the federal government.
What is Medicaid?
Losing your current coverage is an example of a qualifying event for this kind of enrollment period.
What is a Special Enrollment Period?
This term describes a healthcare provider, like a doctor or hospital, that has a contract with your health insurance to provide services at reduced rates.
What is a network provider?
This type of exam is recommended annually for adults to monitor heart health and blood pressure.
What is a physical exam?